Association between maternal-fetal Doppler velocimetry and fetal lung maturity

Verfasser / Beitragende:
[J. J. Piazze, M. M. Anceschi, G. Picone, A. Cerekja, R. La Torre, E. V. Cosmi]
Ort, Verlag, Jahr:
2003
Enthalten in:
Journal of Perinatal Medicine, 31/6(2003-11-20), 484-488
Format:
Artikel (online)
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024 7 0 |a 10.1515/JPM.2003.074  |2 doi 
035 |a (NATIONALLICENCE)gruyter-10.1515/JPM.2003.074 
245 0 0 |a Association between maternal-fetal Doppler velocimetry and fetal lung maturity  |h [Elektronische Daten]  |c [J. J. Piazze, M. M. Anceschi, G. Picone, A. Cerekja, R. La Torre, E. V. Cosmi] 
520 3 |a Aims: To correlate maternal-fetal Doppler velocimetry parameters to indices of fetal lung maturity (FLM). Methods: Fifty-five consecutive third trimester pregnancies in which a pulsed-wave Doppler study, including uterine resistance index (Ut RI), umbilical artery pulsatility index (UA PI), middle cerebral artery pulsatility index (MCA PI) and the UA/MCA ratio was performed within 24 hours before amniocentesis and within a week from birth. FLM was determined by amniotic fluid lamellar bodies count (LBs). Results: A positive correlation between MCA PI and LBs (p < 0.007, r = 0.44) was found. MCA PI showed a trend to lower values in fetuses that developed RDS at birth (1.3±0.5 vs. 1.7±0.4, NS). LBs significantly decreased as Ut RI increased (O.R.: 0.98, C.I. 0.97-0.99, p < 0.05). A mean Ut RI > 0.64 was correlated to delayed FLM (LBs < 20,000/μl; sensitivity: 90.9%, specificity: 90.3%; positive predictive value: 76.9%, negative predictive value: 96.6%). Comment: In third trimester pregnancies abnormal uterine artery waveforms may be associated to a delayed FLM, as expressed by decreased amniotic fluid LBs. 
540 |a Copyright © 2003 by Walter de Gruyter GmbH & Co. KG 
690 7 |a Human reproduction, growth & development  |2 nationallicence 
690 7 |a Gynaecology & obstetrics  |2 nationallicence 
690 7 |a Paediatric medicine  |2 nationallicence 
700 1 |a Piazze  |D J. J.  |4 aut 
700 1 |a Anceschi  |D M. M.  |4 aut 
700 1 |a Picone  |D G.  |4 aut 
700 1 |a Cerekja  |D A.  |4 aut 
700 1 |a La Torre  |D R.  |4 aut 
700 1 |a Cosmi  |D E. V.  |4 aut 
773 0 |t Journal of Perinatal Medicine  |d Walter de Gruyter  |g 31/6(2003-11-20), 484-488  |x 0300-5577  |q 31:6<484  |1 2003  |2 31  |o jpme 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Anceschi  |D M. M.  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Picone  |D G.  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cerekja  |D A.  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a La Torre  |D R.  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cosmi  |D E. V.  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Perinatal Medicine  |d Walter de Gruyter  |g 31/6(2003-11-20), 484-488  |x 0300-5577  |q 31:6<484  |1 2003  |2 31  |o jpme 
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