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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP-
dc.contributor.authorABULE, Renata Montes Dourado-
dc.contributor.authorBERNARDES, Lisandra Stein-
dc.contributor.authorDORO, Giovana Farina-
dc.contributor.authorMIYADAHIRA, Seizo-
dc.contributor.authorFRANCISCO, Rossana Pulcinelli Vieira-
dc.identifier.citationCLINICS, v.71, n.6, p.332-337, 2016-
dc.description.abstractOBJECTIVES: To evaluate placental volume and vascular indices in pregnancies with severe fetal growth restriction and determine their correlations to normal reference ranges and Doppler velocimetry results of uterine and umbilical arteries. METHODS: Twenty-seven fetuses with estimated weights below the 3rd percentile for gestational age were evaluated. Placental volume and vascular indices, including vascularization, flow, and vascularization flow indices, were measured by three-dimensional ultrasound using a rotational technique and compared to a previously described nomogram. The observed-to-expected placental volume ratio for gestational age and observed-to-expected placental volume ratio for fetal weight were calculated. Placental parameters correlated with the Doppler velocimetry results of uterine and umbilical arteries. RESULTS: The mean uterine artery pulsatility index was negatively correlated with the observed-to-expected placental volume ratio for gestational age, vascularization index and vascularization flow index. The observed-to-expected placental volume ratio for gestational age and observed-to-expected placental volume ratio for fetal weight and vascularization index were significantly lower in the group with a bilateral protodiastolic notch. No placental parameter correlated with the umbilical artery pulsatility index. CONCLUSIONS: Pregnancies complicated by severe fetal growth restriction are associated with reduced placental volume and vascularization. These findings are related to changes in uterine artery Doppler velocimetry. Future studies on managing severe fetal growth restriction should focus on combined results of placental three-dimensional ultrasound and Doppler studies of uterine arteries.-
dc.subjectUltrasonography Doppler-
dc.subjectImaging Three-Dimensional-
dc.subjectPlacenta Circulation-
dc.subjectFetal Growth Retardation-
dc.subject.other3-dimensional power doppler-
dc.subject.othergestational-age pregnancies-
dc.subject.otheruterine artery doppler-
dc.subject.otherumbilical artery-
dc.titleReduced placental volume and flow in severe growth restricted fetuses-
dc.rights.holderCopyright HOSPITAL CLINICAS, UNIV SAO PAULO-
dc.subject.wosMedicine, General & Internal-
dc.type.categoryoriginal article-
hcfmusp.publisher.citySAO PAULO-
hcfmusp.relation.referenceABRAMOWICZ JS, 1989, J ULTRAS MED, V8, P219-
hcfmusp.relation.referenceArakaki T, 2015, ULTRASOUND OBST GYN, V45, P539, DOI 10.1002/uog.14633-
hcfmusp.relation.referenceARDUINI D, 1990, J PERINAT MED, V18, P165, DOI 10.1515/jpme.1990.18.3.165-
hcfmusp.relation.referenceChen CP, 2002, AM J OBSTET GYNECOL, V187, P764, DOI 10.1067/mob.2002.125243-
hcfmusp.relation.referenceCox P, 2009, BEST PRACT RES CL OB, V23, P751, DOI 10.1016/j.bpobgyn.2009.06.006-
hcfmusp.relation.referencede Paula CFS, 2009, PLACENTA, V30, P142, DOI 10.1016/j.placenta.2008.11.010-
hcfmusp.relation.referenceGarite TJ, 2004, AM J OBSTET GYNECOL, V191, P481, DOI 10.1016/j.ajog.2004.01.036-
