Hüseyin YILMAZ, Sermet SAĞOL, Ömer DİNÇER

IUGR'de komplikasyonların önlenmesinde Doppler umbilikal velosimetrinin önemi

Klinik olarak intrauterin gelişme geriliği (IUGR) tanısı konan 20 olgu ve kontrol grubu olarak aynı gebelik haftalarındaki 40 normal gebede fetusun durumunu değerlendirmek için umbilikal arter Doppler velosimetri incelemesi yapıldı. IUGR olgularının 17'sinde (%85) fetus doğum ağırlığı gebelik yaşına göre 10 persantilin altındaydı. IUGR'li olguların 12'sinde (%60) Doppler değerleri anormal bulundu, fakat 2'sinde (%10) doğumda IUGR saptanmadı. IUGR olan olgular normal olgulara göre erken doğurtuldu ve bebek doğum ağırlıkları daha düşüktü. Bu bebekler yenidoğan ünitesinde daha uzun süre bakıma ihtiyaç duydular ve neonatal komplikasyonlara daha sık rastlandı. Sonuç olarak, IUGR'de umbilikal arter Doppler velosimetri perinatal fetal komplikasyonların önlenmesinde ve artmış riskin saptanmasında değerli bir yöntem olarak kullanılabilir.

Anahtar Kelimeler:

Fetal gelişim geriliği, Reoloji, Lazer-Doppler akım ölçer, Gebelik komplikasyonları, Umbilikal arterler

Doppler umbilical velocimetry in the prediction of adverse outcome in pregnancies at risk for intrauterine growth retardation

Umbilical artery Doppler velocimetry was performed in 20 cases with the clinical diagnosis of intrauterine growth retardation (IUGR) and 40 cases with normal pregnancy as a control group for the evaluation of the fetus. In 17 (85%) of IUGR cases, the fetal birth weight was below 10 percentile. Doppler findings were abnormal in 12 of IUGR cases, but no evidence of IUGR was detected at birth in two cases. IUGR cases were delivered earlier than the normal cases and the birth weight of the babies were lower. These babies needed longer care in neonatal intensive care unite and neonatal complication were more frequent. As a result, umbilical artery Doppler velocimetry can be used as a valuable procedure in the prevention of prenatal fetal complications.

Keywords:

Fetal Growth Retardation, Rheology, Laser-Doppler Flowmetry, Pregnancy Complications, Umbilical Arteries,

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