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Titolo:
END-DIASTOLIC ZERO FLOW OF THE FETAL AORT A AND OBSTETRICAL MANAGEMENT
Autore:
SOHN C; GAST AS; STOLZ W; DECKNER C;
Indirizzi:
UNIV FRANKFURT,FRAUENKLIN,SEKT PRANATALE & GYNAKOL ULTRASCHALLDIAGNOST & TH,THEODOR STERN KAI 7 D-60590 FRANKFURT GERMANY
Titolo Testata:
Geburtshilfe und Frauenheilkunde
fascicolo: 12, volume: 57, anno: 1997,
pagine: 658 - 662
SICI:
0016-5751(1997)57:12<658:EZFOTF>2.0.ZU;2-6
Fonte:
ISI
Lingua:
GER
Soggetto:
DOPPLER FLOW; SONOGRAPHY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
10
Recensione:
Indirizzi per estratti:
Citazione:
C. Sohn et al., "END-DIASTOLIC ZERO FLOW OF THE FETAL AORT A AND OBSTETRICAL MANAGEMENT", Geburtshilfe und Frauenheilkunde, 57(12), 1997, pp. 658-662

Abstract

An enddiastolic zero flow of the fetal aorta is one of the most important anomalies to be detected by fetal Doppler sonography. Subsequent birth management is controversial. At our clinic, 33 pregnancies (total of 33 fetuses) with this type of pathology in the Doppler ultrasound(US) were analysed. CTG was performed directly after the US examination, the birth management being decided upon according to CTG findings. Mean pregnancy duration at diagnosis was 30 + 1 weeks (23 + 5 - 37 + 6). All 33 fetuses showed an extensive retardation up to 4 weeks belowthe 50(th) percentile of the calculated week of pregnancy. An averageperiod of 3 days (0 - 21) elapsed between diagnosis of zero flow of the fetal aorta and delivery. Caesarean section (CS) was performed in 27/33 (85%) of patients. The indication for all CSs was a pathological CTC. Only 5 children were delivered vaginally. All children were followed up. Only 6 had to be intubated primarily. The mean 5 min. apgar score of all other children was 8. Two groups were differentiated in thetotal study collective. In group I (n = 9) children were delivered due to a pathological CTG on the day of fetal zero flow diagnosis. Delivery in group II (n = 24) was performed one to several days after diagnosis of fetal zero flow and subsequent pathological CTG. The difference in the arterial umbilical cord pH between the two groups was significant (p = 0.0168): Group I 7.10 and Group II 7.22. Our findings show that fetal condition monitored closely by CTC clearly deteriorates within a mean of 3 days after diagnosis of a pathological flow in the fetal aorta. A CS at the time of the first pathological CTG, not at the time of Doppler US diagnosis, is in our opinion the optimal obstetric management of these fetuses at high risk, since important time can thereby be gained, eg. for pulmonal maturation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 14:31:37