Weekly and 2‐week Doppler investigations to avoid misunderstanding compromised fetal conditions? SGA fetuses management in our experience

L. Solerte, A. Ragusa, S. Garsia
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Abstract

Fetal surveillance in adequate for gestational age (AGA) and small for gestational age (SGA) allows to predict distress conditions and improve neonatal outcome. Doppler velocimetry (DV), fetal heart rate monitoring (CTG), biophysical profile with amniotic fluid index, are the common tools used to have fetal direct–indirect signs of well‐being. Several clinical studies stressed DV and CTG‐like reliable evidences of fetal conditions, despite their known limitations, connected with gestational age and compensatory mechanisms. In order to establish the best follow up time for fetal health, we analyzed two different groups of 20 non‐selected pregnant women with SGA 10–30 percentile. Intrauterine growth retardation were excluded for different role of DV in prediction and screening in placental disorders. From January to July 2001 we observed our two groups divided by maternal history; women were homogeneous for age and weight, with SGA.
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每周和两周多普勒检查以避免误解胎儿状况受损?我们经验丰富的SGA胎儿管理
胎龄足够(AGA)和胎龄较小(SGA)的胎儿监测可以预测窘迫状况并改善新生儿结局。多普勒测速仪(DV),胎儿心率监测(CTG),羊水指数的生物物理特征,是常用的工具,用于胎儿健康的直接间接迹象。一些临床研究强调DV和CTG - like胎儿状况的可靠证据,尽管它们已知的局限性,与胎龄和代偿机制有关。为了确定胎儿健康的最佳随访时间,我们分析了两组20名SGA为10-30百分位的非选择孕妇。排除宫内生长迟缓,因为DV在胎盘疾病预测和筛查中的作用不同。从2001年1月至7月,我们观察两组按母亲病史分为两组;女性在年龄和体重上是相同的,与SGA。
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