Outcome of 88 pregnancies with absent or reversed end-diastolic blood flow (ARED flow) in the umbilical arteries

• Type: Article in International Scientific Journal
• Date: 1998

Authors

Montenegro N (Author) FMUP; Santos, F (Author) Other; Tavares, E (Author) Other; matias, a (Author) Other; Barros H (Author) FMUP; Leite, LP (Author) Other

Journal

Title: European Journal of Obstetrics & Gynecology and Reproductive Biology

Vol. 79

Pages: 43-46

ISSN: 0301-2115

Publisher: Elsevier

Indexing

ISI Web of Knowledge - 20 Citations

Scopus - 24 Citations

Other information

Authenticus ID: P-001-7HV

DOI: 10.1016/s0301-2115(98)00046-3

Abstract (EN): Objectives: to investigate both perinatal and postneonatal morbidity and mortality in fetuses with absent or reversed end-diastolic flow (ARED flow) in the umbilical artery. Study design: A 5 year prospective follow-up of 88 fetuses with ARED flow. Results: Sixteen stillbirths, 16 neonatal deaths, six postneonatal deaths and one death at 2 years of age were noted. Out of the 42 fetuses born alive, 36 showed a normal neurological development whereas six were mentally handicapped. Adverse prognosis was more frequently found in the group with absent end-diastolic flow at first examination and then reversed flow until delivery, compared to the groups of always absent or always reversed end-diastolic flows. Conclusions: Prompt delivery is recommended in these high-risk pregnancies in order to prevent long-term sequelae, obviously depending on the local limits of viability. Further studies appropriately designed for assessing long-term neurodevelopment of fetuses with ARED flow, although demanding, are mandatory. (C) 1998 Elsevier Science Ireland Ltd.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 4