[Comparison of Doppler flow in selected maternal and fetal vessels in pregnancies with fetal intrauterine growth restriction].
OBJECTIVE
The aim of the study was to compare Doppler flows in materno-fetal circulation in pregnancies with IUGR and small for gestational age (SGA) neonatal weight or normal weight, as well as in uncomplicated pregnancies.


METHODS
The study population comprised 216 pregnant women from Lodz and Kalisz between 2003-2006. In the group I we included 68 women with IUGR observed in prenatal ultrasound examination and SGA neonates, in the group II--29 women with IUGR observed in US but normal neonatal weight and in the group III--110 women with normal fetal and neonatal weight.


RESULTS
Mean fetal weight in the group II was (2035 g +/- 400 g) and in the group I (1947 g +/- 414 g) and it was lower than in the group III (2765 g +/- 543 g) (p<0.0005). Notch in UTA was found more often in the group I (39.7%), than in the groups III (8.4%) and II (10.3%), (p< 0.0005). The mean PI in the right UTA in the group I (0.957 +/- 0.440) was higher than in the groups II (0.718 +/- 0.259) and III (0.730 +/- 0.215), (p<0.001). Abnormal Doppler flows in MCA in the groups I (39.7%) and II (34.5%) were observed more often than in the group III (6.4%), (p<0.0005). Similarly abnormal Doppler examination in DV in the groups I (45.5%) and II (46.4%) were observed more often than in the group III (17.8%), (p<0.0005). PI in UA in the groups I (1.061+/- 0.325) and II (0.965 +/- 0.184) was higher than in the group III (0.848 +/- 0.166), (p<0.0005).
Hajdo
Jarosław
J
Studium Doktoranckie, Klinika Medycyny Matczyno-Płodowej i Ginekologii, III Katedra Ginekologii i Połoznictwa, Uniwersytet Medyczny, Lódź.
Wilczyński
Jan
J
Podciechowski
Lech
L
Szymczak
Wiesław
W
Nowakowska
Dorota
D
D000328:Adult; D002536:Cerebral Arteries / Q000000981:diagnostic imaging; D005260:Female; D005317:Fetal Growth Retardation / Q000000981:diagnostic imaging*; D020567:Fetal Weight; D005333:Fetus / Q000098:blood supply*; D005865:Gestational Age; D006801:Humans; D011247:Pregnancy; D012016:Reference Values; D012039:Regional Blood Flow; D018615:Ultrasonography, Doppler, Color / Q000379:methods; D016216:Ultrasonography, Prenatal / Q000379:methods*; D014469:Umbilical Arteries / Q000000981:diagnostic imaging; D055815:Young Adult