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4. Effects of Antenatal Betamethasone on Fetal Doppler Indices and Short Term Fetal Heart Rate Variation in Early Growth Restricted Fetuses

Author

Fratelli, N., Prefumo, F., Wolf, H., Hecher, K., Visser, G.H.A., Giussani, D., Derks, J.B., Shaw, C.J., Frusca, T., Ghi, T., Ferrazzi, E., Lees, C.C., Arabin, B., Bilardo, C.M., Brezinka, C., Diemert, A., Duvekot, J.J., Ganzevoort, W., Marlow, N., Martinelli, P., Ostermayer, E., Papageorghiou, A.T., Schlembach, D., Schneider, K.T.M., Thilaganathan, B., Thornton, J., Todros, T., Valcamonico, A., Wassenaer-Leemhuis, A. van, Aktas, A., Borgione, S., Chaoui, R., Cornette, J.M.J., Diehl, T., Eyck, J. van, Haastert, I.C. van, Lobmaier, S., Lopriore, E., Missfelder-Lobos, H., Mansi, G., Martelli, P., Maso, G., Maurer-Fellbaum, U., Charante, N.M. van, Tollenaer, S.M., Napolitano, R., Oberto, M., Oepkes, D., Ogge, G., Post, J.A.M. van der, Preston, L., Raimondi, F., Reiss, I.K.M., Scheepers, L.S., Skabar, A., Spaanderman, M., Weisglas-Kuperus, N., Zimmermann, A., TRUFFLE Grp, TRUFFLE Grp Authors, TRUFFLE Grp Collaborating Authors, Obstetrics & Gynecology, Pediatrics, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, Interne Geneeskunde, Neonatology, Amsterdam Reproduction & Development (AR&D), Fratelli, Nicola, Prefumo, Federico, Wolf, Han, Hecher, Kurt, Visser, Gerard H A, Giussani, Dino, Derks, Jan B, Shaw, Caroline J, Frusca, Tiziana, Ghi, Tullio, Ferrazzi, E, Lees, Christoph C, Truffle, Group, and Raimondi, Francesco

Subjects
medicine.medical_specialty, Cardiotocography, Vascular damage Radboud Institute for Health Sciences [Radboudumc 16], betamethasone, fetal growth restriction, obstetrics, Female, Fetal Heart, Fetus, Humans, Pregnancy, Pregnancy Outcome, Prospective Studies, Betamethasone, Fetal Growth Retardation, Glucocorticoids, Heart Rate, Fetal, Ultrasonography, Prenatal, Antenatal steroid, Fetal, 03 medical and health sciences, 0302 clinical medicine, All institutes and research themes of the Radboud University Medical Center, Heart Rate, Internal medicine, Heart rate, medicine, TRUFFLE Group, Prenatal, Radiology, Nuclear Medicine and imaging, 030212 general & internal medicine, Prospective cohort study, Ultrasonography, 030219 obstetrics & reproductive medicine, medicine.diagnostic_test, business.industry, Nuclear Medicine & Medical Imaging, TRUFFLE Group collaborating authors, TRUFFLE Group authors, Cardiology, business, Lower limbs venous ultrasonography, Ductus venosus, medicine.drug
Abstract

