[Comparison of biochemical and Doppler sonographic monitoring of high-risk pregnancies].
We performed in 113 patients at least three simultaneous determinations of serum-HPL and oestriol in 24-hour urine samples, as well as Doppler flow studies at the arcuate artery (AA), umbilical artery (UA), foetal aorta and internal carotid, because of suspicion of IUGR. The diagnostic value was studied with regard to IUGR, placental weight and mode of delivery. Concerning the detection of IUGR, the superiority of Doppler parameters (AA, UA) is shown. In the total number of patients, the rates for sensitivity and specificity for UA (78/91%) and AA (58/89%) exceed the hormone parameters. Oestriol, in particular, (13/63%) shows a marked difference, but even HPL (37/63%) cannot compete with respect to diagnostic value.
Landesfrauenklinik Salzburg.
H
H
Steiner
H
H
Schaffer
R
R
Lassmann
A
A
Staudach
M
M
Batka
D000138:Acidosis / Q000097:blood / Q000000981:diagnostic imaging; D001783:Blood Flow Velocity / Q000502:physiology; D002585:Cesarean Section; D004964:Estriol / Q000097:blood*; D005260:Female; D005317:Fetal Growth Retardation / Q000097:blood* / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D008431:Maternal-Fetal Exchange / Q000502:physiology; D010928:Placental Lactogen / Q000097:blood*; D011237:Predictive Value of Tests; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011263:Pregnancy Trimester, Third; D016216:Ultrasonography, Prenatal; D014469:Umbilical Arteries / Q000000981:diagnostic imaging / Q000503:physiopathology
D010928:Placental Lactogen; D004964:Estriol
Vergleich biochemischer und dopplersonographischer Uberwachung von Risikoschwangerschaften.