Comparison of perinatal outcomes in pregnant women with and without alteration of acm Doppler in normal growth fetuses
DOI:
https://doi.org/10.18041/2390-0512/biociencias.2.4999Keywords:
Term pregnancy, middle cerebral artery (MCA), Perinatal results, Caesarean, Doppler, fetal growthAbstract
Objective: To compare the perinatal results in pregnant women with and without Doppler alteration of the middle cerebral artery in fetuses of normal growth. Hospital Niño Jesús, Barranquilla, period July 2017 - April 2018. Materials and methods: We present a unicentric prospective analytical study, designed with the aim of comparing perinatal outcomes in pregnant women with and Doppler alteration of the middle cerebral artery in normal growth fetuses. “Hospital Niño Jesús, Barranquilla”, period July 2017 - April 2018. Results: Sample composed of a total of 200 patients, 180 patients who did not present a Doppler alteration of the middle cerebral artery with a percentage of 47.6 ± 25.0 and 20 patients whose percentage was below 5 with an average of 3, 5 ± 1.0. there are no differences between the results of the study results, Increase in the OR: 5.5 p: 0.001. Conclusions: there are no statistically significant differences when compared with the perinatal results of pregnant women with and without Doppler alteration of the cerebral middle artery in fetuses of normal growth, a statistically significant increase in the rate of cesarean sections in the cerebral artery group was evidenced altered media.
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2. Pilliod RA, Cheng YW, Snowden JM, Doss AE, Caughey AB. The risk of intrauterine fetal death in the small-for-gestational-age fetus. Am J Obstet Gynecol 2012;207:318.e1-6.
3. Pasupathy D, Wood AM, Pell JP, Fleming M, Smith GC. Rates of and factors associated with delivery-related perinatal death among term infants in Scotland. JAMA 2009;302:660-8
4. Bukowski R, Burgett AD, Gei A, Saade GR, Hankins GD. Impairment of fetal growth potential and neonatal encephalopathy. Am J Obstet Gynecol 2003;188:1011-5.
5. McIntyre S, Blair E, Badawi N, Keogh J, Nelson KB. Antecedents of cerebral palsy and perinatal death in term and late preterm singletons. Obstet Gynecol 2013;122:869-77.
6. Khalil A, Morales-Rosello J, Khan N, et al. Is cerebroplacental ratio a marker of impaired fetal growth velocity and adverse pregnancy outcome? Am JObstet Gynecol 2017;216:606.e1-10.
7. Gardosi J, Francis A. Adverse pregnancy outcome and association with small for gestational age birthweight by customized and population-based percentiles. Am J Obstet Gynecol 2009;201:28.e1-8.
8. Sovio U, White IR, Dacey A, Pasupathy D, Smith GC. Screening for fetal growth restriction with universal third trimester ultrasonography in nulliparous women in the Pregnancy Outcome Prediction (POP) study: a prospective cohort study. Lancet 2015;386:2089-97.
9. de Jong CL, Francis A, van Geijn HP, Gardosi J. Fetal growth rate and adverse perinatal events. Ultrasound Obstet Gynecol 1999;13:86-9.
10. Wladimiroff W, Wijngaard. Cerebral and umbilical arterial blood flow velocity waveforms in normal and growth-retarded pregnancies. Obstet Gynecol 1987; 69:705-9.
11. Regan J, Masters H, Warshak CR. Estimation of the growth rate in fetuses with an abnormal cerebroplacental ratio compared to those with suspected growth restriction without evidence of centralization of blood flow. J Ultrasound Med 2015;34:837-42.
12. Matas C, Aksoy E, Akarsu C, Yakin K, Bahceci M. Prediction of perinatal outcome by middle cerebral artery Doppler velocimetry. Arch Gynecol Obstet 1996; 258:141-6.
13. Dubiel M, Gudmundsson S. Middle cerebral artery velocimetry as a predictor of hipoxemia in fetuses with increased resistance to blood flow in the umbilical artery. Early Hum Dev 1997; 47:177-84.
14. Urviola R. Relación Doppler cerebroplacentaria como predictor de resultados perinatales adversos en gestantes de alto riesgo. Rev Per Ginecol Obstet. 2003; 49: 166 – 172.
15. Guerrero M, Gutiérrez G, Rodríguez R, Guzmán G. Correlación entre la flujometría Doppler de la arteria cerebral media/umbilical y la prueba sin estrés como métodos de vigilancia fetal antes del parto. Rev Ginecol Obstet Mex. 2007;75(4):193-199
16. Walter L, Conny R. Significado clínico del Doppler patológico en la arteria cerebral media en fetos del tercer trimestre. Rev Chil Obstet Ginecol. 2010;75(6):405–410.
17. Akolekar R, Syngelaki A, Gallo D, Poon L, Nicolaides K. Umbilical and fetal middle cerebral artery Doppler at 35 – 37 weeks´gestation in the prediction of adverse perinatal outcome. Rev Ultrasound Obstet Gynecol. 2015; 86):82–92.
18. Cheema R, Dubiel M, Gudmundsson S. Signs of fetal brain sparing are not related to umbilical cord blood gases at birth. Early Hum Dev 2009;85:467-70
19. Baschat A, Kush M, Manogura A, Moyano D, Turan S, Berg C, et al. Integrating Doppler and biophysical parameters in management of intrauterine growth restriction (IUGR): Middle cerebral artery (MCA) doppler is irrelevant. Am J Obstet Gynecol 2005;193:S99-S
20. Bahlmann F, Reinhard I, Krummenauer F, Neubert S, Macchiella D, Wellek S. Blood flow velocity waveforms of the fetal middle cerebral artery in a normal population: reference values from 18 weeks to 42 weeks of gestation. J Perinat Med 2002;30:490-501.
21. Kiserud T, Acharya G. The fetal circulation. PrenatDiagn. 2004; 24(13):1049-
22. Price R, Fleischer A, Abuhamad A. Instrumental ecográfico y cuestiones operativas. Em: Fleisher A, manning F, JeantyPh, Romero R. Ecografía en Obstetricia y ginecología. Madrid, España. Marban; 2002. p. 1-28.
23. Mari G. Middle cerebral artery peak systolic velocity for the diagnosis of fetal anemia: the untold story. Ultrasound Obstet Gynecol 2005;25:323-30
24. Laveriano W, Redondo C. Significado clínico del doppler patológico en la arteria cerebral media en fetos del tercer trimestre. Rev ChilObstetGinecol 2010; 75(6): 405 – 410
25. Eixard E, Meler E, Iraola A. Neurodevelopmental outcome in 2-year-old infants who were small-for-gestational age term fetuses with cerebral blood flow redistribution. Ultrasound ObstetGynecol 2008; 32:894-9.
26. Gibbs RS, Castillo MS, Rodgers PJ. Management of acute chorioamnionitis. Am J ObstetGynecol 1980; 136:709-13
27. Tyrrell S, Obaid AH, Lilford RJ. Umbilical artery Doppler velocimetry as a predictor of fetal hypoxia and acidosis at birth. Obstet Gynecol 1989;74(3 Pt 1):332- 337.
28. Álvarez, A., Padilla, C., & Sesin, F. (2013). Determinación de factores de riesgo asociados a restricción del crecimiento intrauterino en el hospital Simón Bolívar de Barranquilla, enero de 2012- Junio de 2013. Biociencias, 8(1), 11-18. Recuperado a partir de https://revistas.unilibre.edu.co/index.php/biociencias/article/view/2819
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