To investigate the effects of the antenatal administration of betamethasone on fetal Doppler and short term fetal heart rate variation (CTG-STV) in early growth restricted (FGR) fetuses. Post hoc analysis of data derived from the TRUFFLE study, a prospective, multicenter, randomized management trial of severe early onset FGR. Repeat Doppler and CTG-STV measurements between the last recording within 48 hours before the first dose of betamethasone (baseline value) and for 10 days after were evaluated. Multilevel analysis was performed to analyze the longitudinal course of the umbilico-cerebral ratio (UC ratio), the ductus venosus pulsatility index (DVPIV) and CTG-STV. We included 115 fetuses. A significant increase from baseline in CTG-STV was found on day + 1 (p = 0.019) but no difference thereafter. The DVPIV was not significantly different from baseline in any of the 10 days following the first dose of betamethasone (p = 0.167). Multilevel analysis revealed that, over 10 days, the time elapsed from antenatal administration of betamethasone was significantly associated with a decrease in CTG-STV (p = 0.045) and an increase in the DVPIV (p = 0.001) and UC ratio (p 0.001). Although steroid administration in early FGR has a minimal effect on increasing CTG-STV one day afterwards, the effects on Doppler parameters were extremely slight with regression coefficients of small magnitude suggesting no clinical significance, and were most likely related to the deterioration with time in FGR. Hence, arterial and venous Doppler assessment of fetal health remains informative following antenatal steroid administration to accelerate fetal lung maturation.ZIEL: Untersuchung des Effekts der antenatalen Gabe von Betamethason auf den fetalen Doppler und die Kurzzeitvariation der fetalen Herzfrequenz (CTG-STV) bei Föten mit früher Wachstumsrestriktion (FGR). Post-hoc-Analyse von Daten der TRUFFLE-Studie, einer prospektiven, multizentrischen, randomisierten Managementstudie bei schwerer, früh einsetzender FGR. Wiederholte Doppler- und CTG-STV-Messungen zwischen der letzten Aufnahme innerhalb von 48 Stunden vor der ersten Betamethason-Dosis (Ausgangswert) und über 10 Tage wurden bewertet. Eine mehrstufige Analyse erfolgte, um den longitudinalen Verlauf der umbilikal-zerebralen Ratio (UC-Ratio), des Pulsatilitätsindex des Ductus venosus (DVPIV) und der CTG-STV zu analysieren. Wir haben 115 Föten eingeschlossen. Ein signifikanter Anstieg der CTG-STV gegenüber dem Ausgangswert wurde am Tag + 1 (p = 0,019) ermittelt, danach gab es keinen Unterschied. Der DVPIV unterschied sich an keinem der 10 Tage nach erster Betamethason-Dosis signifikant vom Ausgangswert (p = 0,167). Eine mehrstufige Analyse ergab, dass die verstrichene Zeit nach der antenatalen Betamethason-Gabe über 10 Tage hinweg signifikant mit der Abnahme der CTG-STV (p = 0,045) und der Zunahme des DVPIV (p = 0,001) und der UC-Ratio (p 0,001) assoziiert war. Obwohl die Steroidverabreichung bei früher FGR eine kleine Auswirkung auf den Anstieg der CTG-STV 1 Tag darauf hatte, waren die Effekte auf die Doppler-Parameter äußerst gering mit Regressionskoeffizienten von geringer Höhe, die nicht auf klinische Signifikanz schließen lassen. Sie stehen höchstwahrscheinlich in Zusammenhang mit der Verschlechterung bei FGR im Laufe der Zeit. Daher bleibt die Beurteilung der arteriellen und venösen Doppler bezüglich des Gesundheitszustandes des Fötus aussagekräftig, nachdem diesem zur Beschleunigung der fetalen Lungenreifung antenatal Steroide verabreicht wurden.

Published
2021
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5. Is middle cerebral artery Doppler related to neonatal and 2-year infant outcome in early fetal growth restriction?

Author

Brezinka, C., Derks, J.B., Diemert, A., Duvekot, J.J., Ferrazzi, E., Frusca, T., Ganzevoort, W., Hecher, K., Kingdom, J., Marlow, N., Marsal, K., Martinelli, P., Ostermayer, E., Papageorghiou, A.T., Schlembach, D., Schneider, K.T.M., Thilaganathan, B., Thornton, J., Todros, T., Valcamonico, A., Valensise, H., van Wassenaer-Leemhuis, A, Visser, G.H.A., Aktas, A., Borgione, S., Chaoui, R., Cornette, J.M.J., Diehl, T., van Eyck, J, Fratelli, N., van Haastert, I.C., Lobmaier, S., Lopriore, E., Missfelder-Lobos, H., Mansi, G., Martelli, P., Maso, G., Maurer-Fellbaum, U., Mensing van Charante, N., Mulder-de Tollenaer, S., Napolitano, R., Oberto, M, Oepkes, D., Ogge, G., van der Post, J.A.M., Prefumo, F., Preston, L., Raimondi, F., Reiss, I.K.M., Scheepers, L.S., Skabar, A., Spaanderman, M., Weisglas-Kuperus, N., Zimmermann, A., Stampalija, Tamara, Arabin, Birgit, Wolf, Hans, Bilardo, Caterina M., and Lees, Christoph

Published
2017
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7. Fetal cerebral Doppler changes and outcome in late preterm fetal growth restriction : prospective cohort study

