Pulsed Doppler flow-velocity waveforms in the prediction of fetal hematocrit of the severely isoimmunized pregnancy.
We previously reported a significant relationship between the hematocrit levels of anemic fetuses and information derived from ultrasonographic and Doppler flow-velocity waveforms. In this study we prospectively tested two formulas for the prediction of hematocrit values, by use of gestational age, presence or absence of hydrops, and Doppler indices. Although one of the two formulas predicted hematocrit values significantly, the only component of the formula that made a significant contribution was fetal hydrops. We conclude that currently available fetal Doppler measurements are unable to be applied in the prospective prediction of hematocrit values in anemic fetuses of isoimmunized pregnancies.
Copel
J A
JA
Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, CT 06510-8063.
Grannum
P A
PA
Green
J J
JJ
Belanger
K
K
Hobbins
J C
JC
D001783:Blood Flow Velocity; D004899:Erythroblastosis, Fetal / Q000175:diagnosis; D005260:Female; D005312:Fetal Blood / Q000166:cytology*; D005865:Gestational Age; D006400:Hematocrit; D006801:Humans; D015160:Hydrops Fetalis / Q000175:diagnosis; D007231:Infant, Newborn; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000175:diagnosis*; D011296:Prenatal Diagnosis / Q000379:methods*; D011379:Prognosis; D011446:Prospective Studies; D012203:Rh Isoimmunization / Q000175:diagnosis*; D014463:Ultrasonography / Q000379:methods*