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[Nul telediastolic flux. Prognostic value]
C Baton1, R Bessis, E Papiernik
1Maternité de l'Hôpital Antoine-Béclère, Clamart.
42 fetuses over a period of 2 1/2 years have presented with absent end-diastolic velocity. In 6 of these cases the measurements that had been carried out before the 22nd week of pregnancy with later normalisation of the Doppler velocities did not constitute a poor prognostic sign. On the other hand, absent end-diastolic velocity after the 22nd week (36 fetuses) was a sign of chronic fetal distress. The fetal mortality was 33.2%. 19.45% of the infants had chromosome abnormalities and only 58% of these children were alive and healthy. 74% of the live infants were delivered by caesarean section. With these results we think that absent end-diastolic velocity is a simple diagnostic sign, but it warns us that we should carry out tests for the fetal karyotype.
42 fetuses over a period of 2 1/2 years have presented with absent end-diastolic velocity. In 6 of these cases the measurements that had been carried out before the 22nd week of pregnancy with later normalisation of the Doppler velocities did not constitute a poor prognostic sign. On the other hand, absent end-diastolic velocity after the 22nd week (36 fetuses) was a sign of chronic fetal distress. The fetal mortality was 33.2%. 19.45% of the infants had chromosome abnormalities and only 58% of these children were alive and healthy. 74% of the live infants were delivered by caesarean section. With these results we think that absent end-diastolic velocity is a simple diagnostic sign, but it warns us that we should carry out tests for the fetal karyotype.