Umbilical artery doppler findings in patients with preterm premature rupture of membranes

AMAÇ: PPROM olgularında umbilikal arter hemodinamik parametrelerinin sağlıklı kontrol grubu ile karşılaştırılması. GEREÇ VE YÖNTEM: Çalışma retrospektif vaka kontrol çalışması olarak Ankara Etlik Zübeyde Hanım Kadın Hastalıkları Ve Doğum Eğitim Araştırma Hastanesi’nde 42 pprom ve 58 kontrol grubu hastada yapıldı. BULGULAR: Umbilikal arter rezistans endeks ve sistol diyastol oranı (A/B) PPROM olgularında ve kontrol grubunda değişiklik göstermemektedir (0,59 ve 0,58; p 0,402), (2,55 ve 2,43; p 0,119). PPROM süresinin uzaması Doppler bulgularında değişikliğe neden olmamıştır. PPROM süresi 5 günden uzun olanlarda rezistans endeks 0,60, sistol diyastol oranı (A/B) 2.58; 5 günden kısa olanlarda rezistans endeks 0,58; sistol diyastol oranı (A/B) 2,52 bulunmuş; p0,406 ve 0,640 olduğu için iki grup arasında fark tespit edilmemiştir. SONUÇ: PPROM varlığı ve süresi umbilikal arter hemodinamik paremetrelerinde değişikliğe neden olmamaktadır.

Preterm Prematür membran rüptürü olan hastalarda umblikal arter Doppler bulguları

OBJECTIVE: Comparison of umbilical artery hemodynamic parameters in Preterm Premature Membrane Rupture of Membrane (PPROM) cases with healthy control group STUDY DESIGN: This study was performed as a retrospective cohort study at Ankara Etlik Zubeyde Hanım Maternity Hospital among 100 patients (42 with PPROM and 58 control group). RESULTS: Umbilical artery resistance index and systolic/diastolic (S/D) ratio were not different in PPROM cases and the control group (0.59 vs 0.58, 2.55 vs 2.43, respectively). Increased duration of membrane rupture had no effect on Doppler velocimetry. In patients with PPROM longer than 5 days, resistance index was 0.60, and systole/diastole ratio was 2.58; in patients with PPROM shorter than 5 days, resistance index was 0.58 and systole/diastole ratio was 2.52. There was no difference between two groups regarding Doppler findings. CONCLUSION: The presence of PPROM and the duration of PPROM have no effect on umbilical artery hemodynamic parameters.

Kaynakça

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2.Creasy R.K, Resnik R, Iams J.D: Creasy & Resnik’s Maternal Fetal Medicine 6th ed. Saunders 2009 page 600.

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6.Yücel N, Yücel O, Yekeler. The relationship between um- blical artery doppler findings, fetal biophysical score and placentalinflammation in cases of premature rupture of membranes. H.Acta Obstet Gynocol Scand1997;76(6): 532-5.

7.Musilova I, Kacerovski M, Hornychova H, Kostal M, Jacobsson B. Pulsation of the splenic vein - a potential ul- trasound marker of histological chorioamnionitis and fu- nisitis in women with preterm pralabor rupture of meme- branes. Acta Obstet Gynecol Scand 2012;91(9):1119-23. Doi:10.1111/j.1600-0412.2012.01450.

8.Hsu T.Y, Hsu J.J, Fu H.C, t al. The changes in doppler in- dices of fetal ductus venosus and umblical artery after am- nioinfusion for women with preterm premature rupture of membranes before 26 weeks’ gestation. Taiwan J Obstetr Gynecol 2009:268-72. Doi: 10.1016/S1028-4559(09) 60302-8.

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