Hemodynamic changes with paradoxical blood flow in expectant management of abruptio placentae1

Details

Serval ID
serval:BIB_4EF5E19A6AAE
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Hemodynamic changes with paradoxical blood flow in expectant management of abruptio placentae1
Journal
Obstetrics and Gynecology
Author(s)
Arabin  B., van  E. J., Laurini  R. N.
ISSN
0029-7844 (Print)
Publication state
Published
Issued date
1998
Volume
91
Number
5 Pt 2
Pages
796-798
Notes
PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't
Abstract
BACKGROUND: Because the early diagnosis of abruption often is missed or misinterpreted, emergency situations frequently do not permit adequate management. CASE: A woman of 26-weeks' gestation was transferred with symptoms and laboratory findings typical for abruption. Ultrasound, including Doppler, revealed a subchorionic hematoma, pathologic blood flow in the uterine arteries, low pulsatility index values in the fetal cerebral and umbilical arteries (paradoxical blood flow), and high maximal velocities in the fetal aorta. Repeated Doppler and laboratory examinations revealed a gradual restoration to normal of the arterial uterine blood flow pattern, of paradoxical blood flow, aortic maximal velocities, and laboratory values. CONCLUSION: Serial Doppler measurements considering the paradoxical pattern illustrate pathophysiologic mechanisms of abruption that may assist in deciding whether to deliver immediately or to continue intense surveillance
Keywords
Abruptio Placentae/etiology/physiopathology/therapy/ultrasonography/Adult/Aorta/physiology/Blood Flow Velocity/Carotid Artery,Internal/Cerebrovascular Circulation/Female/Hematoma/complications/Humans/Placenta Diseases/Pregnancy/Pulsatile Flow/Regional Blood Flow/Ultrasonography,Prenatal/Umbilical Arteries/Uterus/blood supply/Research
Pubmed
Web of science
Create date
29/01/2008 18:33
Last modification date
20/08/2019 14:04
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