Fetal Doppler flow measurements in the early second trimester: a correlation with fetal outcome

Z Geburtshilfe Perinatol. 1991 Jan-Feb;195(1):33-6.

Abstract

In 31 women with a singleton pregnancy, abdominal duplex doppler examinations were performed at W16-W17, W26 (+/- 2 weeks) and W34 (+/- 2 weeks) in order to study the flow velocity wave (FVW) indices in the early second trimester and their predictive value for fetal outcome. 24 women with a normal pregnancy outcome were considered as the reference group. In the early second trimester, end-diastolic block occurs frequently at the 150 Hz thump filter setting (15/24 in the fetal descending aorta, 19/24 in the umbilical artery). At the 50 Hz filter setting, end diastolic block appeared in 1/24 cases in the aorta and in 2/24 cases in the umbilical artery. The finding did not persist throughout pregnancy. The flow-velocity indices in the early second trimester in the small-for-dates were comparable to the normal group. We conclude that high peripheral resistance is a common finding in the fetal circulation in early pregnancy. It is not predictive of subsequent growth retardation.

MeSH terms

  • Aorta / diagnostic imaging
  • Aorta / physiopathology
  • Blood Flow Velocity / physiology
  • Female
  • Fetal Growth Retardation / diagnostic imaging*
  • Fetal Growth Retardation / physiopathology
  • Follow-Up Studies
  • Humans
  • Infant, Newborn
  • Maternal-Fetal Exchange / physiology*
  • Pregnancy
  • Pregnancy Trimester, Second
  • Reference Values
  • Risk Factors
  • Ultrasonography, Prenatal / methods*
  • Umbilical Arteries / diagnostic imaging
  • Umbilical Arteries / physiopathology
  • Vascular Resistance / physiology