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[Doppler ultrasound in high grade multiple pregnancies].
Geburtshilfe Frauenheilkd. 1993 Jun; 53(6):406-10.GF

Abstract

From 1987 until 1992, 16 triplets and 2 quadruplets were studied by pulsed Doppler ultrasound between 17 and 36 weeks of gestation. A resistance index (RI) of the foetal aorta and umbilical artery above the 95th percentile was considered pathological. Elevated RI-values of the umbilical artery as compared to the A. cerebri media were indicative of circulatory centralisation. Intrauterine growth retardation (IUGR) was found in 9 (16%) foetuses, discordant growth occurred in 7 (39%) pregnancies. 41 (73%) of 56 foetuses survived in good health. Four of 7 foetuses with pathological Doppler findings died. The three survivors were markedly retarded. Four of 6 cases of intrauterine endangered foetuses were detected by Doppler sonography. The diagnosis of IUGR or discordant growth was based more frequently on pathological Doppler findings than on biometry and improved upon by combinations of both methods. Doppler sonography proved to be an important complementary method in the monitoring of high-grade multiple pregnancies.

Authors+Show Affiliations

Univ.-Frauenklinik Freiburg.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

ger

PubMed ID

8330715

Citation

Prömpeler, H J., et al. "[Doppler Ultrasound in High Grade Multiple Pregnancies]." Geburtshilfe Und Frauenheilkunde, vol. 53, no. 6, 1993, pp. 406-10.
Prömpeler HJ, Madjar H, Klosa W, et al. [Doppler ultrasound in high grade multiple pregnancies]. Geburtshilfe Frauenheilkd. 1993;53(6):406-10.
Prömpeler, H. J., Madjar, H., Klosa, W., du Bois, A., Peukert, R., Wilhelm, C., & Breckwoldt, M. (1993). [Doppler ultrasound in high grade multiple pregnancies]. Geburtshilfe Und Frauenheilkunde, 53(6), 406-10.
Prömpeler HJ, et al. [Doppler Ultrasound in High Grade Multiple Pregnancies]. Geburtshilfe Frauenheilkd. 1993;53(6):406-10. PubMed PMID: 8330715.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Doppler ultrasound in high grade multiple pregnancies]. AU - Prömpeler,H J, AU - Madjar,H, AU - Klosa,W, AU - du Bois,A, AU - Peukert,R, AU - Wilhelm,C, AU - Breckwoldt,M, PY - 1993/6/1/pubmed PY - 1993/6/1/medline PY - 1993/6/1/entrez SP - 406 EP - 10 JF - Geburtshilfe und Frauenheilkunde JO - Geburtshilfe Frauenheilkd VL - 53 IS - 6 N2 - From 1987 until 1992, 16 triplets and 2 quadruplets were studied by pulsed Doppler ultrasound between 17 and 36 weeks of gestation. A resistance index (RI) of the foetal aorta and umbilical artery above the 95th percentile was considered pathological. Elevated RI-values of the umbilical artery as compared to the A. cerebri media were indicative of circulatory centralisation. Intrauterine growth retardation (IUGR) was found in 9 (16%) foetuses, discordant growth occurred in 7 (39%) pregnancies. 41 (73%) of 56 foetuses survived in good health. Four of 7 foetuses with pathological Doppler findings died. The three survivors were markedly retarded. Four of 6 cases of intrauterine endangered foetuses were detected by Doppler sonography. The diagnosis of IUGR or discordant growth was based more frequently on pathological Doppler findings than on biometry and improved upon by combinations of both methods. Doppler sonography proved to be an important complementary method in the monitoring of high-grade multiple pregnancies. SN - 0016-5751 UR - https://www.unboundmedicine.com/medline/citation/8330715/[Doppler_ultrasound_in_high_grade_multiple_pregnancies]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2007-1022905 DB - PRIME DP - Unbound Medicine ER -