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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Original Research
Doppler examination in the evaluation of outcomes in pregnancies complicated by gestational hypertension and fetal intrauterine growth retardation - is it enough?
I. Babovic1,*, S. Plesinac2
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1
Institute of Obstetrics & Gynecology, Clinical Center of Serbia, Belgrade
2
School of Medicine, University of Belgrade, Belgrade (Serbia)
Clin. Exp. Obstet. Gynecol. 2012, 39(2), 222–224;
Published: 10 June 2012
Abstract
Aim: The relations between abnormal umbilical and cerebral Doppler, cerebral-umbilical (C/U) ratio, and outcomes in pregnancies complicated by gestational hypertension and fetal intrauterine growth retardation were evaluated. Materials and Methods: A retrospective study of 53 monofetal pregnancies in 2010 was conducted at the Institute of Gynecology and Obstetrics, Belgrade. Statistical analysis: chi-square likelihood ratio test, Student's t-test and Spearman’s coefficient correlation. Results: There was not a significant correlation between the timing of registration of abnormal umbilical Doppler to delivery and outcomes of high-risk pregnancies. There was a significant correlation between C/U ratio and APGAR-5 (p = 0.003). We found a significant correlation between neonatal birth weight and APGAR-5 (p = 0.000), neonatal asphyxia (p = 0.000), intracranial hemorrhage (p = 0.000) and respiratory distress syndrome (p = 0.000). Conclusion: Umbilical and cerebral artery Doppler is a relatively poor predictor of neonatal outcome. It seems that neonatal birth weight is the best predictor of neonatal outcome in high-risk pregnancies.
Keywords
Gestational hypertension
Intrauterine growth retardation
Doppler
Fetus
Umbilical and cerebral velocimetry
Neonatal outcome