title: [Ductus venosus blood flow prior to intrauterine foetal death in severe placental insufficiency can be unaffected as shown by doppler sonography].
abstract: Significant placental insufficiency with Doppler ultrasound findings of absent or reverse end-diastolic flow velocities (AREDV) is associated with increased morbidity and mortality. An analysis of blood flow in the ductus venosus assists in the early recognition of threatened foetuses. However, the prognostic value of multivessel Doppler assessment for the timing of delivery is being questioned. Four high-risk pregnancies with umbilical AREDV were repeatedly examined prior to intrauterine foetal demise. Our results demonstrate that ductus venosus Doppler flow velocimetry can be normal prior to intrauterine foetal death.
authors.affiliation: Frauenklinik, Julius-Maximilians-Universität, Würzburg.
authors.forename: I
authors.initials: I
authors.lastname: Frauenschuh
authors.affiliation: Frauenklinik, St. Joseph-Stift, Bremen.
authors.forename: T
authors.initials: T
authors.lastname: Frambach
authors.affiliation: Institut für Mathematik, Julius-Maximilians-Universität, Würzburg.
authors.forename: S
authors.initials: S
authors.lastname: Karl
authors.affiliation: Frauenklinik, Julius-Maximilians-Universität, Würzburg.
authors.forename: J
authors.initials: J
authors.lastname: Dietl
authors.affiliation: Klinik für Gynäkologie und Geburtshilfe, Klinikum Hanau, Hanau.
authors.forename: T
authors.initials: T
authors.lastname: Müller
mesh_terms: D000328:Adult; D001783:Blood Flow Velocity; D005260:Female; D005313:Fetal Death / Q000209:etiology*; D006801:Humans; D010927:Placental Insufficiency / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D011247:Pregnancy; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D018608:Ultrasonography, Doppler / Q000379:methods*; D016216:Ultrasonography, Prenatal / Q000379:methods*; D014471:Umbilical Veins / Q000000981:diagnostic imaging* / Q000503:physiopathology*