Absent or Reversed end Diastolic Flow in the Umbilical Arteries : A Warning Sign of Serious Fetal Compromise
1988; Taylor & Francis; Volume: 7; Issue: 3 Linguagem: Inglês
10.3109/10641958809031674
ISSN0730-0085
AutoresWillem Ombelet, S. Nuradi, Katleen Vandenberghe, Bernard Spitz, Ado Van Assche,
Tópico(s)Gestational Diabetes Research and Management
ResumoAbstractUmbilical blood flow velocity waves were measured in the fetuses of 260 selected patients. In twenty-one cases we were able to demonstrate an absent or reversed flow in end diastole after the twentieth week of pregnancy. All but one were delivered before the 36th week of pregnancy. A fetal and perinatal mortality of 13 out of 21 (61, 8%) was noted and all liveborn babies were admitted to the neonatal intensive care unit. It seems that fetuses with absent or reversed end diastolic flow have a high risk of serious fetal compromise. This abnormal umbilical blood flow is not common and is obviously associated with intrauterine growth retardation, pregnancy-induced hypertension and lethal congenital malformations.This high-risk situation demands an intensive fetal surveillance although the prognosis remains poor
Referência(s)