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Assessment of maternal Doppler parameters of ophthalmic artery in fetuses with growth restriction in the third trimester of pregnancy: A case-control study

Aim The aim of this study was to assess the Doppler parameters of the ophthalmic artery of pregnant women carrying fetuses with growth restriction (FGR) compared with normal fetuses. Material and Methods A prospective cross‐sectional study was conducted with 120 pregnant women (60 FGR and 60 normal...

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Published in:The journal of obstetrics and gynaecology research 2015-09, Vol.41 (9), p.1330-1336
Main Authors: Melo, Nayana Alves De Brito, Araujo Júnior, Edward, Helfer, Talita Micheletti, Caetano, Ana Carolina Rabachini, Zamarian, Ana Cristina Perez, Moron, Antonio Fernandes, Diniz, Angélica Lemos Debs, Nardozza, Luciano Marcondes Machado
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container_title The journal of obstetrics and gynaecology research
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creator Melo, Nayana Alves De Brito
Araujo Júnior, Edward
Helfer, Talita Micheletti
Caetano, Ana Carolina Rabachini
Zamarian, Ana Cristina Perez
Moron, Antonio Fernandes
Diniz, Angélica Lemos Debs
Nardozza, Luciano Marcondes Machado
description Aim The aim of this study was to assess the Doppler parameters of the ophthalmic artery of pregnant women carrying fetuses with growth restriction (FGR) compared with normal fetuses. Material and Methods A prospective cross‐sectional study was conducted with 120 pregnant women (60 FGR and 60 normal fetuses) between 32 and 40 weeks of gestation. FGR diagnosis was based on an estimated fetal weight below the 10th percentile of the Hadlock curve. Ophthalmic artery Doppler images were obtained with a linear transducer, with color Doppler examination of the region medial to the optic nerve. The following indices were obtained: pulsatility index, resistance index, peak systolic velocity, second peak velocity (P2), end diastolic velocity, and P2 / peak systolic velocity ratio. The Mann–Whitney U‐test and Student's t‐test were used to compare the groups with regard to quantitative variables, and the χ2‐test was used for categorical variables. Results Pulsatility index and resistance index were significantly lower in pregnant women with FGR than in those with normal fetuses, with P 
doi_str_mv 10.1111/jog.12739
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Material and Methods A prospective cross‐sectional study was conducted with 120 pregnant women (60 FGR and 60 normal fetuses) between 32 and 40 weeks of gestation. FGR diagnosis was based on an estimated fetal weight below the 10th percentile of the Hadlock curve. Ophthalmic artery Doppler images were obtained with a linear transducer, with color Doppler examination of the region medial to the optic nerve. The following indices were obtained: pulsatility index, resistance index, peak systolic velocity, second peak velocity (P2), end diastolic velocity, and P2 / peak systolic velocity ratio. The Mann–Whitney U‐test and Student's t‐test were used to compare the groups with regard to quantitative variables, and the χ2‐test was used for categorical variables. Results Pulsatility index and resistance index were significantly lower in pregnant women with FGR than in those with normal fetuses, with P &lt; 0.001 in both indices. P2 and end diastolic velocity were significantly higher in pregnant women with FGR than in those with normal fetuses (P = 0.002 and P = 0.004, respectively). The P2 / peak systolic velocity ratio was significantly higher in the FGR group than in the control group (P &lt; 0.001). In FGR subgroups, with (17 fetuses) and without (43 fetuses) uterine artery Doppler abnormalities, no significant changes were observed between the groups. Conclusion In the third trimester of pregnancy, we observed significant differences in the ophthalmic artery Doppler parameters of pregnant women with FGR compared with those with normal fetuses.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/jog.12739</identifier><identifier>PMID: 26044926</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Adult ; Case-Control Studies ; Cross-Sectional Studies ; Doppler ; Echocardiography, Doppler ; Female ; fetal growth restriction ; Fetal Growth Retardation - diagnostic imaging ; Fetal Growth Retardation - physiopathology ; Gestational Age ; Humans ; ophthalmic artery ; Ophthalmic Artery - diagnostic imaging ; Ophthalmic Artery - physiopathology ; Pregnancy ; Pregnancy Trimester, Third ; Prospective Studies ; Ultrasonography, Prenatal ; uterine artery ; Young Adult</subject><ispartof>The journal of obstetrics and gynaecology research, 2015-09, Vol.41 (9), p.1330-1336</ispartof><rights>2015 Japan Society of Obstetrics and Gynecology</rights><rights>2015 Japan Society of Obstetrics and