Normalisation of a severely abnormal ductus venosus Doppler flow velocity waveform in a growth-retarded fetus with absent end-diastolic flow in the umbilical artery and congenital anomalies
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Thomas Müller
, Monika Rehn , Gundula Girschick , Peter Kristen and Johannes Dietl
Abstract
Doppler recordings of fetal venous blood flow seem to be superior to arterial velocimetry and CTG concerning the prediction of fetal outcome and optimal time of delivery in pregnancies with fetal growth retardation and AREDV. An improvement of arterial Doppler flow velocities has been described.
We report the reappearance of a normal end-diastolic flow velocity in a ductus venosus temporarily showing reversed end-diastolic flow in a growth-retarded fetus with congenital anomalies. This normalization was accompanied by an improvement of the CTG, a loss of umbilical vein pulsations, a reappearance of umbilical diastolic flow and a progressive return of cerebral and venous blood flow into the ‘normal’ range. Improvement of fetal condition may be the explanation for our observation.
Copyright © 2001 by Walter de Gruyter GmbH & Co. KG
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Articles in the same Issue
- Malignant disease in pregnancy
- Repeated ultrasound guided fetal injections of corticosteroid alter nervous system maturation in the ovine fetus
- Incidence and birth weight characteristics of twins born to mothers aged 40 years or more compared with 35-39 years old mothers: a population study
- Lipopolysaccharide stimulation of 70 kilo Dalton heat shock protein messenger ribonucleic acid production in cultured human fetal membranes
- Effect of positive end expiratory pressure on functional residual capacity and compliance in surfactant-treated preterm infants
- Neonatal nucleated red blood cell counts in twins
- Normalisation of a severely abnormal ductus venosus Doppler flow velocity waveform in a growth-retarded fetus with absent end-diastolic flow in the umbilical artery and congenital anomalies
- Acute iliac vein thrombosis in pregnancy treated successfully by streptokinase lysis: a case report
- Liquid ventilation in an infant with persistent interstitial pulmonary emphysema
- Renal vein thrombosis in a newborn with prothrombotic genetic risk factors
- Fetal pulse oximetry allows safe continuation of labor in the presence of mild-moderate non reassuring CTG
- WAPM-Newsletter No 1