Absent or Reversed End-Diastolic Flow in the Umbilical Artery : outcome at a Community Hospital

S.P. Chauhan, D. Reynolds, J. Cole, J. Wax, J.A. Scardo, Pat Magann, J.C. Morrison

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    Abstract

    OBJECTIVE: To describe the peripartum outcome and risk factors for neonatal death among pregnancies complicated with umbilical arterial absent end diastolic or reverse flow (AREDF UA), in a community hospital. STUDY DESIGN: The inclusion criteria of this retrospective analysis were: AREDF UA detected and managed at a community hospital. RESULTS: During the 46 months, 50 cases of AREDF UA were detected and the pregnancies were complicated by hypertensive disease in 52%, twins in 26%, and diabetes mellitus in 14%. Excluding four (8%) stillbirths of non-anomalous fetuses, nine newborns died and the significant differences between those who died and lived (n = 36) were: oligohydramnios (odds ratio [OR] 34.00, 95% confidence intervals [CI] 4.65, 248.50), non-immune hydrops (OR 24.33, 95% CI 1.01, 560.60) and respiratory distress syndrome (OR 7.00, 95% CI 1.27, 38.59). CONCLUSIONS: The risk factors for neonatal mortality with AREDF UA are oligohydramnios, non-immune hydrops, or respiratory distress syndrome.
    Original languageEnglish
    Pages (from-to)163-168
    JournalJournal of Missisippi State Medical Association
    Volume46
    Issue number6
    Publication statusPublished - 2005

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    Chauhan, S. P., Reynolds, D., Cole, J., Wax, J., Scardo, J. A., Magann, P., & Morrison, J. C. (2005). Absent or Reversed End-Diastolic Flow in the Umbilical Artery : outcome at a Community Hospital. Journal of Missisippi State Medical Association, 46(6), 163-168.