Long term predictive value of Doppler studies in high risk fetuses.
OBJECTIVE
To determine whether the predictive value of Doppler ultrasonography extends beyond the perinatal period.


METHODS
Descriptive follow-up study.


METHODS
Specially designated paediatric clinic in Royal Maternity Hospital.


METHODS
40 children who as high risk fetuses had had assessment of umbilical artery flow velocity waveforms.


METHODS
Parental history, physical examination, anthropometry, Denver developmental screening test.


METHODS
Weight, height, head circumference, neurological impairment, Denver development screening test


RESULTS
Abnormal waveforms were an accurate predictor of neonatal outcome, with significant differences in birthweight, gestational age, need for nursery admission, and frequency of intrauterine growth retardation between normal and abnormal waveform groups. However, abnormal Doppler studies were not predictive of long-term adverse sequelae. There were no significant differences in height, head circumference, proportion with neurological impairment, or results of Denver developmental screening test at a median age of five years.


CONCLUSIONS
The predictive value of Doppler ultrasonography is less for long-term growth and neurodevelopment than for perinatal outcome in the high risk fetus.
Wilson
D C
DC
Neonatal Intensive Care Unit, Royal Maternity Hospital, Belfast, N. Ireland.
Harper
A
A
McClure
G
G
Halliday
H L
HL
Reid
M
M
D002648:Child; D002675:Child, Preschool; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging*; D005500:Follow-Up Studies; D006801:Humans; D010865:Pilot Projects; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D012307:Risk Factors; D013997:Time Factors; D016216:Ultrasonography, Prenatal; D014469:Umbilical Arteries / Q000000981:diagnostic imaging*