The relation of pulsatility indices of middle cerebral, umbilical and uterine arteries with birth weight in normal pregnancies
Öz
Abstract
Aim. The aim of this study was to assess the relation between middle cerebral to umbilical artery pulsatility index ratio and uterine artery pulsatility and resistive indices with birth weights in normal pregnancies. Methods. The pulsatility indices were obtained together with the birth weight from 160 healthy pregnancies. Measurements were done at five weeks intervals from 20 weeks’ gestation until delivery. A relationship between indices and birth weight was sought at gestational age ranges of 20 th to 40th weeks. Results. The values of pulsatility indices towards to 40th weeks of gestation were decreased progressively. There was a correlation between the pulsatility indices of uterine and the middle cerebral arteries nd the birth weights of cases. Conclusion. Doppler pulsatility index measurements can be valuable in detecting birth weight.
Keywords: Pulsatility index, middle cerebral artery, umbilical artery, uterine artery, birth weight
Özet
Amaç. Bu çalışmanın amacı normal gebelerde orta serebral arter- umbilikal arter pulsatilite indeksi oranı ve uterin arter pulsatilite ve rezistif indekslerinin doğum ağırlıkları ile ilişkisini değerlendirmektir. Yöntem. Yüzaltmış sağlıklı gebeden pulsatilite indeksleri ile birlikte doğum ağırlıkları elde edildi. Ölçümler 20. haftadan itibaren doğuma kadar beşer hafta aralıklarla yapıldı. 20-40. gebelik haftalarındaki indeksler ve doğum ağırlığı arasındaki ilişki araştırıldı. Bulgular. Gebeliğin 40. haftasına doğru pulsatilite indekslerinin değerleri giderek azaldı. Uterus ve orta serebral arterlerin pulsatilite indeksleri ve olguların doğum ağırlıkları arasında bir korelasyon vardı. Sonuç. Doppler pulsatilite indeksleri ölçümü doğum ağırlığını saptamada değerli olabilir.
Anahtar sözcükler: Pulsatilite indeksi, orta serebral arter, umblikal arter, uterin arter, doğum ağırlığıAnahtar Kelimeler
Kaynakça
- Coomarasamy A, Fisk NM, Gee H, Robson SC. The Investigation and Management of the Small-for-Gestational-Age Fetus. Green-Top Guidelines. London, UK: Royal College of Obstetrics and Gynaecology 2002.
- Yu CK, Smith GC, Papageorghiou AT, Cacho AM, Nicolaides KH; Fetal Medicine Foundation Second Trimester Screening Group. An integrated model for the prediction of preeclampsia using maternal factors and uterine artery Doppler velocimetry in unselected low-risk women. Am J Obstet Gynecol 2005; 193: 429-36.
- Campbell S, Diaz-Recasens J, Griffin DR, Cohen-Overbeek TE, Pearce JM, Willson K, Teague MJ. New doppler technique for assessing uteroplacental blood flow. Lancet 1983; 1: 675-7.
- Ozcan T, Sbracia M, d'Ancona RL, Copel JA, Mari G. Arterial and venous Doppler velocimetry in the severely growth-restricted fetus and associations with adverse perinatal outcome. Ultrasound Obstet Gynecol 1998; 12: 39-44.
- Bahado-Singh RO, Kovanci E, Jeffres A, Oz U, Deren O, Copel J, Mari G. The Doppler cerebroplacental ratio and perinatal outcome in intrauterine growth restriction. Am J Obstet Gynecol 1999; 180: 750-6.
- Chien PF, Arnott N, Gordon A, Owen P, Khan KS. How useful is uterine artery Doppler flow velocimetry in the prediction of pre-eclampsia, intrauterine growth retardation and perinatal death? An overview. BJOG 2000; 107: 196-208.
- Axt-Fliedner R, Schwarze A, Nelles I, Altgassen C, Friedrich M, Schmidt W, Diedrich K. The value of uterine artery Doppler ultrasound in the prediction of severe complications in a risk population. Arch Gynecol Obstet 2005; 271: 53-8. Epub 2004 Jun 3.
- Sankaran S, Prefumo F, Papageorghiou A, Thilaganathan B, Bhide A. Association of uterine artery Doppler resistance index and birth weight: effect of customized birth weight standards. Am J Perinatol 2009; 26: 501-5. Epub 2009 Mar 13.
- Ebrashy A, Azmy O, Ibrahim M, Waly M, Edris A. Middle cerebral/umbilical artery resistance index ratio as sensitive parameter for fetal well-being and neonatal outcome in patients with preeclampsia: case-control study. Croat Med J 2005; 46: 821-5.