hcfmusp.relation.referenceGuiot C, 2008, ULTRASOUND OBST GYN, V31, P171, DOI 10.1002/uog.5212-
hcfmusp.relation.referenceHADLOCK FP, 1985, AM J OBSTET GYNECOL, V151, P333-
hcfmusp.relation.referenceHadlock FP, 1990, FETAL ULTRASOUND, V28, P39-
hcfmusp.relation.referenceHafner E, 2013, PLACENTA, V34, P892, DOI 10.1016/j.placenta.2013.06.303-
hcfmusp.relation.referenceHafner E, 2010, PLACENTA, V31, P756, DOI 10.1016/j.placenta.2010.06.011-
hcfmusp.relation.referenceHata T, 2011, PLACENTA, V32, P105, DOI 10.1016/j.placenta.2010.11.001-
hcfmusp.relation.referenceJunaid TO, 2014, PLACENTA, V35, P808, DOI 10.1016/j.placenta.2014.07.013-
hcfmusp.relation.referenceKingdom J, 2000, EUR J OBSTET GYN R B, V92, P35, DOI 10.1016/S0301-2115(00)00423-1-
hcfmusp.relation.referenceLai PK, 2010, ULTRASOUND OBST GYN, V36, P202, DOI 10.1002/uog.7608-
hcfmusp.relation.referenceLecarpentier E, 2012, PLACENTA, V33, P769, DOI 10.1016/j.placenta.2012.06.013-
hcfmusp.relation.referenceLuria O, 2012, PRENATAL DIAG, V32, P1174, DOI 10.1002/pd.3980-
hcfmusp.relation.referenceMartins WP, 2010, ULTRASOUND OBST GYN, V35, P361, DOI 10.1002/uog.7562-
hcfmusp.relation.referenceMartins WP, 2012, ULTRASOUND OBST GYN, V40, P200, DOI 10.1002/uog.11076-
hcfmusp.relation.referenceMayhew TM, 2007, PLACENTA, V28, P233, DOI 10.1016/placenta.2006.02.011-
hcfmusp.relation.referenceMcIntire DD, 1999, NEW ENGL J MED, V340, P1234, DOI 10.1056/NEJM199904223401603-
hcfmusp.relation.referenceMerce LT, 2005, CROAT MED J, V46, P765-
hcfmusp.relation.referenceMerce LT, 2004, J PERINAT MED, V32, P228, DOI 10.1515/JPM.2004.043-
hcfmusp.relation.referenceMitra S C, 2000, J Matern Fetal Med, V9, P282-
hcfmusp.relation.referenceMorel O, 2010, ULTRASOUND OBST GYN, V36, P635, DOI 10.1002/uog.7741-
hcfmusp.relation.referenceNegrini R, 2011, ARCH GYNECOL OBSTET, V284, P53, DOI 10.1007/s00404-010-1595-x-
hcfmusp.relation.referenceNoguchi J, 2009, PLACENTA, V30, P391, DOI 10.1016/j.placenta.2009.02.010-
hcfmusp.relation.referencePairleitner H, 1999, ULTRASOUND OBST GYN, V14, P139, DOI 10.1046/j.1469-0705.1999.14020139.x-
hcfmusp.relation.referencePapageorghiou AT, 2004, BEST PRACT RES CL OB, V18, P383, DOI 10.1016/j.bpobgyn.2004.02.003-
hcfmusp.relation.referenceParra-Saavedra M, 2014, ULTRASOUND OBST GYN, V44, P330, DOI 10.1002/uog.13358-
hcfmusp.relation.referencePomorski M, 2014, ADV MED SCI-POLAND, V59, P23, DOI 10.1016/j.advms.2013.06.002-
hcfmusp.relation.referencePomorski M, 2012, ARCH GYNECOL OBSTET, V285, P331, DOI 10.1007/s00404-011-1968-9-
hcfmusp.relation.referenceRaine-Fenning NJ, 2008, ULTRASOUND OBST GYN, V32, P115, DOI 10.1002/uog.5394-
hcfmusp.relation.referenceRizzo G, 2009, J ULTRAS MED, V28, P1615-
hcfmusp.relation.referenceSavchev S, 2012, ULTRASOUND OBST GYN, V39, P299, DOI 10.1002/uog.10150-
hcfmusp.relation.referenceSchulten-Wijman MJNC, 2008, ULTRASOUND OBST GYN, V32, P560, DOI 10.1002/uog.6112-
hcfmusp.relation.referencede Paula CFS, 2008, J ULTRAS MED, V27, P1583-
hcfmusp.relation.referenceArtunc Ulkumen B, 2014, J MATERN-FETAL NEO M, P1-
Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MOG
Departamento de Obstetrícia e Ginecologia - FM/MOG

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - LIM/57
LIM/57 - Laboratório de Fisiologia Obstétrica

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