Utility of Doppler parameters at 36–42 weeks’ gestation in the prediction of adverse perinatal outcomes in appropriate-for-gestational-age fetuses

Michał Migda; Katarzyna Gieryn; Bartosz Migda; Marian Stanisław Migda; Marek Maleńczyk

Open Access

Utility of Doppler parameters at 36–42 weeks’ gestation in the prediction of adverse perinatal outcomes in appropriate-for-gestational-age fetuses

Michał Migda

Katarzyna Gieryn

Bartosz Migda

Marian Stanisław Migda

and

Marek Maleńczyk

| Mar 30, 2018

Journal of Ultrasonography

Volume 18 (2018): Issue 72 (March 2018)

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Published Online: Mar 30, 2018

Page range: 22 - 28

Received: Dec 04, 2017

Accepted: Feb 07, 2018

DOI: https://doi.org/10.15557/jou.2018.0004

Keywords
third trimester screening, middle cerebral artery Doppler, umbilical artery Doppler, appropriate-for-gestational-age

© 2018 Michał et al., Migda published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Doppler assessment of pulsatility index (PI) in umbilical artery (UA)

Doppler assessment of pulsatility index (PI) in middle cerebral artery (MCA)

ROC curve for the cerebroplacental ratio (CPR)

Relationship between UA PI and gestational age in weeks with a 95% confidence interval

Relationship between MCA PI and gestational age in weeks with a 95% confidence interval

Statistical analysis of two groups <35 and ≥ 35 years old

Age (years)	N		Mean		Min.		Max.		SD		P
Age (years)	<35	>35	<35	>35	<35	>35	<35	>35	<35	>35	P
Mother age	376	70	28.1	37.6	16	35	34	46	3.880	2.441	0.0000
Gestational age	376	70	39.5	39.3	36	36	42	42	1.431	1.353	0.0942
MCA PI	376	70	1.29	1.34	0.10	0.57	2.45	2.16	0.299	0.342	0.2150*
MCA PI MoM	376	70	1.02	1.06	0.10	0.40	1.90	1.70	0.235	0. 74	0.1734
UA PI	376	70	0.80	0.80	0.39	0.44	1.66	1.14	0.160	0.157	0.9694
UA PI MoM	376	70	1.04	1.03	0.50	0.60	2.10	1.50	0.207	0.200	0.9521
CPR	376	70	1.66	1.74	0.16	0.53	3.87	3.51	0.463	0.516	0.3084
EFW US	376	70	3523.9	3540.39	2230	2500	4680	4525	458.578	451.826	0.7820*
Birth weight	376	70	3564.6	3552.14	2700	2710	4480	4330	414.126	404.435	0.8174*

Statistical analysis of two groups of patients according to mode of delivery

Mode of delivery	N		Mean		Min.		Max.		SD		P
Mode of delivery	ND	OP	ND	OP	ND	OP	ND	OP	ND	OP	P
Mother age	273	173	29.2	30.2	16	17	42	46	4.890	5.237	0.1252
Gestational age	273	173	39.6	39.3	36	36	42	42	1.371	1.481	0.0390
MCA PI	273	173	1.29	1.31	0.10	0.60	2.45	2.16	0.309	0.303	0.5002
MCA PI MoM	273	173	1.02	1.03	0.10	0.50	1.90	1.70	0.244	0.239	0.8431
UA PI	273	173	0.80	0.80	0.39	0.49	1.66	1.45	0.167	0.146	0.9645
UA PI MoM	273	173	1.03	1.04	0.50	0.60	2.10	1.90	0.215	0.190	0.6633
CPR	273	173	1.67	1.68	0.16	0.61	3.87	3.51	0.492	0.439	0.6156
EFW US	273	173	3505.19	3560.08	2230	2330	4526	4680	461.068	449.938	0.2169
Birth weight	273	173	3539.24	3599.48	2700	2700	4460	4480	414.982	406.218	0.1328

Statistical analysis of two groups of patients: primiparas vs multiparas

Parity (0 = primipara; 1 = multipara)	N		Mean		Min.		Max.		SD		P
Parity (0 = primipara; 1 = multipara)	0	1	0	1	0	1	0	1	0	1	P
Mother age	236	210	27.7	31.7	16	19	41	46	4.644	4.633	0.0000
Gestational age	236	210	39.5	39.4	36	36	42	42	1.468	1.366	0.3477
MCA PI	236	210	1.27	1.34	0.10	0.57	2.05	2.45	0.298	0.311	0.0119*
MCA PI MoM	236	210	1.00	1.05	0.10	0.40	1.60	1.90	0.233	0.249	0.0432
UA PI	236	210	0.80	0.80	0.49	0.39	1.45	1.66	0.152	0.167	0.9574
UA PI MoM	236	210	1.04	1.04	0.60	0.50	1.90	2.10	0.199	0.214	0.9504
CPR	236	210	1.62	1.73	0.16	0.53	2.99	3.87	0.437	0.503	0.0354
EFW US	236	210	3479.53	3579.25	2330	2230	4613	4680	471.895	434.880	0.0213*
Birth weight	236	210	3513.50	3617.79	2700	2710	4470	4480	429.786	385.075	0.0075*

