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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 202 - 208 (7page)
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초록· 키워드
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ObjectiveTo evaluate the significance of fetal Doppler parameters in predicting adverse neonatal outcomes and the risk ofcesarean delivery due to non-reassuring fetal status, in severe small for gestational age (SGA) fetuses of late pretermand term gestation. MethodsFetal brain and umbilical artery (UmA) Doppler parameters of cerebroplacental ratio (CPR) and UmA pulsatility index(PI) were evaluated in a cohort of 184 SGA fetuses between 34 and 41 weeks gestational age, who were less thanthe 5th percentile. The risks of neonatal morbidities and cesarean delivery due to non-reassuring fetal status wereanalyzed. ResultsUnivariate analysis revealed that abnormal CPR was significantly associated with cesarean delivery due to nonreassuringfetal status (P=0.018), but not with neonatal morbidities. However, abnormal CPR did not increase the riskof cesarean delivery due to non-reassuring fetal status in multivariate logistic regression analysis. Abnormal CPR withabnormal PI of UmA was associated with low Apgar score at 1 minute (P=0.048), mechanical ventilation (P=0.013)and cesarean delivery due to non-reassuring fetal status (P<0.001), in univariate analysis. It increased risk of cesareandelivery for non-reassuring fetal status (adjusted odds ratio, 7.0; 95% confidence interval, 1.2–41.3; P=0.033), but didnot increase risk of low Apgar score or mechanical ventilation in multivariate logistic regression analysis. ConclusionAbnormal CPR with abnormal PI of UmA increases the risk of cesarean delivery for non-reassuring fetal status,in severe SGA fetuses of late preterm and term. Monitoring of CPR and PI of UmA can help guide managementincluding maternal hospitalization and fetal monitoring.
목차
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참고문헌 (21)
참고문헌 신청
McIntire DD / 1999 / Birth weight in relation to morbidity and mortality among newborn infants / N Engl J Med 340:1234~1238
Khalil A / 2017 / Role of uteroplacental and fetal Doppler in identifying fetal growth restriction at term / Best Pract Res Clin Obstet Gynaecol 38:38~47
Severi FM / 2002 / Uterine and fetal cerebral Doppler predict the outcome of third-trimester small-for-gestational age fetuses with normal umbilical artery Doppler / Ultrasound Obstet Gynecol 19:225~228
A. Sirico / 2018 / Prediction of adverse perinatal outcome by cerebroplacental ratio adjusted for estimated fetal weight / Ultrasound in Obstetrics & Gynecology 51(3):381~386
이진경 / 2016 / Percentile Distributions of Birth Weight according to Gestational Ages in Korea (2010-2012) / Journal of Korean Medical Science 31(6):939~949
Khalil A / 2017 / Role of uteroplacental and fetal Doppler in identifying fetal growth restriction at term / Best Pract Res Clin Obstet Gynaecol 38:38~47
Severi FM / 2002 / Uterine and fetal cerebral Doppler predict the outcome of third-trimester small-for-gestational age fetuses with normal umbilical artery Doppler / Ultrasound Obstet Gynecol 19:225~228
A. Sirico / 2018 / Prediction of adverse perinatal outcome by cerebroplacental ratio adjusted for estimated fetal weight / Ultrasound in Obstetrics & Gynecology 51(3):381~386
이진경 / 2016 / Percentile Distributions of Birth Weight according to Gestational Ages in Korea (2010-2012) / Journal of Korean Medical Science 31(6):939~949
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