Doppler assessment between pathological examination of the placenta and late fetal intrauterine demise
Abstract
Aim: The relation between placental histopathological examination, umbilical cord pathology and abnormal umbilical and cerebral Doppler as a predictor of stillbirth at later gestations was evaluated. Materials and Methods: A retrospective study of 55 monofetal pregnancies complicated with late fetal death from 2005-2008 was conducted at the Institute of Gynecology and Obstetrics, Belgrade. Statistical analysis: chi-square likelihood ratio test and Spearman's coefficient correlation. Results: Intrauterine fetal demise occurred most frequently at term -32.7% of the time. Changes in the umbilical artery resistance index were not significantly different from placental histopathology findings, p = 0.363. There was a significant correlation between neonatal birth weight and weeks of gestation at delivery, r = 0.796; p = 0.001. Conclusion: Umbilical artery Doppler is a relatively poor predictor of stillbirths due to placental dysfunction. It seems that neonatal birth weight is the best predic...tor of late stillbirth in high-risk pregnancies.
Keywords:
Umbilical cord / Umbilical and cerebral velocimetry / Placenta / Fetus / Fetal demise / DopplerSource:
Clinical and Experimental Obstetrics and Gynecology, 2011, 38, 1, 43-45Collections
Institution/Community
Fakultet organizacionih naukaTY - JOUR AU - Babović, Ivana AU - Tadić, J. AU - Plešinac, Snežana AU - Radojičić, Zoran AU - Plećaš, Darko PY - 2011 UR - https://rfos.fon.bg.ac.rs/handle/123456789/817 AB - Aim: The relation between placental histopathological examination, umbilical cord pathology and abnormal umbilical and cerebral Doppler as a predictor of stillbirth at later gestations was evaluated. Materials and Methods: A retrospective study of 55 monofetal pregnancies complicated with late fetal death from 2005-2008 was conducted at the Institute of Gynecology and Obstetrics, Belgrade. Statistical analysis: chi-square likelihood ratio test and Spearman's coefficient correlation. Results: Intrauterine fetal demise occurred most frequently at term -32.7% of the time. Changes in the umbilical artery resistance index were not significantly different from placental histopathology findings, p = 0.363. There was a significant correlation between neonatal birth weight and weeks of gestation at delivery, r = 0.796; p = 0.001. Conclusion: Umbilical artery Doppler is a relatively poor predictor of stillbirths due to placental dysfunction. It seems that neonatal birth weight is the best predictor of late stillbirth in high-risk pregnancies. T2 - Clinical and Experimental Obstetrics and Gynecology T1 - Doppler assessment between pathological examination of the placenta and late fetal intrauterine demise EP - 45 IS - 1 SP - 43 VL - 38 UR - conv_3085 ER -
@article{ author = "Babović, Ivana and Tadić, J. and Plešinac, Snežana and Radojičić, Zoran and Plećaš, Darko", year = "2011", abstract = "Aim: The relation between placental histopathological examination, umbilical cord pathology and abnormal umbilical and cerebral Doppler as a predictor of stillbirth at later gestations was evaluated. Materials and Methods: A retrospective study of 55 monofetal pregnancies complicated with late fetal death from 2005-2008 was conducted at the Institute of Gynecology and Obstetrics, Belgrade. Statistical analysis: chi-square likelihood ratio test and Spearman's coefficient correlation. Results: Intrauterine fetal demise occurred most frequently at term -32.7% of the time. Changes in the umbilical artery resistance index were not significantly different from placental histopathology findings, p = 0.363. There was a significant correlation between neonatal birth weight and weeks of gestation at delivery, r = 0.796; p = 0.001. Conclusion: Umbilical artery Doppler is a relatively poor predictor of stillbirths due to placental dysfunction. It seems that neonatal birth weight is the best predictor of late stillbirth in high-risk pregnancies.", journal = "Clinical and Experimental Obstetrics and Gynecology", title = "Doppler assessment between pathological examination of the placenta and late fetal intrauterine demise", pages = "45-43", number = "1", volume = "38", url = "conv_3085" }
Babović, I., Tadić, J., Plešinac, S., Radojičić, Z.,& Plećaš, D.. (2011). Doppler assessment between pathological examination of the placenta and late fetal intrauterine demise. in Clinical and Experimental Obstetrics and Gynecology, 38(1), 43-45. conv_3085
Babović I, Tadić J, Plešinac S, Radojičić Z, Plećaš D. Doppler assessment between pathological examination of the placenta and late fetal intrauterine demise. in Clinical and Experimental Obstetrics and Gynecology. 2011;38(1):43-45. conv_3085 .
Babović, Ivana, Tadić, J., Plešinac, Snežana, Radojičić, Zoran, Plećaš, Darko, "Doppler assessment between pathological examination of the placenta and late fetal intrauterine demise" in Clinical and Experimental Obstetrics and Gynecology, 38, no. 1 (2011):43-45, conv_3085 .