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• W2594037269 abstract "Objective: To evaluate the progression of Doppler abnormalities in early-onset fetal smallness (SGA).Methods: A total of 948 Doppler examinations of the umbilical artery (UA), middle cerebral artery (MCA) and ductus venosus (DV), belonging to 405 early-onset SGA fetuses, were studied, evaluating the sequences of Doppler progression, the interval examination-labor at which Doppler became abnormal and the cumulative sum of Doppler anomalies in relation with labor proximity.Results: The most frequent sequences were that in which only the UA pulsatility index (PI) became abnormal (42.1%) and that in which an abnormal UA PI appeared first, followed by an abnormal MCA PI (24.2%). In general, 71.3% of the fetuses followed the classical progression sequence UA→MCA→DV, mostly in the early stages of growth restriction (84.1%). In addition, the UA PI was the first parameter to be affected (9 weeks before delivery), followed by the MCA PI and the DV PIV (1 and 0 weeks). Finally, the UA PI began to sum anomalies 5 weeks before delivery, while the MCA and DV did it at 3 and 1 weeks before the pregnancy ended.Conclusions: In early-onset SGA fetuses, Doppler progression tends to follow a predictable order, with sequential changes in the umbilical, cerebral and DV impedances." @default.
• W2594037269 created "2017-03-16" @default.
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• W2594037269 date "2017-03-27" @default.
• W2594037269 modified "2023-09-24" @default.
• W2594037269 title "Progression of Doppler changes in early-onset small for gestational age fetuses. How frequent are the different progression sequences?" @default.
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• W2594037269 doi "https://doi.org/10.1080/14767058.2017.1304910" @default.
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