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Umbilical artery Doppler velocimetry in the prediction of intrapartum fetal compromise

dc.contributor.authorHowarth, G. R.en_ZA
dc.contributor.authorPattinson, R. C.en_ZA
dc.contributor.authorKirsten, G.en_ZA
dc.contributor.authorTruter, H.en_ZA
dc.contributor.authorOdendaal, H. J.en_ZA
dc.date.accessioned2011-03-18T14:57:16Z
dc.date.available2011-03-18T14:57:16Z
dc.date.issued1992
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/7306
dc.descriptionCITATION: Howarth, G. R. et al. 1992. Umbilical artery Doppler velocimetry in the prediction of intrapartum fetal compromise. South African Medical Journal, 81:248-250.
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractThe value of early intrapartum umbilical artery Doppler velocimetry in the prediction of fetal compromise was studied. One hundred patients were recruited into the study and fetal compromise was diagnosed by abnormal first- or second-stage fetal heart rate traces, a 5-minute Apgar score less than 7, or the development of hypoxic ischaemic encephalopathy. Fetal compromise developed in 30 patients. An umbilical artery resistance index (RI) of 0,66 or less did not predict fetal compromise (sensitivity 13%, specificity 89%, positive predictive value 25%, negative predictive value 70%). Since the mean umbilical artery RI was identical in the compromised and the noncompromised groups, we conclude that early intrapartum Doppler velocimetry is of very little clinical value in predicting fetal compromise at term.
dc.format.extent3 pages
dc.language.isoen
dc.publisherHealth & Medical Publishing Group
dc.subjectLaser Doppler velocimeteren_ZA
dc.subjectFetal blooden_ZA
dc.titleUmbilical artery Doppler velocimetry in the prediction of intrapartum fetal compromiseen_ZA
dc.typeArticle
dc.description.versionPublisher’s version
dc.rights.holderSouth African Medical Journal


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