THE ECODOPPLER EXAMINATION VALUE IN MONITORING THE FETAL GROWTH RESTRICTION (FGR) IN PREGNANCIES WITH HYPERTENSION
Abstract:
The characteristics of the cardiovascular manifestations in FGR are determined by the
gestational age at onset and the severity of placental dysfunction, identified by the umbilical artery
Doppler. The RI analysis of umbilical artery in our study showed: Se 80%, Sp 100%, PPV 100% and
NPV of 75% for FGR because of HT at the age group of 32-36 weeks; serial observations of UA
Doppler status remain a cornerstone for determining monitoring intervals in FGR.The assessing in realtime
of the maternal-fetal Doppler changes and selective monitoring in order to surprise the onset of the
“brain sparing” phenomenon especially before 34 weeks are essential in risk pregnancies (PE and
FGR) to decide the best time of birth and to reduce as much as possible perinatal morbidity and
mortality.
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