Farmakides G, Schulman H, Winter D, Ducey J, Guzman E, Penny B
Winthrop-University Hospital, Mineola, New York.
Obstet Gynecol. 1988 Feb;71(2):184-7.
One hundred forty pregnant women referred to our prenatal testing laboratory for conventional nonstress testing (NST) also had a Doppler study of the umbilical arteries. The outcomes of 88 women with abnormal testing (NST or Doppler) were compared with the outcomes of 52 women who had normal results on both tests. The results demonstrated that 50% of the fetuses with decreased flow velocity who later developed an abnormal NST were growth-retarded, 75% required a cesarean section, and 63% were admitted to the neonatal intensive care unit. Development of an abnormal NST in the presence of normal velocimetry studies occurred most frequently in the postdates pregnancy; 32% required cesarean section for fetal distress. Knowledge of the umbilical circulation through Doppler studies may be of benefit when selecting patients for NST and when interpreting results.
140名转诊至我们产前检测实验室进行常规无应激试验（NST）的孕妇也接受了脐动脉多普勒检查。将88名检查结果异常（NST或多普勒检查）的孕妇的妊娠结局与52名两项检查结果均正常的孕妇的妊娠结局进行了比较。结果表明，随后出现NST异常的血流速度降低的胎儿中，50%生长受限，75%需要剖宫产，63%入住新生儿重症监护病房。在测速研究正常的情况下，NST异常最常发生在过期妊娠中；32%因胎儿窘迫需要剖宫产。通过多普勒检查了解脐循环情况，在选择NST检查的患者以及解读检查结果时可能会有帮助。
