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a Chapter 26 Doppler Velocimetry for Fetal Surveillance: Randomized Clinical Trials and Implications for Practice 389 two groups. However, in the study group a significant decrease was noted in low 5-min Apgar scores [odds ratio (OR) 0.24; 95% confidence interval (CI) 0.06± 0.86] and serious neonatal morbidity (OR 0.12, CI 0.02±0.98). The authors concluded that access to Doppler velocimetry improves the efficacy of fetal surveillance. Hofmeyr and associates [4] conducted a randomized trial of umbilical arterial Doppler velocimetry in 897 women (Doppler group 438, control group 459). The objective was to determine the impact of Doppler assessment on reducing the need for fetal heart rate (FHR) monitoring and on the time required for fetal testing. In the study group initial assessment was by umbilical arterial resistance index (RI) determination, and in the fetal heart rate (FHR) group it was done by computerized FHR analysis. In the Doppler group 66% underwent FHR monitoring, whereas 39% of the control (FHR) group underwent Doppler velocimetry. The study design permitted such additional evaluation using the nonallocated method based on broad criteria of fetal risk. The study group and the control group were found to be comparable. It was observed that the primary Doppler screening did not reduce the time needed for fetal assessment. There were no significant differences in perinatal outcome between the groups, except that emergency cesarean sections were less frequent in the Doppler group than in the control group (14% versus 20%, p
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Editor Associate Editor for Gynecol
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Editor Dev Maulik, MD, Ph.D. Winthr
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Preface It is with great pleasure w
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Contents 1 Doppler Sonography: A Br
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a Contents XIII Heart and Great Ves
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a Contents XV 15 Pulsed Doppler Ult
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a Contents XVII 22 Doppler Velocime
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a Contents XIX Clinical Application
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a Contents XXI Terbutaline ........
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XXIV Authors Torvid Kiserud, MD, Ph
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2 D. Maulik Fig. 1.2. Title page of
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4 D. Maulik Fig. 1.4. Model of the
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6 D. Maulik Table 1.1. Feasibility
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Chapter 2 Physical Principles of Do
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a Chapter 2 Physical Principles of
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20 D. Maulik one-fourth of a cycle
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22 D. Maulik arterial [6] hemodynam
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24 D. Maulik nomena. The autoregres
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26 D. Maulik far field the beam pro
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28 D. Maulik Mirror Imaging With th
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30 D. Maulik hand, compromise Doppl
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32 D. Maulik vent of broad bandwidt
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34 D. Maulik: Chapter 3 Spectral Do
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36 D. Maulik frequency; the image i
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38 D. Maulik flow directionality du
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40 D. Maulik Doppler Velocity Measu
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42 D. Maulik and for the B-mode ima
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44 D. Maulik known as the Fourier P
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46 D. Maulik Fig. 4.17. Total varia
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48 D. Maulik inverted, but not the
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50 D. Maulik of a ventricular pump,
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52 D. Maulik Table 4.3. Hemodynamic
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54 D. Maulik Placental Vascular Cha
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56 D. Maulik: Chapter 4 Spectral Do
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58 T. Kiserud Fig. 5.2. The impact
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60 T. Kiserud Fig. 5.7. The pressur
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62 T. Kiserud Fig. 5.10. Doppler re
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64 T. Kiserud Fig. 5.13. Upper pane
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66 T. Kiserud of umbilical flow in
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Chapter 6 Sonographic Color Flow Ma
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a Chapter 6 Sonographic Color Flow
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Chapter 7 Three-dimensional Color a
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a Chapter 7 Three-dimensional Color
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Chapter 8 Biological Safety of Diag
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a Chapter 8 Biological Safety of Di
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Although the question of inertial o
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114 J. Itskovitz-Eldor, I. Thaler w
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116 J. Itskovitz-Eldor, I. Thaler d
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118 J. Itskovitz-Eldor, I. Thaler F
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120 J. Itskovitz-Eldor, I. Thaler T
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122 J. Itskovitz-Eldor, I. Thaler t
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128 J. Itskovitz-Eldor, I. Thaler 7
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130 J. Itskovitz-Eldor, I. Thaler 8
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Chapter 10 Umbilical Doppler Veloci
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a Chapter 10 Umbilical Doppler Velo
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146 K. MarsÏ—l Fig. 11.2. Record
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148 K. MarsÏ—l total end-diastol
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150 K. MarsÏ—l Table 11.1. Refer
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152 K. MarsÏ—l Fig. 11.11. Absen
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154 K. MarsÏ—l Diabetes Mellitus
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156 K. MarsÏ—l Table 11.5. Follo
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158 K. MarsÏ—l umbilicalis und d
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Chapter 12 Intrauterine Blood Flow
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a Chapter 12 Intrauterine Blood Flo
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l a Chapter 12 Intrauterine Blood F
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178 P. Arbeille et al. Fig. 13.1. I
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180 P. Arbeille et al. Fig. 13.3. I
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182 P. Arbeille et al. Fig. 13.5. a
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184 P. Arbeille et al. Fig. 13.10.
