[Relationship between doppler velocimetry at middle cerebral artery and umbilical artery and status of newborn after delivery].
OBJECTIVE
Aim of research was estimation of correlation between doppler parameters and fetal state after delivery.


METHODS
One hundred fifty-one pregnancies treated in Dept. of Obstetrics and Gynecology of Medical Academy in Bydgoszcz was investigated between 1998-2002. Pregnancies were estimated between 27 and 43 Hbd. Ultrasound examination using pulse and color Doppler was performed (ACUSON XP 128) and PI, RI, S/D, MCA, UA were estimated.


METHODS
Following doppler parameters were analyzed: pulsatile index (PI), resistance index (RI) and systolic/diastolic ratio (S/D) in middle cerebral artery (MCA) and in umbilical cord artery (UA). The newborn children were estimated by Apgar score in first minute of life (AP1). Correlation between amount of amniotic fluid index (AFI) and newborn state in first minute after delivery was investigated too.


RESULTS
There were following correlations in this investigation: (1) negative between UA PI and AP1 (-0.26); (2) negative between UA RI and AP1 (-0.23); (3) negative between UAS/D and AP1 (-0.16); (4) negative between AFI and API (-0.06); (5) lack of statistical correlation between MCA PI, MCA RI, MCA S/D and AP1. We considered following covariancies: (1) negative between AFI and AP1 (-1.03); (2) negative between UA S/D and AP1 (-0.42); (3) negative between UA PI and AP1 (-0.23); (4) negative between UA RI and AP1 (-0.09).


CONCLUSIONS
We concluded that Doppler investigations by measure of parameters of blood flow in umbilical cord artery (PI, RI, S/D) can be predictive to fetal threat and useful in estimation of newborn state.
Szymański
Marek
M
Katedra i Klinika Połoznictwa, Chorób Kobiecych i Ginekologii Onkologicznej Uniwersytetu Mikołaja Kopernika w Toruniu Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy.
Szymański
Wiesław
W
Semeńczuk
Mariusz
M
Skublicki
Stanisław
S
D000293:Adolescent; D000328:Adult; D001034:Apgar Score; D001783:Blood Flow Velocity; D005260:Female; D005312:Fetal Blood / Q000000981:diagnostic imaging*; D005311:Fetal Hypoxia / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D007231:Infant, Newborn; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging*; D011044:Poland; D011237:Predictive Value of Tests; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011673:Pulsatile Flow; D012189:Retrospective Studies; D018617:Ultrasonography, Doppler, Pulsed / Q000379:methods*; D016216:Ultrasonography, Prenatal; D014469:Umbilical Arteries / Q000000981:diagnostic imaging*