title: Doppler assessment between pathological examination of the placenta and late fetal intrauterine demise.
abstract: OBJECTIVE
  The relation between placental histopathological examination, umbilical cord pathology and abnormal umbilical and cerebral Doppler as a predictor of stillbirth at later gestations was evaluated.
  
  
  METHODS
  A retrospective study of 55 monofetal pregnancies complicated with late fetal death from 2005-2008 was conducted at the Institute of Gynecology and Obstetrics, Bel-grade.
  
  
  METHODS
  chi-square likelihood ratio test and Spearman's coefficient correlation.
  
  
  RESULTS
  Intrauterine fetal demise occurred most frequently at term -32.7% of the time. Changes in the umbilical artery resistance index were not significantly different from placental histopathology findings, p = 0.363. There was a significant correlation between neonatal birth weight and weeks of gestation at delivery, r = 0.796; p = 0.001.
  
  
  CONCLUSIONS
  Umbilical artery Doppler is a relatively poor predictor of stillbirths due to placental dysfunction. It seems that neonatal birth weight is the best predictor of late stillbirth in high-risk pregnancies.
authors.affiliation: Institute of Gynecology and Obstetrics Clinical Center of Serbia, Serbia. ivana.r.babovic@gmail.com
authors.forename: I
authors.initials: I
authors.lastname: Babovic
authors.forename: J
authors.initials: J
authors.lastname: Tadic
authors.forename: S
authors.initials: S
authors.lastname: Plesinac
authors.forename: Z
authors.initials: Z
authors.lastname: Radojicic
authors.forename: D
authors.initials: D
authors.lastname: Plecas
mesh_terms: D000328:Adult; D001724:Birth Weight / Q000502:physiology; D001783:Blood Flow Velocity / Q000502:physiology; D005260:Female; D005313:Fetal Death / Q000000981:diagnostic imaging* / Q000473:pathology*; D006801:Humans; D010920:Placenta / Q000000981:diagnostic imaging* / Q000473:pathology*; D011247:Pregnancy; D012189:Retrospective Studies; D018608:Ultrasonography, Doppler / Q000379:methods; D014469:Umbilical Arteries / Q000000981:diagnostic imaging / Q000473:pathology