Pregled bibliografske jedinice broj: 47487
Doppler monitoring of the fetal brain response to chronic hypoxia
Doppler monitoring of the fetal brain response to chronic hypoxia // 2nd International Congress on New Technologies in Reproductive Medicine, Neonatology and Gynecology / Cosmi, Ermelando V. (ur.).
Rim: Monduzzi Editore, 1999. str. 154-154 (predavanje, međunarodna recenzija, sažetak, znanstveni)
CROSBI ID: 47487 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Doppler monitoring of the fetal brain response to chronic hypoxia
Autori
Salihagić, Aida ; Laurini, R. ; Akoka, S. ; Zudenigo, Damir ; Jugović, Domagoj ; Kurjak, Asim ; Arbeille, P.
Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni
Izvornik
2nd International Congress on New Technologies in Reproductive Medicine, Neonatology and Gynecology
/ Cosmi, Ermelando V. - Rim : Monduzzi Editore, 1999, 154-154
ISBN
9788832309188
Skup
2nd International Congress on New Technologies in Reproductive Medicine, Neonatology and Gynecology
Mjesto i datum
Alghero, Italija, 18.09.1999. - 23.09.1999
Vrsta sudjelovanja
Predavanje
Vrsta recenzije
Međunarodna recenzija
Ključne riječi
fetal hypoxia ; growth retardation ; Doppler
Sažetak
Objective: To study the cerebral and umbilical hemodynamics changes in growth-retarded fetuses with chronic hypoxia and to determine if at long term, fetal brain hyperperfusion with loss of cerebral vascular flow velocity variability is associated with brain damage. Methods: The cerebral and umbilical hemodynamics was assessed by Doppler in 6 growth-retarded and hypoxic fetuses, mainly every day during 11 to 21 days. Results: All 6 fetuses had poor fetal outcome including fetal death (3). Fetal flow redistribution with brain hyperperfusion was present in all 6 fetuses during the whole period of observation. The fetal deterioration was characterised by: (1) the progressive development of oligohydramnios ; (2) the disappearance of the cerebral flow velocity variability during the early phase of deterioration ; (3) the occurrence of fetal heart rate decelerations ; and finally (4) the increase of cerebral vascular resistance with reduction of brain perfusion during the later phase of deterioration. The histology of three brains revealed hypoxic lesions. Conclusion: The decrease in cerebral-umbilical ratio during 11 to 21 days, which correspond to a sustained hypoxia with increased brain perfusion and the loss of cerebral flow variability were associated in all cases with severe fetal outcome.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
