The role of different Doppler parameters in predicting adverse neonatal outcomes in fetuses with late-onset fetal growth restriction

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dc.authoridÖzdemir, Halis/0000-0002-9194-8504
dc.authoridMELEKOGLU, RAUF/0000-0001-7113-6691
dc.authoridYASAR, Seyma/0000-0003-1300-3393
dc.authoridYilmaz, Cahit/0000-0001-6401-0767
dc.authorwosidÖzdemir, Halis/AAF-1643-2020
dc.authorwosidMELEKOGLU, RAUF/AAF-1614-2019
dc.contributor.authorYilmaz, Cahit
dc.contributor.authorMelekoglu, Rauf
dc.contributor.authorOzdemir, Halis
dc.contributor.authorYasar, Seyma
dc.date.accessioned2024-08-04T20:10:20Z
dc.date.available2024-08-04T20:10:20Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: The aim of this study is to clarify the role of different Doppler parameters such as umbilicocerebral ratio (UCR), cerebroplacentouterine ratio (CPUR), aortic isthmus, renal artery, and umbilical vein flow Doppler in predicting adverse neonatal outcomes in fetuses with late -onset fetal growth restriction. Materials and Methods: The study included all patients diagnosed with fetal growth restriction at 32-39 weeks' gestation between 01/02/2020 and 01/02/2022 and treated at the Department of Obstetrics and Gynecology, Inonu University School of Medicine. Results: Patients included in the study had a median gestational week at delivery of 37 (minimum 33+0-maximum 39+0), median CPR of 1.42 (minimum-maximum 0.43-3.57), and median UCR of 0.7 (minimum-maximum 0.28-2.3). Receiver operating characteristic analysis was performed to determine the performance of the measured obstetric Doppler parameters in predicting the development of adverse neonatal outcomes. Umbilical venous blood flow showed the best performance in predicting adverse neonatal outcomes [area under the curve 0.952, 95% confidence interval (CI) 0.902-0.981, p<0.001]. Multivariate logistic regression analysis showed that fetuses with abnormal CPUR had a 4.5-fold (95% CI 0.084-0.583, p=0.02) increased risk of adverse neonatal outcome, whereas fetuses with abnormal umbilical venous flow had a 1.07-fold (95% CI 0.903-0.968, p<0.001) increased risk of adverse neonatal outcome. Conclusion: The results of this study demonstrate that the use of UCR, CPUR, umbilical venous flow, and aortic isthmus PI Doppler parameters along with umbilical artery PI and CPR are effective in predicting adverse neonatal outcomes in fetuses with late -onset fetal growth restriction.en_US
dc.identifier.doi10.4274/tjod.galenos.2023.87143
dc.identifier.endpage96en_US
dc.identifier.issn2149-9322
dc.identifier.issn2149-9330
dc.identifier.issue2en_US
dc.identifier.pmid37260150en_US
dc.identifier.scopus2-s2.0-85161471570en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage86en_US
dc.identifier.trdizinid1179886en_US
dc.identifier.urihttps://doi.org/10.4274/tjod.galenos.2023.87143
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1179886
dc.identifier.urihttps://hdl.handle.net/11616/92724
dc.identifier.volume20en_US
dc.identifier.wosWOS:001081138200003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofTurkish Journal of Obstetrics and Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDoppler ultrasounden_US
dc.subjectfetal growth restrictionen_US
dc.subjectpregnancyen_US
dc.subjectadverse outcomesen_US
dc.subjectumbilical arteryen_US
dc.subjectand umbilical veinen_US
dc.titleThe role of different Doppler parameters in predicting adverse neonatal outcomes in fetuses with late-onset fetal growth restrictionen_US
dc.typeArticleen_US

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