Gynecology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4579-830844a9110c844938dccc3e9f2b8bff5e799366829a0f53c9539777200c05923</citedby><cites>FETCH-LOGICAL-c4579-830844a9110c844938dccc3e9f2b8bff5e799366829a0f53c9539777200c05923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26044926$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Melo, Nayana Alves De Brito</creatorcontrib><creatorcontrib>Araujo Júnior, Edward</creatorcontrib><creatorcontrib>Helfer, Talita Micheletti</creatorcontrib><creatorcontrib>Caetano, Ana Carolina Rabachini</creatorcontrib><creatorcontrib>Zamarian, Ana Cristina Perez</creatorcontrib><creatorcontrib>Moron, Antonio Fernandes</creatorcontrib><creatorcontrib>Diniz, Angélica Lemos Debs</creatorcontrib><creatorcontrib>Nardozza, Luciano Marcondes Machado</creatorcontrib><title>Assessment of maternal Doppler parameters of ophthalmic artery in fetuses with growth restriction in the third trimester of pregnancy: A case-control study</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J. Obstet. Gynaecol. Res</addtitle><description>Aim The aim of this study was to assess the Doppler parameters of the ophthalmic artery of pregnant women carrying fetuses with growth restriction (FGR) compared with normal fetuses. Material and Methods A prospective cross‐sectional study was conducted with 120 pregnant women (60 FGR and 60 normal fetuses) between 32 and 40 weeks of gestation. FGR diagnosis was based on an estimated fetal weight below the 10th percentile of the Hadlock curve. Ophthalmic artery Doppler images were obtained with a linear transducer, with color Doppler examination of the region medial to the optic nerve. The following indices were obtained: pulsatility index, resistance index, peak systolic velocity, second peak velocity (P2), end diastolic velocity, and P2 / peak systolic velocity ratio. The Mann–Whitney U‐test and Student's t‐test were used to compare the groups with regard to quantitative variables, and the χ2‐test was used for categorical variables. Results Pulsatility index and resistance index were significantly lower in pregnant women with FGR than in those with normal fetuses, with P &lt; 0.001 in both indices. P2 and end diastolic velocity were significantly higher in pregnant women with FGR than in those with normal fetuses (P = 0.002 and P = 0.004, respectively). The P2 / peak systolic velocity ratio was significantly higher in the FGR group than in the control group (P &lt; 0.001). In FGR subgroups, with (17 fetuses) and without (43 fetuses) uterine artery Doppler abnormalities, no significant changes were observed between the groups. Conclusion In the third trimester of pregnancy, we observed significant differences in the ophthalmic artery Doppler parameters of pregnant women with FGR compared with those with normal fetuses.</description><subject>Adult</subject><subject>Case-Control Studies</subject><subject>Cross-Sectional Studies</subject><subject>Doppler</subject><subject>Echocardiography, Doppler</subject><subject>Female</subject><subject>fetal growth restriction</subject><subject>Fetal Growth Retardation - diagnostic imaging</subject><subject>Fetal Growth Retardation - physiopathology</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>ophthalmic artery</subject><subject>Ophthalmic Artery - diagnostic imaging</subject><subject>Ophthalmic Artery - physiopathology</subject><subject>Pregnancy</subject><subject>Pregnancy Trimester, Third</subject><subject>Prospective Studies</subject><subject>Ultrasonography, Prenatal</subject><subject>uterine artery</subject><subject>Young Adult</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kc9u1DAQxiMEon_gwAsgH-GQ1o4dO-a2WmABVfQChZvl9U52XZI42I6WPEtfllm27Q1L1oxmfvPJnq8oXjF6wfBc3obtBasU10-KUyaEKqmq5VPMuWBlQ5U8Kc5SuqWUKc2a58VJJakQupKnxd0iJUiphyGT0JLeZoiD7cj7MI4dRDLaaHvAYjq0w7jLO9v13hEbsTgTP5AW8oQaZO_zjmxj2GOIkHL0LvswHJC8A7w-bghWe-yhMsqNEbaDHdz8jiyIswlKF4YcQ0dSnjbzi-JZa7sEL-_jefH944dvy0_l1fXq83JxVTpRK102nDZCWM0YdZho3myccxx0W62bddvWoLTmUjaVtrStudM110qpilJHa13x8-LNUXeM4feErzO9Tw66zg4QpmSYYlTWUjGB6Nsj6mJIKUJrRvyQjbNh1By8MOiF-ecFsq_vZad1D5tH8mH5CFwegb3vYP6_kvlyvXqQLI8THlf453HCxl9GKq5q8-PrylRM3SxXN9L85H8BG2qkug</recordid><startdate>201509</startdate><enddate>201509</enddate><creator>Melo, Nayana Alves De Brito</creator><creator>Araujo Júnior, Edward</creator><creator>Helfer, Talita Micheletti</creator><creator>Caetano, Ana Carolina Rabachini</creator><creator>Zamarian, Ana Cristina Perez</creator><creator>Moron, Antonio Fernandes</creator><creator>Diniz, Angélica Lemos Debs</creator><creator>Nardozza, Luciano Marcondes Machado</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201509</creationdate><title>Assessment of maternal Doppler parameters of ophthalmic artery in fetuses with growth restriction in the third trimester of pregnancy: A case-control study</title><author>Melo, Nayana Alves De Brito ; Araujo Júnior, Edward ; Helfer, Talita Micheletti ; Caetano, Ana Carolina Rabachini ; Zamarian, Ana Cristina Perez ; Moron, Antonio Fernandes ; Diniz, Angélica Lemos Debs ; Nardozza, Luciano Marcondes Machado</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4579-830844a9110c844938dccc3e9f2b8bff5e799366829a0f53c9539777200c05923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Case-Control Studies</topic><topic>Cross-Sectional Studies</topic><topic>Doppler</topic><topic>Echocardiography, Doppler</topic><topic>Female</topic><topic>fetal growth restriction</topic><topic>Fetal Growth Retardation - diagnostic imaging</topic><topic>Fetal Growth Retardation - physiopathology</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>ophthalmic artery</topic><topic>Ophthalmic Artery - diagnostic imaging</topic><topic>Ophthalmic Artery - physiopathology</topic><topic>Pregnancy</topic><topic>Pregnancy Trimester, Third</topic><topic>Prospective Studies</topic><topic>Ultrasonography, Prenatal</topic><topic>uterine artery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Melo, Nayana Alves De Brito</creatorcontrib><creatorcontrib>Araujo Júnior, Edward</creatorcontrib><creatorcontrib>Helfer, Talita Micheletti</creatorcontrib><creatorcontrib>Caetano, Ana Carolina Rabachini</creatorcontrib><creatorcontrib>Zamarian, Ana Cristina Perez</creatorcontrib><creatorcontrib>Moron, Antonio Fernandes</creatorcontrib><creatorcontrib>Diniz, Angélica Lemos Debs</creatorcontrib><creatorcontrib>Nardozza, Luciano Marcondes Machado</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Melo, Nayana Alves De Brito</au><au>Araujo Júnior, Edward</au><au>Helfer, Talita Micheletti</au><au>Caetano, Ana Carolina Rabachini</au><au>Zamarian, Ana Cristina Perez</au><au>Moron, Antonio Fernandes</au><au>Diniz, Angélica Lemos Debs</au><au>Nardozza, Luciano Marcondes Machado</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of maternal Doppler parameters of ophthalmic artery in fetuses with growth restriction in the third trimester of pregnancy: A case-control study</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J. Obstet. Gynaecol. Res</addtitle><date>2015-09</date><risdate>2015</risdate><volume>41</volume><issue>9</issue><spage>1330</spage><epage>1336</epage><pages>1330-1336</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Aim The aim of this study was to assess the Doppler parameters of the ophthalmic artery of pregnant women carrying fetuses with growth restriction (FGR) compared with normal fetuses. Material and Methods A prospective cross‐sectional study was conducted with 120 pregnant women (60 FGR and 60 normal fetuses) between 32 and 40 weeks of gestation. FGR diagnosis was based on an estimated fetal weight below the 10th percentile of the Hadlock curve. Ophthalmic artery Doppler images were obtained with a linear transducer, with color Doppler examination of the region medial to the optic nerve. The following indices were obtained: pulsatility index, resistance index, peak systolic velocity, second peak velocity (P2), end diastolic velocity, and P2 / peak systolic velocity ratio. The Mann–Whitney U‐test and Student's t‐test were used to compare the groups with regard to quantitative variables, and the χ2‐test was used for categorical variables. Results Pulsatility index and resistance index were significantly lower in pregnant women with FGR than in those with normal fetuses, with P &lt; 0.001 in both indices. P2 and end diastolic velocity were significantly higher in pregnant women with FGR than in those with normal fetuses (P = 0.002 and P = 0.004, respectively). The P2 / peak systolic velocity ratio was significantly higher in the FGR group than in the control group (P &lt; 0.001). In FGR subgroups, with (17 fetuses) and without (43 fetuses) uterine artery Doppler abnormalities, no significant changes were observed between the groups. Conclusion In the third trimester of pregnancy, we observed significant differences in the ophthalmic artery Doppler parameters of pregnant women with FGR compared with those with normal fetuses.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>26044926</pmid><doi>10.1111/jog.12739</doi><tpages>7</tpages></addata></record>
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identifier ISSN: 1341-8076
ispartof The journal of obstetrics and gynaecology research, 2015-09, Vol.41 (9), p.1330-1336
issn 1341-8076
1447-0756
language eng
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source Wiley
subjects Adult
Case-Control Studies
Cross-Sectional Studies
Doppler
Echocardiography, Doppler
Female
fetal growth restriction
Fetal Growth Retardation - diagnostic imaging
Fetal Growth Retardation - physiopathology
Gestational Age
Humans
ophthalmic artery
Ophthalmic Artery - diagnostic imaging
Ophthalmic Artery - physiopathology
Pregnancy
Pregnancy Trimester, Third
Prospective Studies
Ultrasonography, Prenatal
uterine artery
Young Adult
title Assessment of maternal Doppler parameters of ophthalmic artery in fetuses with growth restriction in the third trimester of pregnancy: A case-control study
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