Combination of Doppler measurements with amniotic fluid volume for the prediction of perinatal outcomes in fetal growth restriction

Objectives We aimed to evaluate a new ratio of amniotic fluid volume (AFV) to Doppler measurements, and compare its association with adverse perinatal outcomes (APOs) in fetal growth restriction (FGR). Methods This prospective study included pregnant women with singleton fetal growth–restricted fetu...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2023-04, Vol.161 (1), p.190-197
Main Authors: Besimoglu, Berhan, Uyan Hendem, Derya, Atalay, Ayşegül, Göncü Ayhan, Şule, Sınacı, Selcan, Tanaçan, Atakan, Şahin, Dilek
Format: Article
Language:English
Subjects:
adverse perinatal outcomes
Amniotic Fluid - diagnostic imaging
amniotic fluid volume
Doppler measurements
Female
fetal growth restriction
Fetal Growth Retardation - diagnostic imaging
Gestational Age
Humans
Infant, Newborn
Middle Cerebral Artery - diagnostic imaging
Pregnancy
Pregnancy Trimester, Third
Prospective Studies
Pulsatile Flow
Ultrasonography, Doppler
Ultrasonography, Doppler, Color
Ultrasonography, Prenatal - methods
Umbilical Arteries - diagnostic imaging
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Summary:Objectives We aimed to evaluate a new ratio of amniotic fluid volume (AFV) to Doppler measurements, and compare its association with adverse perinatal outcomes (APOs) in fetal growth restriction (FGR). Methods This prospective study included pregnant women with singleton fetal growth–restricted fetuses. Each participant underwent a detailed ultrasonographic examination. Uterine artery pulsatility index, umbilical artery pulsatility index (UA PI), middle cerebral artery pulsatility index (MCA PI), cerebroplacental ratio (CPR), and umbilical‐to‐cerebral ratio (UCR) were calculated, and the single deepest pocket (SDP) technique was used to estimate AFV. Amniotic‐umbilical‐to‐cerebral ratio (AUCR) was calculated as the ratio of SDP to UCR: AUCR = SDP / (UA PI/MCA PI). APO was defined as umbilical venous cord blood pH
ISSN:0020-7292
1879-3479
DOI:10.1002/ijgo.14431