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    This study examined Doppler recordings of umbilical artery flow velocity waveforms in 380 high-risk pregnancies and 160 normal pregnancies. In 24 high-risk cases, there was an absence of end diastolic flow (AEDF). Babies with AEDF tended to have lower birth weights, and complications were more common. However, AEDF did not necessarily predict poor neonatal outcomes, as some babies with AEDF survived with low birth weights. AEDF also did not always require immediate delivery, as some mothers could continue their pregnancies for weeks after an initial AEDF Doppler finding. In conclusion, AEDF is a serious sign of likely fetal compromise in problematic pregnancies, but it does

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    This study examined Doppler recordings of umbilical artery flow velocity waveforms in 380 high-risk pregnancies and 160 normal pregnancies. In 24 high-risk cases, there was an absence of end diastolic flow (AEDF). Babies with AEDF tended to have lower birth weights, and complications were more common. However, AEDF did not necessarily predict poor neonatal outcomes, as some babies with AEDF survived with low birth weights. AEDF also did not always require immediate delivery, as some mothers could continue their pregnancies for weeks after an initial AEDF Doppler finding. In conclusion, AEDF is a serious sign of likely fetal compromise in problematic pregnancies, but it does

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    4 views2 pages

    Umbimedicli

    Uploaded by

    Aldair Fran Torres
    This study examined Doppler recordings of umbilical artery flow velocity waveforms in 380 high-risk pregnancies and 160 normal pregnancies. In 24 high-risk cases, there was an absence of end diastolic flow (AEDF). Babies with AEDF tended to have lower birth weights, and complications were more common. However, AEDF did not necessarily predict poor neonatal outcomes, as some babies with AEDF survived with low birth weights. AEDF also did not always require immediate delivery, as some mothers could continue their pregnancies for weeks after an initial AEDF Doppler finding. In conclusion, AEDF is a serious sign of likely fetal compromise in problematic pregnancies, but it does

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    Eur J Obstet Gynecol Reprod Biol


    . 1988 Jul;28(3):171-8. doi: 10.1016/0028-2243(88)90027-5.
    Umbilical artery Doppler flow velocity waveform: the outcome of pregnancies with
    absent end diastolic flow
    F D Johnstone 1, N G Haddad, P Hoskins, W McDicken, S Chambers, B Muir
    Affiliations expand
    PMID: 3208963 DOI: 10.1016/0028-2243(88)90027-5
    Abstract
    We have studied doppler recordings of flow velocity waveform of the umbilical
    artery in 380 high-risk pregnancies and 160 patients with uncomplicated
    pregnancies. The results were not used in clinical management. In 24 cases, all in
    high-risk pregnancies, there was absence of end diastolic flow (AEDF). Four babies
    died, 22 out of 24 weighted less than the 5th centile for gestation and 20 were
    delivered by Caesarean Section. With only four exceptions, all fetuses showed other
    evidence of antenatal fetal compromise, though this was delayed in some cases for
    up to 24 days. AEDF does not appear to prejudice neonatal outcome. All six babies
    born weighing 750-999 g survived. In addition, 4 patients continued their pregnancy
    for 3-6 weeks after the first doppler with AEDF. Only one of the 4 developed other
    evidence of fetal compromise and two had vaginal deliveries. In our experience,
    AEDF is found only in abnormal pregnancy, and is a very serious sign of likely
    fetal compromise. It is an indication for extremely careful surveillance but not
    necessarily an indication for delivery.

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    MeSH terms
    Blood Pressure*
    Female
    Fetal Monitoring / methods
    Humans
    Pregnancy
    Pregnancy Outcome / physiopathology*
    Ultrasonics
    Umbilical Arteries / physiopathology*
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