지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.1
- 수록면
- 39 - 44 (6page)
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초록· 키워드
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Purpose: To evaluate the merit of umbilical artery Doppler study as a predictive marker of perinatal outcome in preterm small for gestational age (SGA) infants. Materials and Methods: A total of 218 patients at 27-36 weeks of gestational age (GA) who received antenatal umbilical artery Doppler velocimetry and delivered singleton infants with SGA. The ratio of peak-systolic to end-diastolic blood flow velocities (S/D) in the umbilical artery was measured in each patient. The patients were divided into 3 groups: the normal group with S/D ratios of less than 95th percentile (n=134), elevated S/D ratio group of 95th or more percentile (n=41), and those with absent/reversed end diastolic flow (n=43). Maternal characteristics and neonatal outcomes of these groups were comparatively analyzed. Results: The gestational age (GA) at the time of diagnosis of SGA, the mean GA at delivery, and the mean birth weight showed statistically significant difference among three groups (p<0.001). Also, poor perinatal outcome was significantly increased in infants with abnormal S/D ratio (13.4% vs. 31.7% vs. 67.4%, p<0.001). Multivariate logistic regression analysis revealed umbilical artery Doppler study as a significant independent factor for prediction of poor perinatal outcome (odds ratio: 3.7, 95% confidence interval 1.4-9.5, p=0.007). Conclusion: Antenatal umbilical artery Doppler velocimetry is shown as a significantly efficient marker in predicting perinatal outcome in preterm SGA infants.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Alexander GR / 1996 / A United States national reference for fetal growth / Obstet Gynecol 87 : 163 ~ 168
Barker DJ / 1993 / Fetal nutrition and cardiovascular disease in adult life / Lancet 341 : 938 ~ 941
Berkowitz GS / 1988 / Doppler umbilical velocimetry in the prediction of adverse outcome in pregnancies at risk for intrauterine growth retardation / Obstet Gynecol 71 : 742
Brar HS / 1988 / Reverse end-diastolic flow velocity on umbilical artery velocimetry in high-risk pregnancies: an ominous finding with adverse pregnancy outcome / Am J Obstet
Burke G / 1990 / Is intrauterine growth retardation with normal umbilical artery blood flow a benign condition? / BMJ 300 : 1044 ~ 1045
Barker DJ / 1993 / Fetal nutrition and cardiovascular disease in adult life / Lancet 341 : 938 ~ 941
Berkowitz GS / 1988 / Doppler umbilical velocimetry in the prediction of adverse outcome in pregnancies at risk for intrauterine growth retardation / Obstet Gynecol 71 : 742
Brar HS / 1988 / Reverse end-diastolic flow velocity on umbilical artery velocimetry in high-risk pregnancies: an ominous finding with adverse pregnancy outcome / Am J Obstet
Burke G / 1990 / Is intrauterine growth retardation with normal umbilical artery blood flow a benign condition? / BMJ 300 : 1044 ~ 1045
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