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You searched for:"Cleide Mara Mazzotti de Oliveira Franzin"
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Revista Brasileira de Ginecologia e Obstetrícia. 2010;32(1):11-18
DOI 10.1590/S0100-72032010000100003
PURPOSE: to describe adverse perinatal outcomes in patients with fetal blood flow centralization, using the relationship between the pulsatility indexes of the middle cerebral and umbilical arteries (MCAPI/UAPI), and between the resistance indexes of the middle cerebral and umbilical arteries (MCARI/UARI), as well as to compare both diagnostic indexes. METHODS: 151 pregnant women with diagnosis of blood flow centralization, attended to at the maternity hospital of Universidade Estadual de Campinas, whose delivery occurred up to 15 days after the ultrasonographic diagnosis, were included. It was considered as adverse perinatal outcomes: Apgar index lower than 7 at the fifth minute, permanence in neonatal ICU, small fetus for the gestational age, severe fetal suffering, perinatal death, hypoglycemia, polycythemia, necrotizing enterocolitis, brain hemorrhage, lung hemorrhage, anemia, septicemia, hyaline membrane disease, convulsive syndromes, hyperreflexia syndrome and kidney insufficiency. Rates of the perinatal adverse outcomes (PAO) for the brain-placentary ratios have been compared, using Fisher's exact or Pearson's χ2 tests, at 5% significance level. Adverse perinatal outcomes according to the gestational age have been evaluated using the Cochrane-Armitage test for trend. RESULTS: the adverse perinatal outcomes for the group with the two indexes altered were: 62.5% of the newborns needed to be placed in an ICU, 75.2% were small for the gestational age (SGA), 35.3% were under severe fetal suffering, 84.4% had hypoglycemia, 8.3% polycythemia, 4.2% necrotizing enterocolitis, and 2.1% brain hemorrhage. There has been significant association between the MCAPI/UAPI and MCARI/UARI ratios along the gestational age, and the need for neonatal intensive care, small fetuses for the gestational age, septicemia, necrotizing enterocolitis, kidney insufficiency, hyaline membrane disease, and anemia. There has been no significant difference between the two indexes of adverse perinatal outcome.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2010;32(1):11-18
DOI 10.1590/S0100-72032010000100003
PURPOSE: to describe adverse perinatal outcomes in patients with fetal blood flow centralization, using the relationship between the pulsatility indexes of the middle cerebral and umbilical arteries (MCAPI/UAPI), and between the resistance indexes of the middle cerebral and umbilical arteries (MCARI/UARI), as well as to compare both diagnostic indexes. METHODS: 151 pregnant women with diagnosis of blood flow centralization, attended to at the maternity hospital of Universidade Estadual de Campinas, whose delivery occurred up to 15 days after the ultrasonographic diagnosis, were included. It was considered as adverse perinatal outcomes: Apgar index lower than 7 at the fifth minute, permanence in neonatal ICU, small fetus for the gestational age, severe fetal suffering, perinatal death, hypoglycemia, polycythemia, necrotizing enterocolitis, brain hemorrhage, lung hemorrhage, anemia, septicemia, hyaline membrane disease, convulsive syndromes, hyperreflexia syndrome and kidney insufficiency. Rates of the perinatal adverse outcomes (PAO) for the brain-placentary ratios have been compared, using Fisher's exact or Pearson's χ2 tests, at 5% significance level. Adverse perinatal outcomes according to the gestational age have been evaluated using the Cochrane-Armitage test for trend. RESULTS: the adverse perinatal outcomes for the group with the two indexes altered were: 62.5% of the newborns needed to be placed in an ICU, 75.2% were small for the gestational age (SGA), 35.3% were under severe fetal suffering, 84.4% had hypoglycemia, 8.3% polycythemia, 4.2% necrotizing enterocolitis, and 2.1% brain hemorrhage. There has been significant association between the MCAPI/UAPI and MCARI/UARI ratios along the gestational age, and the need for neonatal intensive care, small fetuses for the gestational age, septicemia, necrotizing enterocolitis, kidney insufficiency, hyaline membrane disease, and anemia. There has been no significant difference between the two indexes of adverse perinatal outcome.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(1):7-12
DOI 10.1590/S0100-72031999000100002
Purpose: to evaluate the accuracy of Doppler velocimetry in the diagnosis of fetal well-being. Methods: a total of 130 pregnant women assisted at the Ultrasound Unit of the Center for Integral Assistance of Women's Health, UNICAMP, between the 28th and 42nd gestational weeks was analyzed. The correlation between fetal umbilical and middle cerebral arteries, abdominal aorta, and the adverse perinatal results was established. The pregnant women selected for this study were submitted electively to cesarean sections, at the utmost four hours after the color Doppler examination. We considered as adverse perinatal results: Apgar score lower than seven at the 5th minute, neonatal intensive care unit hospitalization, intrauterine growth retardation, acute fetal distress, perinatal mortality, hypoglycemia, polycythemia, necrotizing enterocolitis, and cerebral hemorrhage. The indexes for the umbilical and middle cerebral arteries and the abdominal aorta were related, in each case, to the adverse perinatal results. Results: the systole/diastole umbilical artery ratio presented a higher sensitivity than the pulsatile and tolerance indexes. The Doppler study of the umbilical artery presented greater sensitivity than the middle cerebral artery and the abdominal aorta in detecting adverse perinatal results. Conclusion: the Doppler velocimetry of the umbilical and middle cerebral arteries presented good diagnostic capacity in evaluating fetal well-being, and a significant association with the adverse perinatal results.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(1):7-12
DOI 10.1590/S0100-72031999000100002
Purpose: to evaluate the accuracy of Doppler velocimetry in the diagnosis of fetal well-being. Methods: a total of 130 pregnant women assisted at the Ultrasound Unit of the Center for Integral Assistance of Women's Health, UNICAMP, between the 28th and 42nd gestational weeks was analyzed. The correlation between fetal umbilical and middle cerebral arteries, abdominal aorta, and the adverse perinatal results was established. The pregnant women selected for this study were submitted electively to cesarean sections, at the utmost four hours after the color Doppler examination. We considered as adverse perinatal results: Apgar score lower than seven at the 5th minute, neonatal intensive care unit hospitalization, intrauterine growth retardation, acute fetal distress, perinatal mortality, hypoglycemia, polycythemia, necrotizing enterocolitis, and cerebral hemorrhage. The indexes for the umbilical and middle cerebral arteries and the abdominal aorta were related, in each case, to the adverse perinatal results. Results: the systole/diastole umbilical artery ratio presented a higher sensitivity than the pulsatile and tolerance indexes. The Doppler study of the umbilical artery presented greater sensitivity than the middle cerebral artery and the abdominal aorta in detecting adverse perinatal results. Conclusion: the Doppler velocimetry of the umbilical and middle cerebral arteries presented good diagnostic capacity in evaluating fetal well-being, and a significant association with the adverse perinatal results.