[Changes in approach to the delivery of dysmature infants following the introduction of Doppler flowmetry].
The authors studied the clinical history dysmature newborns delivered between 1982-1988. Since the middle of 1985 the fetal circulation in each case has routinely been followed by Doppler flowmetry. With this direct assessment of fetal circulation it is possible to diagnose intrauterine growth retardation and pathologic deviations of fetal circulation at earliest. As a result of this the authors have found an increase in the frequency of terminated pregnancies and caesarean sections. The ratio has been shifted towards pre and dysmature newborns. But on the other hand the frequency of intrauterine deaths has decreased. In all those cases where the dysmature newborn died during the perinatal period there were pathologic flow parameters, as well as malformations in some cases. Further prospective clinical studies of neurological development and disorders of dysmature newborns and children are necessary to decide whether our new point of view has been right or wrong.
Doszpod
J
J
Illyés
M
M
Winkler
Z
Z
Török
M
M
Jámbor
E
E
Gáti
I
I
D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D005317:Fetal Growth Retardation / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000379:methods; D014463:Ultrasonography / Q000295:instrumentation*
A Doppler-flowmetria bevezetését követö szemléletváltozás a dysmaturus magzatok szülésvezetésében.