What is the Role of Arterial and Venous Doppler Deteriorations in Predicting Neonatal Outcomes in Growth-restricted Fetuses?
Eastern Journal of Medicine, cilt.28, sa.4, ss.698-706, 2023 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 28 Sayı: 4
- Basım Tarihi: 2023
- Doi Numarası: 10.5505/ejm.2023.42492
- Dergi Adı: Eastern Journal of Medicine
- Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Veterinary Science Database, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.698-706
- Anahtar Kelimeler: cord blood gas, Doppler, fetal growth restriction, Intrauterine growth retardation, neonatal outcome
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
The study aims to evaluate the performing fetal arterial and venous Doppler to detect the optimal time for delivery in growth-restricted fetuses and its effect on perinatal outcomes. Forty-five pregnant women with intrauterine growth restriction were included in the study. Fetal umbilical artery (UA), middle cerebral artery (MCA), and ductus venosus (DV) Doppler measurements were performed. Fetuses were investigated in three groups: normal Doppler findings, only arterial Doppler abnormality, and ve nous Doppler abnormality. Cord arterial gas was analyzed at the time of delivery. Neonatal information and complications (Apgar score, neonatal intensive care unit (NICU) necessity, mechanical ventilation, respiratory distress syndrome (RDS), necrotizing e nterocolitis (NEC), and intraventricular hemorrhage (IVH)) were noted. Totally 45 growth-restricted fetuses consist of 15 (%33,3) normal Doppler findings, 22 (%48,8) abnormal arterial Doppler findings, and 8 (%17,7) abnormal venous Doppler findings. There was a statistically significant difference between the abnormal venous Doppler group and the normal Doppler group when compared for gestational age at delivery, birth weight, emergent cesarean section due to fetal distress, acidosis, neonatal complications (NICU necessity, mechanic ventilation time, RDS, NEC, İVH) (p<0,05). As well, there was a strong correlation between gestational age and duration of both NICU stay and mechanical ventilation. Several parameters should be performed for the surveillance and then the optimal delivery timing of growth-restricted fetuses. Our study supports that venous Doppler investigation is more predictive for fetal well-being and perinatal outcomes than the mild deterioration of the umbilical artery and middle cerebral art ery.