Predictive value of serial middle cerebral and renal artery pulsatility indices in fetuses with oligohydramnios

L. L. Scott, B. M. Casey, S. Roberts, D. McIntire, D. M. Twickler

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Objective: To determine if unexplained changes in the amniotic fluid index or pulsatility indices of the fetal renal, middle cerebral, or umbilical artery are predictive of perinatal outcome in pregnancies complicated by oligohydramnios. Methods: Changes in amniotic fluid measurements and fetal vessel velocimetry in patients with oligohydramnios were evaluated for correlation with fetal outcome. Fourteen fetuses with oligohydramnios underwent serial sonography evaluating the amniotic fluid index and fetal middle cerebral, renal, and umbilical velocimetry. Matched controls and neonatal outcomes were obtained. Results: Change in amniotic fluid index and in renal artery pulsatility index were inversely correlated. Change in the middle cerebral artery pulsatility index was different in infants with normal outcome compared to infants with adverse outcome Conclusions: Serial velocimetry of the middle cerebral artery may identify fetuses with oligohydramnios at risk for adverse outcomes.

Original languageEnglish (US)
Pages (from-to)105-109
Number of pages5
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume9
Issue number2
StatePublished - Mar 1 2000

Keywords

  • Middle cerebral artery Doppler
  • Oligohydramnios
  • Renal artery Doppler

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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