- Vink J, Hickey K, Ghidini A, Deering S, Mora A, Poggi S. Earlier gestational age at ultrasound evaluation predicts adverse neonatal outcomes in the preterm appropriate-for-gestational-age fetus with idiopathic oligohydramnios. Am J Perinatol 2009; 26: 21-5. Epub 2008 Oct 8.
- Rampello S, Frigerio L, Ricci E, Rota E, Lucianetti M, Parazzini F. Transabdominal uterine arteries Doppler at 12-14th and 20-24th week of gestation and pregnancy outcome: a prospective study. Eur J Obstet Gynecol Reprod Biol 2009; 147: 135-8. Epub 2009 Aug 26.
- Neilson JP, Alfirevic Z. Doppler ultrasound for fetal assessment in high risk pregnancies. Cochrane Database Syst Rev 2000; (2):CD000073.
- Byun YJ, Kim HS, Yang JI, Kim JH, Kim HY, Chang SJ. Umbilical artery Doppler study as a predictive marker of perinatal outcome in preterm small for gestational age infants. Yonsei Med J 2009; 50: 39-44. Epub 2009 Feb 24.
- Hadlock FP, Harrist RB, Sharman RS, Deter RL, Park SK. Estimation of fetal weight with the use of head, body, and femur measurements--a prospective study. Am J Obstet Gynecol 1985; 151: 333-7.
- Figueras F, Eixarch E, Gratacos E, Gardosi J. Predictiveness of antenatal umbilical artery Doppler for adverse pregnancy outcome in small-for-gestationalage babies according to customised birthweight centiles: population-based study. BJOG 2008; 115: 590-4.
- Tchirikov M, Strohner M, Förster D, Hüneke B. A combination of umbilical artery PI and normalized blood flow volume in the umbilical vein: venous-arterial index for the prediction of fetal outcome. Eur J Obstet Gynecol Reprod Biol 2009; 142: 129-33. Epub 2009 Jan 10.
- Owen P, Murphy J, Farrell T. Is there a relationship between estimated fetal weight and umbilical artery Doppler impedance indices? Ultrasound Obstet Gynecol 2003; 22: 157-9.
- Mari G, Hanif F, Kruger M, Cosmi E, Santolaya-Forgas J, Treadwell MC. Middle cerebral artery peak systolic velocity: a new Doppler parameter in the assessment of growth-restricted fetuses. Ultrasound Obstet Gynecol 2007; 29: 310-6.
- Konje JC, Howarth ES, Kaufmann P, Taylor DJ. Longitudinal quantification of uterine artery blood volume flow changes during gestation in pregnancies complicated by intrauterine growth restriction. BJOG 2003; 110: 301-5.
- da Silva FC, de Sá RA, de Carvalho PR, Lopes LM. Doppler and birth weight Z score: predictors for adverse neonatal outcome in severe fetal compromise. Cardiovasc Ultrasound 2007; 5: 15.
Öz
Amaç. Bu çalışmanın amacı normal gebelerde orta serebral arter- umbilikal arter pulsatilite indeksi oranı ve uterin arter pulsatilite ve rezistif indekslerinin doğum ağırlıkları ile ilişkisini değerlendirmektir. Yöntem. Yüzaltmış sağlıklı gebeden pulsatilite indeksleri ile birlikte doğum ağırlıkları elde edildi. Ölçümler 20. haftadan itibaren doğuma kadar beşer hafta aralıklarla yapıldı. 20-40. gebelik haftalarındaki indeksler ve doğum ağırlığı arasındaki ilişki araştırıldı. Bulgular. Gebeliğin 40. haftasına doğru pulsatilite indekslerinin değerleri giderek azaldı. Uterus ve orta serebral arterlerin pulsatilite indeksleri ve olguların doğum ağırlıkları arasında bir korelasyon vardı. Sonuç. Doppler pulsatilite indeksleri ölçümü doğum ağırlığını saptamada değerli olabilir
Anahtar Kelimeler
Pulsatilite indeksi orta serebral arter umblikal arter uterin arter doğum ağırlığı
Kaynakça
- Coomarasamy A, Fisk NM, Gee H, Robson SC. The Investigation and Management of the Small-for-Gestational-Age Fetus. Green-Top Guidelines. London, UK: Royal College of Obstetrics and Gynaecology 2002.
- Yu CK, Smith GC, Papageorghiou AT, Cacho AM, Nicolaides KH; Fetal Medicine Foundation Second Trimester Screening Group. An integrated model for the prediction of preeclampsia using maternal factors and uterine artery Doppler velocimetry in unselected low-risk women. Am J Obstet Gynecol 2005; 193: 429-36.
- Campbell S, Diaz-Recasens J, Griffin DR, Cohen-Overbeek TE, Pearce JM, Willson K, Teague MJ. New doppler technique for assessing uteroplacental blood flow. Lancet 1983; 1: 675-7.
