Volume 11, Issue 1 (4-2013)                   IJRM 2013, 11(1): 47-52 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Fardiazar Z, Atashkhouei S, Yosefzad Y, Goldust M, Torab R. Comparison of fetal middle cerebral arteries, umbilical and uterin artery color Doppler ultrasound with blood gas analysis in pregnancy complicated by IUGR. IJRM 2013; 11 (1) :47-52
URL: http://ijrm.ir/article-1-342-en.html
Comparison of fetal middle cerebral arteries, umbilical and uterin artery color Doppler ultrasound with blood gas analysis in pregnancy complicated by IUGR
Zahra Fardiazar1 , Simin Atashkhouei2 , Yousef Yosefzad3 , Mohamad Goldust * 4, Reza Torab3
1- Department of Obstetrics and Gynecology, Tabriz University of Medical Sciences, Tabriz, Iran
2- Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran
3- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
4- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran , Drmgoldust@yahoo.com
Abstract:   (17113 Views)
Background: Fetal color Doppler is important for evaluation of hypoxia in intrauterine growth restriction (IUGR) fetus.
Objective: In this study we compare fetal and maternal color Doppler with blood gas analysis to detect fetal acidosis.
Materials and Methods: In this cross-sectional study we evaluated 100 hospitalized patients with IUGR for comparison of color Doppler results with arterial blood gas analysis. Results of Doppler sonography of fetus middle cerebral arteries, umbilical and uterine artery and umbilical artery ABG were studied in these neonates.
Results: Mean maternal age was 28±7 years, mean gestational age was 31.79±2.59 weeks and mean growth restriction was 3±2 weeks. Resistance increasing was observed in right uterine arteries of 37 mothers. It was normal in 60 mothers. Resistance increasing was observed in left uterine arteries of 36 mothers and nuch was seen in four cases. PCO2, PO2, and pH mean were 48.41±9.50 mmHg, 26.00±12.34 mmHg, and 7.28±0.10 in the neonates respectively.
Conclusion: In this study abnormal color Doppler in IUGR fetuses have no significant correlation with umbilical cord blood gas.
Keywords: Middle cerebral artery Doppler, Umbilical artery Doppler, IUGR.
Full-Text [PDF 389 kb]   (912 Downloads) |   |   Full-Text (HTML)  (445 Views)  
Type of Study: Original Article |
References
1. Figueras F, Gardosi J. Intrauterine growth restriction: new concepts in antenatal surveillance, diagnosis, and management. Am J Obstet Gynecol 2011; 204: 288-300. [DOI:10.1016/j.ajog.2010.08.055]
2. Orgeig S, Crittenden TA, Marchant C, McMillen IC, Morrison JL. Intrauterine growth restriction delays surfactant protein maturation in the sheep fetus. Am J Physiol Lung Cell Mol Physiol 2010; 298: L575-L583.
3. Morrison JL, Botting KJ, Dyer JL, Williams SJ, Thornburg KL, McMillen IC. Restriction of placental function alters heart development in the sheep fetus. Am J Physiol Regul Integr Comp Physiol 2007; 293: R306-R313.
