Fetal pressure gradient estimations across the ductus venosus in early pregnancy using Doppler ultrasonography

Authors

  • I. P. van Splunder,

    1. Department of Obstetrics and Gynecology, University Hospital Rotterdam-Dijkzigt, Rotterdam, The Netherlands
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  • T. Stijnen,

    1. Institute of Epidemiology and Biostatistics, University Hospital Rotterdam-Dijkzigt, Rotterdam, The Netherlands
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  • Professor J. W. Wladimiroff

    Corresponding author
    1. Department of Obstetrics and Gynecology, University Hospital Rotterdam-Dijkzigt, Rotterdam, The Netherlands
    • Department of Obstetrics and Gynecology, University Hospital Rotterdam–Dijkzigt, Dr Molewaterplein 40, 3015 GD Rotterdam, The Netherlands
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Abstract

Doppler ultrasonography was used to estimate the pressure gradient across the ductus venosus at 8–20 weeks of gestation. According to a cross-sectional study design, flow velocity waveform recordings were obtained from the umbilical vein and ductus venosus in 147 uncomplicated singleton pregnancies. Pressure gradients were calculated using the Bernoulli equation.

The pressure gradient was estimated at 0.1–1.9 mmHg during ventricular systole and at 0–0.5 mmHg during atria1 contraction. Time-averaged pressure gradients ranged between 0.1 and 1.3 mmHg. No statistically significant correlation could be established between the absence or presence of umbilical venous pulsations and estimated pressure gradient.

Crude estimates of the pressure gradient across the ductus venosus can be established in the late first and early second trimester of pregnancy. The large scatter of data suggests limited accuracy of venous pressure gradient calculation in early gestation. However, it may also indicate that, in early gestation, venous hemodynamics function at very low pressures. Copyright © 1995 International Society of Ultrasound in Obstetrics and Gynecology

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