- Ozcan T, Sbracia M, d'Ancona RL, Copel JA, Mari G. Arterial and venous Doppler velocimetry in the severely growth-restricted fetus and associations with adverse perinatal outcome. Ultrasound Obstet Gynecol 1998; 12: 39-44.
- Bahado-Singh RO, Kovanci E, Jeffres A, Oz U, Deren O, Copel J, Mari G. The Doppler cerebroplacental ratio and perinatal outcome in intrauterine growth restriction. Am J Obstet Gynecol 1999; 180: 750-6.
- Chien PF, Arnott N, Gordon A, Owen P, Khan KS. How useful is uterine artery Doppler flow velocimetry in the prediction of pre-eclampsia, intrauterine growth retardation and perinatal death? An overview. BJOG 2000; 107: 196-208.
- Axt-Fliedner R, Schwarze A, Nelles I, Altgassen C, Friedrich M, Schmidt W, Diedrich K. The value of uterine artery Doppler ultrasound in the prediction of severe complications in a risk population. Arch Gynecol Obstet 2005; 271: 53-8. Epub 2004 Jun 3.
- Sankaran S, Prefumo F, Papageorghiou A, Thilaganathan B, Bhide A. Association of uterine artery Doppler resistance index and birth weight: effect of customized birth weight standards. Am J Perinatol 2009; 26: 501-5. Epub 2009 Mar 13.
- Ebrashy A, Azmy O, Ibrahim M, Waly M, Edris A. Middle cerebral/umbilical artery resistance index ratio as sensitive parameter for fetal well-being and neonatal outcome in patients with preeclampsia: case-control study. Croat Med J 2005; 46: 821-5.
- Vink J, Hickey K, Ghidini A, Deering S, Mora A, Poggi S. Earlier gestational age at ultrasound evaluation predicts adverse neonatal outcomes in the preterm appropriate-for-gestational-age fetus with idiopathic oligohydramnios. Am J Perinatol 2009; 26: 21-5. Epub 2008 Oct 8.
- Rampello S, Frigerio L, Ricci E, Rota E, Lucianetti M, Parazzini F. Transabdominal uterine arteries Doppler at 12-14th and 20-24th week of gestation and pregnancy outcome: a prospective study. Eur J Obstet Gynecol Reprod Biol 2009; 147: 135-8. Epub 2009 Aug 26.
- Neilson JP, Alfirevic Z. Doppler ultrasound for fetal assessment in high risk pregnancies. Cochrane Database Syst Rev 2000; (2):CD000073.
- Byun YJ, Kim HS, Yang JI, Kim JH, Kim HY, Chang SJ. Umbilical artery Doppler study as a predictive marker of perinatal outcome in preterm small for gestational age infants. Yonsei Med J 2009; 50: 39-44. Epub 2009 Feb 24.
- Hadlock FP, Harrist RB, Sharman RS, Deter RL, Park SK. Estimation of fetal weight with the use of head, body, and femur measurements--a prospective study. Am J Obstet Gynecol 1985; 151: 333-7.
- Figueras F, Eixarch E, Gratacos E, Gardosi J. Predictiveness of antenatal umbilical artery Doppler for adverse pregnancy outcome in small-for-gestationalage babies according to customised birthweight centiles: population-based study. BJOG 2008; 115: 590-4.
- Tchirikov M, Strohner M, Förster D, Hüneke B. A combination of umbilical artery PI and normalized blood flow volume in the umbilical vein: venous-arterial index for the prediction of fetal outcome. Eur J Obstet Gynecol Reprod Biol 2009; 142: 129-33. Epub 2009 Jan 10.
- Owen P, Murphy J, Farrell T. Is there a relationship between estimated fetal weight and umbilical artery Doppler impedance indices? Ultrasound Obstet Gynecol 2003; 22: 157-9.
- Mari G, Hanif F, Kruger M, Cosmi E, Santolaya-Forgas J, Treadwell MC. Middle cerebral artery peak systolic velocity: a new Doppler parameter in the assessment of growth-restricted fetuses. Ultrasound Obstet Gynecol 2007; 29: 310-6.
- Konje JC, Howarth ES, Kaufmann P, Taylor DJ. Longitudinal quantification of uterine artery blood volume flow changes during gestation in pregnancies complicated by intrauterine growth restriction. BJOG 2003; 110: 301-5.
- da Silva FC, de Sá RA, de Carvalho PR, Lopes LM. Doppler and birth weight Z score: predictors for adverse neonatal outcome in severe fetal compromise. Cardiovasc Ultrasound 2007; 5: 15.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Dahili Tıp Bilimleri Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 21 Aralık 2012 |
| Yayımlandığı Sayı | Yıl 2012Cilt: 34 Sayı: 3 |