4. Supramaniam VG, Jenkin G, Loose J, Wallace EM, Miller SL. Chronic fetal hypoxia increases activin A concentrations in the late-pregnant sheep. BJOG 2006; 113: 102-109. [DOI:10.1111/j.1471-0528.2005.00791.x]
5. Barth A, Bauer R, Gedrange T, Walter B, Klinger W, Zwiener U. Influence of hypoxia and hypoxia/hypercapnia upon brain and blood peroxidative and glutathione status in normal weight and growth-restricted newborn piglets. Exp Toxicol Pathol 1998; 50: 402-410. [DOI:10.1016/S0940-2993(98)80026-2]
6. Ventura W, Nazario C, Ingar J, Huertas E, Limay A, Castillo W. Prenatal sonographic diagnosis of duplicated middle cerebral artery. Fetal Diagn Ther 2010; 28: 40-42. [DOI:10.1159/000309498]
7. Bailão LA, Osborne NG, Rizzi MC, Bonilla-Musoles F, Duarte G, Bailão TC. Ultrasound markers of fetal infection part 1: viral infections. Ultrasound Q 2005; 21: 295-308. [DOI:10.1097/01.ruq.0000187025.61943.ff]
8. Piazze J, Gioia S, Cerekja A, Larciprete G, Argento T, Pizzulo S, et al. Doppler velocimetry alterations related to platelet changes in third trimester pregnancies. Platelets 2007; 18: 11-15. [DOI:10.1080/09537100600800347]
9. Abuhamad A. Color and pulsed Doppler in fetal echocardiography. Ultrasound Obstet Gynecol 2004; 24: 1-9. [DOI:10.1002/uog.1096]
10. Abel DE, Grambow SC, Brancazio LR, Hertzberg BS. Ultrasound assessment of the fetel middle cerebral artery peak systolic velocimetry. Am J Obstet Gynecol 2003; 189: 986-989. [DOI:10.1067/S0002-9378(03)00818-4]
11. Mu J, Kanzaki T, Tomimatsu T, Fukuda H, Fujii E, Takeuchi H, et al. Investigation of intraplacental villous arteries by Doppler flow imaging in growth-restricted fetuses. Am J Obstet Gynecol 2002; 186: 297-302. [DOI:10.1067/mob.2002.119807]
12. Macedonia C, Miller JL, Sonies BC. Power Doppler imaging of the fetal upper aerodigestive tract using a 4-point standardized evaluation: preliminary report. J Ultrasound Med 2002; 21: 869-878. [DOI:10.7863/jum.2002.21.8.869]
13. Rhee E, Detti L, Mari G. Superior mesenteric artery flow velocity waveforms in small for gestational age fetuses. J Matern Fetal Med 1998; 7: 120-123. https://doi.org/10.1002/(SICI)1520-6661(199805/06)7:3<120::AID-MFM4>3.0.CO;2-M [DOI:10.1002/(SICI)1520-6661(199805/06)7:33.0.CO;2-M]
14. Baschat AA, Gembruch U, Reiss I, Gortner L, Weiner CP, Harman CR. Relationship between arterial and venous Doppler and perinatal outcome in fetal growth restriction. Ultrasound Obstet Gynecol 2000; 16: 407-413. [DOI:10.1046/j.1469-0705.2000.00284.x]
15. Mari G, Abuhamad AZ, Uerpairojkit B, Martinez E, Copel JA. Blood flow velocity waveforms of the abdominal arteries in appropriate- and small-for-gestational-age fetuses. Ultrasound Obstet Gynecol 1995; 6: 15-18. [DOI:10.1046/j.1469-0705.1995.06010015.x]
16. Sohn C, Meyberg G. [Initial experiences with a new color technique: ultrasound angiography]. Zentralbl Gynakol 1995; 117: 90-96.
17. Blackwell SC, Moldenhauer J, Redman M, Hassan SS, Wolfe HM, Berry SM. Relationship between the sonographic pattern of intrauterine growth restriction and acid-base status at the time of cordocentensis. Arch Gynecol Obstet 2001; 264: 191-193. [DOI:10.1007/s004040000106]
18. Ferrazzi E, Bellotti M, Marconi A, Flisi L, Barbera A, Pardi G. Peak velocity of the outflow tract of the aorta: correlations with acid base status and oxygenation of the growth-retarded fetus. Obstet Gynecol 1995; 85: 663-668. [DOI:10.1016/0029-7844(95)00021-I]
19. Weiner CP, Robillard JE. Atrial natriuretic factor, digoxin-like immunoreactive substance, norepinephrine, epinephrine, and plasma renin activity in human fetuses and their alteration by fetal disease. Am J Obstet Gynecol 1988; 159: 1353-1360. [DOI:10.1016/0002-9378(88)90555-8]
20. Yoshimura S, Masuzaki H, Gotoh H, Ishimaru T. The relationship between blood flow redistribution in umbilical artery and middle cerebral artery and fetal growth in intrauterine growth retardation. Nippon Sanka Fujinka Gakkai Zasshi 1995; 47: 1352-1358.
Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Designed & Developed by : Yektaweb