Statistical analysis of two groups of patients that deliver a fetus with: <= 7 Apgar vs >7 Apgar

Apgar	N		Mean		Min.		Max.		SD		P
Apgar	≤7	>7	≤7	>7	≤7	>7	≤7	>7	≤7	>7	P
Mother age	10	436	29.6	29.6	25	16	35	46	2.875	5.085	0.9921
Gestational age	10	436	40.0	39.5	38	36	41	42	1.247	1.423	0.2476
MCA PI	10	436	1.29	1.30	1.01	0.10	1.90	2.45	0.285	0.307	0.9347
MCA PI MoM	10	436	1.02	1.03	0.80	0.10	1.50	1.90	0.225	0.242	0.7992
UA PI	10	436	0.80	0.80	0.63	0.39	0.98	1.66	0.120	0.160	0.8934
UA PI MoM	10	436	1.04	1.04	0.80	0.50	1.30	2.10	0.165	0.207	0.8165
CPR	10	436	1.67	1.67	1.05	0.16	2.97	3.87	0.531	0.471	0.8310
EFW USG	10	436	3618.80	3524.37	2650	2230	4330	4680	485.323	456.763	0.5189
Birth weight	10	436	3445.00	3565.30	2810	2700	3950	4480	393.340	412.656	0.3621

Maternal and obstetric characteristics of the study population

Age (years)	Descriptive statistics
Age (years)	N	Mean	Median	Min.	Max.	Lower Quartile	Upper Quartile	SD
Mother age	446	29.6	30	16	46	27	33	5.044
Gestational age	446	39.5	40	36	42	39	41	1.420
MCA PI	446	1.30	1.27	0.10	2.45	1.09	1.50	0.306
MCA PI MoM	446	1.03	1.00	0.10	1.90	0.90	1.20	0.242
UA PI	446	0.80	0.78	0.39	1.66	0.69	0.90	0.159
UA PI MoM	446	1.04	1.00	0.50	2.10	0.90	1.20	0.206
CPR	446	1.67	1.62	0.16	3.87	1.39	1.90	0.472
EFW USG	446	3526.48	3553	2230	4680	3200	3860	457.060
Birth weight	446	3562.61	3550	2700	4480	3250	3860	412.195

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Utility of Doppler parameters at 36–42 weeks’ gestation in the prediction of adverse perinatal outcomes in appropriate-for-gestational-age fetuses

Article Category: research-article

Published Online: Mar 30, 2018

Page range: 22 - 28

Received: Dec 04, 2017

Accepted: Feb 07, 2018

DOI: https://doi.org/10.15557/jou.2018.0004

Keywords
third trimester screening, middle cerebral artery Doppler, umbilical artery Doppler, appropriate-for-gestational-age

© 2018 Michał et al., Migda published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Fig. 5

Statistical analysis of two groups <35 and ≥ 35 years old

Statistical analysis of two groups of patients according to mode of delivery

Statistical analysis of two groups of patients: primiparas vs multiparas

Statistical analysis of two groups of patients that deliver a fetus with: <= 7 Apgar vs >7 Apgar

Maternal and obstetric characteristics of the study population

Utility of Doppler parameters at 36–42 weeks’ gestation in the prediction of adverse perinatal outcomes in appropriate-for-gestational-age fetuses

Article Category: research-article

Published Online: Mar 30, 2018

Page range: 22 - 28

Received: Dec 04, 2017

Accepted: Feb 07, 2018

DOI: https://doi.org/10.15557/jou.2018.0004

Keywordsthird trimester screening, middle cerebral artery Doppler, umbilical artery Doppler, appropriate-for-gestational-age

© 2018 Michał et al., Migda published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Fig. 5

Statistical analysis of two groups <35 and ≥ 35 years old

Statistical analysis of two groups of patients according to mode of delivery

Statistical analysis of two groups of patients: primiparas vs multiparas

Statistical analysis of two groups of patients that deliver a fetus with: <= 7 Apgar vs >7 Apgar

Maternal and obstetric characteristics of the study population

Keywords
third trimester screening, middle cerebral artery Doppler, umbilical artery Doppler, appropriate-for-gestational-age