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186 P. Arbeille et al. Cerebral±Um
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188 P. Arbeille et al. moglobin con
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190 P. Arbeille et al. These result
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192 P. Arbeille et al. Fig. 13.15.
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194 P. Arbeille et al. cause IUGR i
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196 P. Arbeille et al. circulation
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Chapter 14 Cerebral Blood Flow Velo
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a Chapter 14 Cerebral Blood Flow Ve
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212 J. C. Veille Doppler Principles
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214 J. C. Veille Fig. 15.5 a±c. No
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216 J. C. Veille Table 15.2. Resist
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218 J. C. Veille response to hypoxi
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220 J. C. Veille Fetal Renal Artery
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222 J. C. Veille cardiac output in
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224 J. C. Veille 28. Silver LE, Des
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Chapter 16 Doppler Velocimetry of t
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a Chapter 16 Doppler Velocimetry of
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Chapter 17 Doppler Velocimetry of t
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data support the view that prostagl
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282 W. J. Ott Table 18.1. Fetal wei
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284 W. J. Ott Fig. 18.4. Umbilical
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286 W. J. Ott diastolic notching in
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288 W. J. Ott Fig. 18.8. Normal (hi
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290 W. J. Ott Fig. 18.10. Normal in
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292 W. J. Ott Fig. 18.14. Non-react
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294 W. J. Ott 21. Tamura RK, Sabbag
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296 W. J. Ott 93. Divon MY (1995) R
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298 W. J. Ott: Chapter 18 Doppler U
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300 H. Odendaal Fig. 19.1. Differen
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302 H. Odendaal Time to Establish t
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304 H. Odendaal were most frequentl
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306 H. Odendaal In addition to lowe
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308 H. Odendaal complications by co
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310 H. Odendaal cal artery: a sign
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Chapter 20 Doppler Velocimetry and
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a Chapter 20 Doppler Velocimetry an
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criterion of a hemoglobin differenc
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Chapter 21 Doppler Sonography in Pr
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a Chapter 21 Doppler Sonography in
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340 A. Lysikiewicz [11]. Hypoprotei
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342 A. Lysikiewicz The splenic arte
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344 A. Lysikiewicz Fig. 22.5. Fetal
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346 A. Lysikiewicz Scalp edema and
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348 A. Lysikiewicz selection of the
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350 A. Lysikiewicz References 1. Da
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Chapter 23 Doppler Velocimetry in P
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a Chapter 23 Doppler Velocimetry in
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Redistribution of fetal cardiac out
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Page 816: Chapter 26 Doppler Velocimetry for
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414 T. Kiserud ops into a separate
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416 T. Kiserud tained over a longer
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418 T. Kiserud since a zero velocit
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420 T. Kiserud Table 28.2. Indices
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422 T. Kiserud Fig. 28.16. Conventi
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424 T. Kiserud 18. Edelstone DI, Ru
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426 T. Kiserud 87. Kiserud T (2000)
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Chapter 29 Doppler Ultrasound Exami
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a Chapter 29 Doppler Ultrasound Exa
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444 E. Ferrazzi, S. Rigano that clo
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446 E. Ferrazzi, S. Rigano Fig. 30.
