title: Relation between Doppler findings and perinatal outcomes in fetuses with intrauterine growth restriction.
abstract: OBJECTIVE
  To find the relationship between fetal Doppler findings and perinatal outcomes in intrauterine growth restriction.
  
  
  METHODS
  Eighty-two cases with a prenatal diagnosis of intrauterine growth restriction between November 2008 and July 2009 were included in this prospective study at Ege University School of Medicine. Fetuses were grouped according to Doppler parameters: those with normal Doppler findings (n = 43), and those with impaired arterial (n = 27) and venous systems (n = 12).
  
  
  RESULTS
  Out of 82 growth restricted cases, 43 (52.4%) had normal Doppler findings, while 27 (32.9%) displayed impaired arterial parameters and 12 (14.6%) had impaired venous parameters. The mean first minute Apgar scores were 7.57 +/- 1.53 for the group with normal Doppler flows, 6.8 +/- 2 for the group with an impaired arterial system, and 4 +/- 1.94 for the group with an impaired venous system. Two cases from the normal Doppler flow group (n = 42), four cases from the impaired arterial flow group (n = 27), and 11 cases from the impaired venous flow group (n = 11) had fifth minute Apgar scores under 6. Evaluation of the umbilical artery blood gas revealed acidosis in two cases from the normal Doppler flow group (n = 42), three cases from the impaired arterial system group (n = 27), and five cases from the impaired venous system group (n = 11).
  
  
  CONCLUSIONS
  A Doppler spectrum from normal to venous system impairment correlated with poor fetal outcomes including fetal acidosis, fetal mortality and morbidity, decreased Apgar scores at 1 and 5 min, and neonatal morbidity.
authors.affiliation: Department of Obstetrics and Gynecology, Ege University School of Medicine, Bornova, Izmir, Turkey. mkazandi@yahoo.com
authors.forename: M
authors.initials: M
authors.lastname: Kazandi
authors.forename: C
authors.initials: C
authors.lastname: Guven
authors.forename: F
authors.initials: F
authors.lastname: Akercan
authors.forename: B
authors.initials: B
authors.lastname: Zeybek
authors.forename: T
authors.initials: T
authors.lastname: Cirpan
authors.forename: M
authors.initials: M
authors.lastname: Ergenoglu
authors.forename: O
authors.initials: O
authors.lastname: Yeniel
authors.forename: A
authors.initials: A
authors.lastname: Akdemir
authors.forename: S
authors.initials: S
authors.lastname: Ozsener
mesh_terms: D001034:Apgar Score; D001158:Arteries / Q000000981:diagnostic imaging / Q000196:embryology*; D001724:Birth Weight; D001783:Blood Flow Velocity; D001784:Blood Gas Analysis; D005260:Female; D005317:Fetal Growth Retardation / Q000000981:diagnostic imaging* / Q000503:physiopathology; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011446:Prospective Studies; D016216:Ultrasonography, Prenatal; D014680:Veins / Q000000981:diagnostic imaging / Q000196:embryology*