Zusammenfassung
Die Dopplersonographie kann einen Beitrag zur Vermeidung von „fetal distress“ durch rechtzeitige Erkennung des Problems leisten. Vor allem eignet sie sich zur Erfassung von chronischem „fetal distress“ im Sinne von längerfristiger, in den meisten Fällen progredienter Verschlechterung der Plazentafunktion. Die prädiktive Kapazität der Dopplersonographie soll anhand der klinischen und laboranalytischen Meßpa-rameter für „fetal distress“, namentlich die fetalen bzw. Nabelschnurblutgase und -laktat, der operativen Entbindungsfrequenz und der perinatalen Mortalität und Morbidität aufgezeigt werden.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Arabin B, Ragosch V, Mohnhaupt A (1995) From biochemical to biophysical placental function tests in fetal surveillance. Am J Perinatol 12:168–171
Arduini D, Risso G, Romanini C (1993) The development of abnormal heart rate patterns after absent end-diastolic velocity in umbilical artery: Analysis of risk factors. Am J Obstet Gynecol 168:43–50
Berkowitz GS, Mehalek KE, Chitkara U, Rosenberg J, Cogswell C, Berkowitz RL (1988) Doppler umbilical velocimetry in the prediction of adverse outcome in pregnancies at risk for intrauterine growth retardation. Obstet Gynecol 71:742–746
Bilardo CM, Nicolaides KH, Campbell S (1990) Doppler measurements of fetal and uteroplacental circulations: relationship with umbilical venous blood gases measured at cordocentesis. Am J Obstet Gynecol 162:115–120
Bonnin P, Guyot B, Bailliart O, Benard C, Blot P, Marti-neaud JP (1992) Relationship between umbilical and fetal cerebral blood flow velocity waveforms and umbilical venous blood gases. Ultrasound Obstet Gynecol 2:18–22
Chandran R, Serra Sera V, Sellers SM, Redman CW (1991) Fetal middle cerebral artery flow velocity waveforms — a terminal pattern. Case report. Br J Obstet Gynecol 98:937–938
Chaoui R (1996) The fetal“heart-sparing effect“ detected by the assessmant of coronary blood flow: a further ominous sign of fetal compromise ? Ultrasound Obstet Gynecol 7:5–9
Chitrit Y, Zorn B, Filidori M, Bucourt M, Chasseray JE, Caubel P (1995) Ominous normalization of middle cerebral artery flow velocity waveforms preceeding fetal death: case report. Fetal Diagn Ther 10:106–110
Erz W, Gonser M (1995) Dopplersonographie der fetalen A. cerebri media: Präfinale Normalisierung des zerebralen Blutflusses? Geburtshilfe Frauenheilkd 55:407–410
Farine D, Kelly EN, Ryan G, Morrow R, Knox Ritchie JW (1995) Absent and reversed umbilical artery end-diastolic velocity. In: Copel J, Reed KL (eds) Doppler ultrasound in obstetrics and gynecology. Raven Press, New York, pp 187–197
Farmakides G, Schulman H, Winter D, Ducey J, Guzman E, Penny B (1988) Prenatal surveillance using nonstress testing and Doppler velocimetry. Obstet Gynecol 71:184–187
Ferazzi E, Pardi G, Bauscaglia M et al (1988) The correlation of biochemical monitoring versus umbilical flow velocity measurements of the human fetus. Am J Obstet Gynecol 159:1081–1087
Gudmundsson S, Huhta J, Wood D et al (1991) Venous Doppler ultrasonography in the fetus with nonimmune hydrops. Am J Obstet Gynecol 164:33–37
Gudmundsson S, Marsal K (1991) Blood velocity waveforms in the fetal aorta and umbilical artery as predictors of fetal outcome: a comparison. Am J Perinatol 8:1–6
Hecher K, Campbell S, Doyle P, Harrington K, Nicolaides K (1995) Assessment of fetal compromise by Doppler ultrasound investigation of the fetal circulation. Arterial, intracardiac, and venous blood flow velocity studies. Circulation 91:129–138
Kiserud T, Eik-Nes SH, Blaas HG, Hellevik LR, Simenson B (1994) Ductus venosus blood velocity and the umbilical circulation in the seriously growth-retarded fetus. Ultrasound Obstet Gynecol 4:109–114
