Longitudinal reference values for ductus venosus Doppler in low-risk pregnancies.
The aim of this study was to establish normal ranges of blood flow velocities and indices in the fetal ductus venosus (DV) during the second half of normal pregnancy. A Doppler study of 60 healthy pregnant women without fetal pathologies was performed during the second half of pregnancy. The peak systolic velocity (PSV), peak diastolic velocity (PDV), maximum velocity during atrial contraction (VAC), peak systolic velocity/maximum velocity during atrial contraction (S/A ratio), pulsatility index for the vein (PIV), preload index (PLI) and velocity index for the vein (VIV) were calculated from the DV at 4-week intervals. A significant increase in PSV, PDV and VAC was observed from the 20-23(6/7) to the 28-31(6/7) weeks, with stabilization of values until the end of the pregnancy. On the other hand, the study showed a significant decrease for the S/A ratio, PIV, PLI and VIV from the 20-23(6/7) to the 28-31(6/7) weeks and remaining stable from then until term.
Department of Gynecology and Obstetrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil. dralemar@uol.com.br
Alessandra C
AC
Marcolin
Aderson T
AT
Berezowski
Gerson C
GC
Crott
Carla V
CV
Gonçalves
Geraldo
G
Duarte
D000293:Adolescent; D000328:Adult; D001783:Blood Flow Velocity; D005260:Female; D005865:Gestational Age; D006801:Humans; D008137:Longitudinal Studies; D010920:Placenta / Q000098:blood supply*; D011247:Pregnancy; D011446:Prospective Studies; D012015:Reference Standards; D012984:Software; D014471:Umbilical Veins / Q000098:blood supply*; D014682:Vena Cava, Inferior / Q000196:embryology*; D055815:Young Adult