RELIEF OF PRESUMED COMPRESSION IN OLIGOHYDRAMNIOS - AMNIOINFUSION DOES NOT AFFECT UMBILICAL ARTERY DOPPLER WAVE-FORMS

被引：4

作者：

FISK, NM

WELCH, CR

RONDEROSDUMIT, D

VAUGHAN, JI

NICOLINI, U

RODECK, CH

机构：

[1] Royal Postgraduate Medical School, Institute of Obstetrics and Gynaecology, Queen Charlotte’s and Chelsea Hospital, London

来源：

FETAL DIAGNOSIS AND THERAPY | 1992年 / 7卷 / 3-4期

关键词：

OLIGOHYDRAMNIOS; FETAL COMPRESSION AMNIOINFUSION; UMBILICAL ARTERY DOPPLER;

D O I：

10.1159/000263696

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The suggestion that amnioinfusion improves umbilical artery Doppler indices of downstream resistance in oligohydramnios by relieving cord compression was investigated by obtaining waveforms before and immediately after amnioinfusion in 16 pregnancies with severe oligohydramnios. There was no significant difference in the change in umbilical artery pulsatility index (PI) between 11 pregnancies in which amniotic fluid volume was restored (mean DELTAPI = -0.07, 95% confidence interval -0.17 to +0.07), and 5 pregnancies in which immediate vaginal leakage of infused fluid prevented restitution of amniotic fluid volume. Fetal heart rate did not change significantly in either group. End-diastolic frequencies did not return with restitution of amniotic fluid volume in the 2 pregnancies in which they were absent before infusion (absent in 1, reverse in 1). This study suggests that restitution of amniotic fluid volume in human pregnancies complicated by severe oligohydramnios does not acutely alter the umbilical artery PI.

引用

页码：180 / 185

页数：6

共 33 条

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