Neonatal outcome after pregnancy complicated by abnormal velocity waveforms in the umbilical artery.

Abstract

The neonatal outcome of 61 infants born after pregnancies complicated by absent or reversed end diastolic flow velocities (AREDFV) in the fetal umbilical artery was compared with that of 61 controls matched for gestational age born after high risk pregnancies with documented forward end diastolic flow velocities (EDFV). The AREDFV group was significantly more growth retarded, had lower platelet counts at birth, and were more likely to become significantly thrombocytopenic in the first week after birth. Owing to concerns about the possible increased risk of necrotising enterocolitis in newborn infants after AREDFV, this group was started on enteral feeds later and was more likely to receive parenteral nutrition than the EDFV group. Seven infants with AREDFV and one control infant developed necrotising enterocolitis.

• Authors: M McDonnell, V Serra-Serra, G Gaffney, C W Redman, P L Hope
• Journal: Archives of disease in childhood. Fetal and neonatal edition (Arch Dis Child Fetal Neonatal Ed) Vol. 70 Issue 2 Pg. F84-9 (Mar 1994) ISSN: 1359-2998 [Print] England
• PMID: 8154919 (Publication Type: Comparative Study, Journal Article)

Topics

• Adolescent
• Adult
• Blood Flow Velocity
• Enteral Nutrition
• Enterocolitis, Pseudomembranous (complications, therapy)
• Female
• Fetal Growth Retardation (complications)
• Humans
• Infant, Newborn
• Male
• Platelet Count
• Pregnancy
• Pregnancy Complications, Cardiovascular (physiopathology)
• Pregnancy Outcome
• Thrombocytopenia (complications)
• Umbilical Arteries (physiopathology)