Routine Doppler ultrasound in twin pregnancy

被引：1
作者：
Mulcahy, C. [1 ,2 ]
McAuliffe, F. M. [1 ,2 ]
机构：
[1] Univ Coll Dublin, Sch Med, Natl Matern Hosp, UCD Perinatal Res Ctr, Dublin, Ireland
[2] Natl Matern Hosp, Fetal Med, Dublin, Ireland
来源：
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY | 2022年 / 84卷
关键词：
Umbilical artery Doppler; Middle cerebral artery Doppler; Cerebroplacental ratio; Uterine artery Doppler; Ductus venosus Doppler; Multiple pregnancy; FETAL-GROWTH RESTRICTION; DUCTUS VENOSUS DOPPLER; VELOCITY WAVE-FORMS; END-DIASTOLIC FLOW; UMBILICAL ARTERY; BIRTH-WEIGHT; MULTIPLE PREGNANCY; REFERENCE RANGES; INTRAUTERINE GROWTH; PREECLAMPSIA;
D O I：
10.1016/j.bpobgyn.2022.08.002
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Doppler ultrasound when used appropriately is an invaluable tool in monitoring high risk twin pregnancy. There are no recent multicentre randomised controlled trials examining the value of routine umbilical artery doppler (UA), middle cerebral artery doppler (MCA), cerebroplacental ratio (CPR), uterine artery doppler (UtA) and ductus venosus doppler in uncomplicated twins. Thus, there is lack of international consensus in relation to incorporation of doppler ultrasound in the routine surveillance of uncomplicated multiples. In this chapter we will discuss how twins differ from singletons in their growth trajectories and progression of doppler abnormalities. International clinical guidelines are reviewed. Recommendations for doppler surveillance (routine or selective) with reference to recent studies are made. (c) 2022 Published by Elsevier Ltd.
引用
收藏
页码：43 / 54
页数：12
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