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448 E. Ferrazzi, S. Rigano by Kiser
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Chapter 31 Doppler Examination of t
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a Chapter 31 Doppler Examination of
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466 D. Maulik Fig. 32.1. Factors af
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468 D. Maulik Table 32.2. Echocardi
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470 D. Maulik Fig. 32.8. Two-dimens
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472 D. Maulik short interval during
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474 D. Maulik technique, multigated
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476 D. Maulik which may assist in t
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478 D. Maulik al. [19] and Rizzo et
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480 D. Maulik Fig. 32.30. Doppler d
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482 D. Maulik Right Heart Versus Le
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Chapter 33 Doppler Echocardiography
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a Chapter 33 Doppler Echocardiograp
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The VSD is the most frequently occu
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M-mode echocardiography is the most
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510 D. Maulik true real-time 4D ech
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512 D. Maulik Fig. 34.6. Two-dimens
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514 D. Maulik Fig. 34.11. Four-dime
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516 D. Maulik: Chapter 34 Four-Dime
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518 W. J. Ott Fig. 35.2. The oxygen
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520 W. J. Ott Table 35.1. Causes of
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522 W. J. Ott Velocity Measurements
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524 W. J. Ott Fig. 35.9. Doppler bl
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526 W. J. Ott 5. The presence of va
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528 W. J. Ott Fig. 35.10. Regressio
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530 W. J. Ott Fig. 35.11. The signi
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532 W. J. Ott walls in fetuses of d
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534 W. J. Ott 39. Sharf M, Abinader
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536 W. J. Ott: Chapter 35 Doppler E
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538 D. Arduini, G. Rizzo General Pr
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540 D. Arduini, G. Rizzo tween the
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542 D. Arduini, G. Rizzo Fig. 36.2.
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544 D. Arduini, G. Rizzo the condit
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546 D. Arduini, G. Rizzo: Chapter 3
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548 J. C. Huhta et al. The equipmen
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550 J. C. Huhta et al. presence of
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552 J. C. Huhta et al. say of the i
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554 J. C. Huhta et al. amination. I
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556 J. C. Huhta et al.: Chapter 37
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558 I. Zalud, L. D. Platt Fig. 38.1
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562 I. Zalud, L. D. Platt were non-
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564 I. Zalud, L. D. Platt two benig
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568 I. Zalud, L. D. Platt: Chapter
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570 I. Zalud and pulsed-wave Dopple
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572 I. Zalud Fig. 39.4. Corpus lute
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574 I. Zalud Table 39.2. Data on wo
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576 I. Zalud corpus luteum, respect
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578 I. Zalud Previous studies have
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580 I. Zalud cavity is ªcoldº wit
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582 I. Zalud Fig. 39.20. Ipsilatera
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584 I. Zalud However, recent advanc
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586 I. Zalud [60]. If a 50-mg dose
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588 I. Zalud ous increase in the RI
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590 I. Zalud production of progeste
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592 I. Zalud Fig. 39.33. Pulsed-wav
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594 I. Zalud Fig. 39.37. Luteal blo
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596 I. Zalud cal aspects and diagno
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Chapter 40 Doppler Ultrasonography
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a Chapter 40 Doppler Ultrasonograph
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612 Subject Index anomalous ± A-V
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614 Subject Index ± ± cerebral va
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616 Subject Index ± ± absence of
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618 Subject Index ± cerebral Doppl
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620 Subject Index ± therapy 553 in
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622 Subject Index ± systolic/diast
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624 Subject Index postextrasystolic
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626 Subject Index serum estradiol c
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628 Subject Index trisomy 525 troph
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630 Subject Index visceral ± malro
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