How to manage intrauterine growth restriction associated with severe preeclampsia at 28-34 weeks of gestation?

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dc.contributor.authorGezginç, K.
dc.contributor.authorAcar, A.
dc.contributor.authorPeru, H.
dc.contributor.authorKarataylı, R.
dc.contributor.authorÇelik, Ç.
dc.contributor.authorÇapar, M.
dc.date.accessioned2020-03-26T17:28:56Z
dc.date.available2020-03-26T17:28:56Z
dc.date.issued2008
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractAim: To propose optimal management of intrauterine growth restriction (IUGR) cases associated with severe preeclampsia at 28-34 weeks of gestation. Methods: Two hundred pregnant women with severe preeclampsia associated with growth restricted fetuses were followed with doppler velocimetry of umbilical artery between 28-34 weeks of pregnancy. Patients were grouped according to indications for termination of pregnancy, first group consisted of severely affected doppler velocity waveforms (n:100) and the second group consisted of those whose cardiotocography and biophysic profile were unfavorable (n:100). Groups were compared according to perinatal outcomes (cesarean rates, gestational age at delivery, birth weight, Apgar scores and demand for intubation and perinatal deaths). Results: The diagnosis to delivery interval is significantly higher in the second group (p<0.05), whereas there was no significant difference between groups regarding gestational age at delivery and parity (p>0.05). Apgar scores were lower in the first group (p<0.05), and there was increased demand for intubation. Perinatal deaths were also lower in the second group (p<0.05). Cesarean rate was significantly lower compared with first group (p<0.05). Conclusion: Assessment of doppler velocimetry alone may not be enough at decision for termination of pregnancy, biophysic profile and cardiotocography should be added to confirm exact time for delivery of a premature fetus and to improve perinatal outcomes.en_US
dc.identifier.endpage215en_US
dc.identifier.issn1304-3889en_US
dc.identifier.issue4en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage212en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/22879
dc.identifier.volume5en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofEuropean Journal of General Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectBiophysic profileen_US
dc.subjectDoppler velocimetryen_US
dc.subjectIntrauterine growth restrictionen_US
dc.subjectPerinatal outcomesen_US
dc.subjectSevere preeclampsiaen_US
dc.titleHow to manage intrauterine growth restriction associated with severe preeclampsia at 28-34 weeks of gestation?en_US
dc.typeArticleen_US

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