CHSJ

Curr Health Sci J, vol. 44, no. 1, 2018

Ultrasound Evaluation of Fetal Biometry and Doppler Parameters in the Third Trimester of Pregnancy Suspected of Intrauterine Growth Restriction

[Original Paper]

M.V. NOVAC(1), D.G. ILIESCU(2), S. TUDORACHE(2), M. MANOLEA(2), R.E. MEETESCU(3), S. VRABIE(2), M.B.NOVAC(4), D.O. ALEXANDRU(5), L. DIJMARESCU(2)


(1)Ph.D. Student, University of Medicine and Pharmacy of Craiova, Romania,
(2)Obstetrics and Gynecology Department, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, Romania,
(3)Radiology and Medical Imaging Department, County Clinical Emergency Hospital of Craiova,
(4)Anesthesiology and Intensive Care Department, Faculty of Medicine, University of Medicine and Pharmacology of Craiova, Romania,
(5)Department of Medical Informatics and Biostatistics, University of Medicine and Pharmacy of Craiova, Romania


Abstract:

Purpose. The purpose of this study was to investigate fetal biometry and Doppler parameters in the third trimester of pregnancy with suspected restriction of fetal growth as potential predictors of unfavorable neonatal status. Material/Methods. The uterine artery, umbilical and middle cerebral artery, cerebroplacental ratio (CPR), and estimated fetal weight (EFW) were evaluated in a cohort of 126 pregnancies that resulted in the birth of a fetus <10 percentiles (SGA). Results. The demographic data of the studied cases did not show a significant difference between the parameters studied in the two study groups: Late SGA fetuses and Early SGA fetuses. Analyzing fetal biometry we found a significant difference for some parameters in relation to the two study groups. Our study showed that the Early SGA fetuses group had a lower birth weight, a lower gestational age at birth, an increase in the incidence of premature birth with an increase in Doppler abnormal incidence. Conclusions. Ultrasound examination and Doppler monitoring provide a non-invasive repetitive method for supervising fetuses with growth restriction in order to apply an adequate management.


Keywords: intrauterine growth restriction, Doppler, fetal compromise



Corresponding: M.B. Novac, Department of Anesthesiology and Intensive Care, University of Medicine and Pharmacy of Craiova, Romania, 2-4 Petru Rares Street, e-mail: mariusnovac2005@yahoo.com


DOI 10.12865/CHSJ.44.01.04 - Download PDF
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