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  • Title: [The effect of delivery method on perinatal outcomes in case of absense of end diastolic blood flow in fetal umbilical artery].
    Author: Lubchich A, Babazhanova Sh.
    Journal: Georgian Med News; 2007 Oct; (151):23-6. PubMed ID: 18071206.
    Abstract:
    The aim of the research was to evaluate the effect of delivery methods on perinatal outcomes in case of absent end-diastolic flow in the umbilical artery. Prospective observational was carried out on 58 pregnant women of whom 32 women delivered via Caesarian operation, 26 women - via vaginal birth. The research included pregnancy termination study: intranatal mortality rate, perinatal mortality rate, Low Apgar Score at birth, newborn admission to intensive care unit. Intranatal mortality rate in women delivered via vaginal birth was 19%; perinatal mortality rate was twice lower in Caesarian operation group compared with that of vaginal birth group. The number of newborns who were admitted to the newborn intensive care unit was 4, 4 times higher in vaginal birth group vs. Caesarian operation group. There was invert correlation between Caesarian operation rate and perinatal mortality rate with absent end diastolic flow in the umbilical artery. Absent end-diastolic flow in the umbilical arteries or in the aorta of fetus is characterized by increased perinatal mortality and morbidity. In case of absent end-diastolic flow in the umbilical artery Caesarian operation is recommended to decrease perinatal mortality.
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