期刊
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
卷 189, 期 4, 页码 1007-1011出版社
MOSBY, INC
DOI: 10.1067/S0002-9378(03)00836-6
关键词
fetal growth restriction; Doppler velocimetry; umbilical artery; term pregnancy
OBJECTIVE: The study was undertaken to assess whether prenatal Doppler variables can identify cases of fetal growth restriction (FGR) approaching term who are at risk for adverse neonatal outcome. STUDY DESIGN: From a cohort of FGR cases delivered at greater than or equal to34 weeks, fetal biometry and pulsatility indices (PI) of fetal arteries obtained less than 2 weeks before delivery were related to adverse neonatal outcome, defined as admission to the neonatal intensive care unit (NICU) for indications other than low birth weight alone. RESULTS: Stepwise regression analysis showed that after controlling for gestational age at delivery and fetal biometry, only the last umbilical artery (UA) PI percentile was significantly predictive of adverse neonatal outcome (odds ratio = 1.02, 95% Cl 1.01-1.03, P = .02). Receiver operating characteristic curve analysis identified a UA PI at the 65th percentile as optimal predictor of adverse neonatal outcome (sensitivity = 60%, false-positive rate = 30%). CONCLUSION: In FGR cases delivered at greater than or equal to34 weeks' gestation, Doppler PI at the UA independently predicts the likelihood of admission to the NICU for reasons other than low birth weight alone.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据