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

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

Research output: Contribution to journal › Article

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 language	English
Pages (from-to)	163-168
Journal	Journal of Missisippi State Medical Association
Volume	46
Issue number	6
Publication status	Published - 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. http://www.msmaonline.com/MSMA/Journal/MSMA/Publications/Journal/Journal_Landing_Page.aspx?hkey=eeda302b-fa13-4e2b-88f1-b10c3e6822ff

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

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.",

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

year = "2005",

language = "English",

volume = "46",

pages = "163--168",

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Chauhan, SP, Reynolds, D, Cole, J, Wax, J, Scardo, JA, Magann, P & Morrison, JC 2005, 'Absent or Reversed End-Diastolic Flow in the Umbilical Artery : outcome at a Community Hospital', Journal of Missisippi State Medical Association, vol. 46, no. 6, pp. 163-168. <http://www.msmaonline.com/MSMA/Journal/MSMA/Publications/Journal/Journal_Landing_Page.aspx?hkey=eeda302b-fa13-4e2b-88f1-b10c3e6822ff>

TY - JOUR

T1 - Absent or Reversed End-Diastolic Flow in the Umbilical Artery : outcome at a Community Hospital

AU - Chauhan, S.P.

AU - Reynolds, D.

AU - Cole, J.

AU - Wax, J.

AU - Scardo, J.A.

AU - Magann, Pat

AU - Morrison, J.C.

PY - 2005

Y1 - 2005

N2 - 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.

AB - 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.

M3 - Article

VL - 46

SP - 163

EP - 168

JO - Journal of Mississippi State Medical Association

JF - Journal of Mississippi State Medical Association

SN - 0026-6396

IS - 6

ER -