Laurin J, Marsal K, Persson PH, Lingman G (1987) Ultrasound measurement of fetal blood flow in predicting fetal outcome. Br J Obstet Gynecol 94:940–948
Lowery CL, Henson BV, Wan J, Brumfield CG (1990) A comparison between umbilical velocimetry and standard antepartum surveillance in hospitalized high-risk patients. Am J Obstet Gynecol 162:710–714
Mari G, Uerpairojkit B, Abuhamad AZ, Copel JA (1996) Adrenal artery velocity waveforms in the appropriate and small-for-gestational-age fetus. Ultrasound Obstet Gynecol 8:82–86
Marsal K (1996) Impact of Doppler ultrasound on clinical management. 5th International Symposium on Doppler-Ultrasound in the Fetal Examination. Lech, Austria
Nicolaides KH, Bilardo CM, Soothill PW, Campbell S (1988) Absence of end diastolic frequencies in umbilical artery: a sign of fetal hypoxia and acidosis. Br Med J 297:1026–1027
Rizzo G, Arduini D (1991) Fetal cardiac function in intrauterine growth retardation. Am J Obstet Gynecol 165:876–882
Rochelson B, Schulman H, Farmakides G et al (1987) The significance of absent end-diastolic velocity in Umbilical artery velocity waveforms. Am J Obstet Gynecol 156:1213–1218
Schneider KTM, Dumler EA, Lippert A (1993) Umfrage zur Verbreitung und Anwendung der Dopplersonographie im deutschsprachigen Raum. Geburtshilfe Frauenheilkd 53:56–60
Soothill PW, Ajayi RA, Campbell S, Nicolaides KH (1993) Prediction of morbidity in small and normally grown fetuses by fetal heart rate variability, biophysical profile score and umbilical artery Doppler studies. Br J Obstet Gynecol 100:742–745
Soothill PW, Nicolaides KH, Bilardo CM, Campbell S (1986) Relation of fetal hypoxia in growth retardation to mean blood velocity in the fetal aorta. Lancet II:1118–1120
Steiner H, Schaffer H, Spitzer D, Staudach A (1994) Umbilical artery Doppler velocimetry classes and fetal outcome. J Matern Fetal Invest 4:163–166
Steiner H, Schaffer H, Spitzer D, Zajc M, Staudach A (1994) The relationship between middle cerebral artery and umbilical artery Doppler velocimetry and fetal blood gas balance and lactate. Eur J Ultrasound 1[Suppl 1]:35
Steiner H, Staudach A, Spitzer D, Schaffer KH, Gregg A, Weiner CP (1995) Growth deficient fetuses with absent or reversed umbilical artery end-diastolic flow are metabolically compromised. Early Hum Dev 41:1–9
Ulrich S, Weiss E, Kalder M, Hitschold T, Berle P (1996) Dopplersonographische Verlaufsmessungen der A. cerebri media bei enddiastolischem Nullflow in den Nabelarterien in Relation zum fetalen outcome. Z Geburtshilfe Neonatal 200:21–24
Vetter K (1991) Dopplersonographie in der Schwangerschaft. Edition Medizin, VCH, Weinheim
Vyas S, Nicolaides KH, Bower S, Campbells(1990) Middle cerebral artery flow velocity waveforms in fetal hypoxaemia. Br J Obstet Gynecol 97:797–803
Weiner CP (1990) The relationship between the umbilical artery systolic/diastolic ratio and umbilical blood gas measurement in specimens obtained by cordocentesis. Am J Obstet Gynecol 162:1198–1202
Yoon BH, Romero R, Roh CR et al (1993) Relationship between the biophysical profile score, umbilical artery Doppler velocimetry, and fetal blood acid-base status determined by cordocentesis. Am J Obstet Gynecol 169: 1586–1594
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Steiner, H. (2000). Prädiktion von „fetal distress“. In: Steiner, H., Schneider, K.T.M. (eds) Dopplersonographie in Geburtshilfe und Gynäkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-06767-3_10
Download citation
DOI: https://doi.org/10.1007/978-3-662-06767-3_10
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-06768-0
Online ISBN: 978-3-662-06767-3
eBook Packages: Springer Book Archive