Venous Doppler Evaluation of the Growth-Restricted Fetus

Research output: Contribution to journalReview article

Abstract

Evaluation of venous Doppler parameters has significantly contributed to the understanding of the vascular mechanisms that lead to fetal growth restriction (FGR) and subsequent fetal deterioration in the setting of progressive placental dysfunction. Venous redistribution of umbilical venous blood flow away from the fetal liver precedes fetal growth delay. Venous Doppler examination allows adjustment of monitoring intervals in recognition of accelerating fetal deterioration. The timing of delivery in early-onset FGR remains challenging because gestational age has an overriding effect on the neonatal outcome until the late second trimester and randomized trials of specific delivery triggers are lacking.

Original languageEnglish (US)
Pages (from-to)103-112
Number of pages10
JournalClinics in Perinatology
Volume38
Issue number1
DOIs
StatePublished - Mar 1 2011
Externally publishedYes

Keywords

  • Doppler
  • Ductus venosus
  • Fetal growth restriction
  • Fetal surveillance
  • Integrated testing
  • Venous circulation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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