Umbilical pressure measurement in the evaluation of nonimmune hydrops fetalis

American Journal of Obstetrics and Gynecology
C P Weiner

Abstract

Nonimmune hydrops fetalis continues to have a perinatal mortality rate > 50%. Although many abnormalities are associated with nonimmune hydrops fetalis, the direct mechanism by which the hydrops occurs is often obscure, even after delivery. There are at least three possible mechanisms for hydrops: heart failure (whether primary or a secondary effect of obstructed venous return), lymphatic malformation, and liver or peritoneal disease. The development of safe access to the fetal circulation by cordocentesis allows for the measurement of the umbilical venous pressure, which is closely related to the fetal central venous pressure. The premise that nonimmune hydrops fetalis of cardiac origin could be distinguished from that of noncardiac origin was examined by measuring the umbilical venous pressure. Umbilical venous pressure was measured during indicated diagnostic cordocentesis in three groups of fetuses: 20 with nonimmune hydrops fetalis, four with a cardiac malformation but without nonimmune hydrops fetalis, and eight with immune hydrops (fetal hemolytic disease). In 16 of 20 fetuses with nonimmune hydrops fetalis the serum total protein and albumin concentrations were also measured. Presumed inadequate cardiac output, as indic...Continue Reading

References

Apr 1, 1991·American Journal of Obstetrics and Gynecology·V SahakianL L Scharosch
Jan 1, 1990·Fetal Diagnosis and Therapy·K H Nicolaides, G B Azar
Jan 1, 1990·Fetal Diagnosis and Therapy·Y ChibaM Murakami
Nov 1, 1990·Obstetrics and Gynecology·D Rouse, C Weiner
Sep 1, 1989·American Journal of Obstetrics and Gynecology·C P WeinerR A Williamson
Jan 1, 1988·Journal of Perinatal Medicine·H ShimokawaH Nakano
Oct 27, 1988·The New England Journal of Medicine·C H RodeckU Nicolini
Feb 1, 1987·Archives of Disease in Childhood·K P WindebankJ E Stevens
Oct 1, 1981·Radiology·A C FleischerA E James
Jul 1, 1991·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C S Kleinman, J A Copel

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Citations

Jun 1, 1994·American Journal of Obstetrics and Gynecology·T H StrongJ H Mattox
Jan 21, 2016·The Journal of Obstetrics and Gynaecology Research·Seung Mi LeeJoong Shin Park
Apr 1, 2009·American Journal of Medical Genetics. Part a·Carlo BelliniEugenio Bonioli
May 1, 1994·Journal of Pediatric Surgery·H E RiceN S Adzick
Apr 14, 2000·American Journal of Obstetrics and Gynecology·K L Reed, C F Anderson
Oct 1, 1996·The Journal of Obstetrics and Gynaecology Research·M Nakata
Mar 24, 1998·Prenatal Diagnosis·K R DuncanN M Fisk
Feb 16, 2002·Journal of Pediatric Hematology/oncology·S M CastellinoM DeVoe
May 20, 2014·Journal of Perinatal Medicine·Su Ah KimJong Kwan Jun
Feb 9, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Roberta MilazzoIrene Cetin
May 1, 1998·Molecular Genetics and Metabolism·I B Van den VeyverJ A Towbin

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