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- W2046804597 abstract "restricted extremely low gestational age newborns with absent or reverse Doppler flow in the umbilical artery Jill Lee, Andrew Wilt, Reese Clark, Amy Picklesimer Greenville Hospital System University Medical Center, Obstetrics and Gynecology, Greenville, SC, University of South Carolina School of Medicine, Obstetrics and Gynecology, Columbia, SC, Greenville Hospital System University Medical Center, Neonatology, Greenville, SC OBJECTIVE: Gestational age and birth weight are the primary determinants of neonatal outcomes, and are widely used in the counseling of parents expecting a preterm infant. Fetal Doppler parameters are not widely incorporated into this counseling. Our objective was to determine if absent or reverse Doppler flow in the umbilical artery (A/ REDF) was associated with an increased risk of morbidity or mortality in extremely premature growth restricted infants. STUDY DESIGN: Retrospective chart review identified all neonates born between 23 0/7 and 29 6/7 weeks gestational age at a single institution between January 2008 and June 2011. Those with ultrasound estimate of fetal weight 15% percentile and Doppler evaluation within the 7 days prior to delivery were included for evaluation. Neonatal outcomes for fetuses with forward flow in the umbilical artery (FF) during diastole were compared with fetuses demonstrating A/REDF using Fishers exact test and Students T-test. RESULTS: During the study period, 38 infants met enrollment criteria; 21 had FF, 17 had A/REDF. There was no difference in average gestational age or incidence of major morbities between the groups, but those with A/REDF were smaller and had longer neonatal admissions (Table). CONCLUSION: In the setting of fetal growth restriction at early gestational ages, the finding of A/REDF confers an increased risk for significant growth restriction and prolonged neonatal admission. This is important to include in prenatal counseling of expectant parents." @default.
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- W2046804597 date "2012-01-01" @default.
- W2046804597 modified "2023-09-27" @default.
- W2046804597 title "172: The risk for adverse neonatal outcomes for growth restricted extremely low gestational age newborns with absent or reverse Doppler flow in the umbilical artery" @default.
- W2046804597 doi "https://doi.org/10.1016/j.ajog.2011.10.190" @default.
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