Author

Stampalija, T., Thornton, J., Marlow, N., Napolitano, R., Bhide, A., Pickles, T., Bilardo, C. M., Gordijn, S. J., Gyselaers, W., Valensise, H., Hecher, K., Sande, R. K., Lindgren, P., Bergman, E., Arabin, B., Breeze, A. C., Wee, L., Ganzevoort, W., Richter, J., Berger, A., Brodszki, J., Derks, J., Mecacci, F., Maruotti, G. M., Myklestad, K., Lobmaier, S. M., Prefumo, F., Klaritsch, P., Calda, P., Ebbing, C., Frusca, T., Raio, L., Visser, G. H. A., Krofta, L., Cetin, I., Ferrazzi, E., Cesari, E., Wolf, H., Lees, C. C., Brezinka, C., Casagrandi, D., Cerny, A., Dall'Asta, A., Devlieger, R., Duvekot, J., Eggebo, T. M., Fantasia, I., Ferrari, F., Fratelli, N., Ghi, T., Graupner, O., Greimel, P., Hofstaetter, C., Presti, D. Lo, Georg, M., Macsali, F., Marsal, K., Martinelli, P., Mylrea-Foley, B., Mullins, E., Ostermayer, E., Papageorghiou, A., Peasley, R., Ramoni, A., Sarno, L., Seikku, L., Simeone, S., Thilaganathan, B., Tiralongo, G., Valcamonico, A., van Holsbeke, C., Vietheer, A., APH - Quality of Care, ARD - Amsterdam Reproduction and Development, Obstetrics and Gynaecology, APH - Digital Health, Stampalija, T., Thornton, J., Marlow, N., Napolitano, R., Bhide, A., Pickles, T., Bilardo, C. M., Gordijn, S. J., Gyselaers, W., Valensise, H., Hecher, K., Sande, R. K., Lindgren, P., Bergman, E., Arabin, B., Breeze, A. C., Wee, L., Ganzevoort, W., Richter, J., Berger, A., Brodszki, J., Derks, J., Mecacci, F., Maruotti, G. M., Myklestad, K., Lobmaier, S. M., Prefumo, F., Klaritsch, P., Calda, P., Ebbing, C., Frusca, T., Raio, L., Visser, G. H. A., Krofta, L., Cetin, I., Ferrazzi, E., Cesari, E., Wolf, H., Lees, C. C., Brezinka, C., Casagrandi, D., Cerny, A., Dall'Asta, A., Devlieger, R., Duvekot, J., Eggebo, T. M., Fantasia, I., Ferrari, F., Fratelli, N., Ghi, T., Graupner, O., Greimel, P., Hofstaetter, C., Presti, D. L., Georg, M., Macsali, F., Marsal, K., Martinelli, P., Mylrea-Foley, B., Mullins, E., Ostermayer, E., Papageorghiou, A., Peasley, R., Ramoni, A., Sarno, L., Seikku, L., Simeone, S., Thilaganathan, B., Tiralongo, G., Valcamonico, A., Van Holsbeke, C., Vietheer, A., and HUS Gynecology and Obstetrics

Subjects
Technology, adverse outcome, umbilical-cerebral ratio, Umbilical Arteries, umbilical artery, TRUFFLE-2 Group, Fetal Development, 0302 clinical medicine, Obstetrics and gynaecology, Pregnancy, Reference Values, 3123 Gynaecology and paediatrics, Interquartile range, Birth Weight, Prospective Studies, 030212 general & internal medicine, Prospective cohort study, Fetal Growth Retardation, 030219 obstetrics & reproductive medicine, Radiological and Ultrasound Technology, Obstetrics, Radiology, Nuclear Medicine & Medical Imaging, Doppler, Obstetrics & Gynecology, Obstetrics and Gynecology, Gestational age, General Medicine, Stillbirth, 3. Good health, ddc, Europe, Fetal Weight, Pulsatile Flow, Infant, Small for Gestational Age, Female, Waist Circumference, Rheology, Life Sciences & Biomedicine, Live Birth, middle cerebral artery, neonatal, umbilicocerebral ratio, Radiology, Nuclear Medicine and Medical Imaging, Adult, medicine.medical_specialty, Birth weight, education, 610 Medicine & health, Gestational Age, Reproduktionsmedicin och gynekologi, DIAGNOSIS, Ultrasonography, Prenatal, 03 medical and health sciences, Fetus, Obstetrics, Gynecology and Reproductive Medicine, medicine, MANAGEMENT, Humans, Radiology, Nuclear Medicine and imaging, Risk factor, Obstetrics & Reproductive Medicine, Science & Technology, business.industry, CEREBROPLACENTAL RATIO, Infant, Newborn, Ultrasonography, Doppler, Acoustics, Reproductive Medicine, Relative risk, 1114 Paediatrics and Reproductive Medicine, Radiologi och bildbehandling, business
Abstract

OBJECTIVES: To explore the association between fetal umbilical and middle cerebral artery (MCA) Doppler abnormalities and outcome in late preterm pregnancies at risk of fetal growth restriction. METHODS: This was a prospective cohort study of singleton pregnancies at risk of fetal growth restriction at 32 + 0 to 36 + 6 weeks of gestation, enrolled in 33 European centers between 2017 and 2018, in which umbilical and fetal MCA Doppler velocimetry was performed. Pregnancies were considered at risk of fetal growth restriction if they had estimated fetal weight and/or abdominal circumference (AC)

Published
2020
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13. Spine surgery in pregnant women

Author

Hitscherich, H, Wostrack, M, Eicker, SO, Lobmaier, S, Friedrich, B, Bretschneider, M, and Meyer, B

Subjects
ddc: 610, 610 Medical sciences, Medicine
Abstract

Objective: Spinal diseases that require urgent surgical treatment are rare during pregnancy. There are many aspects that must be taken into account in such situations. To date, only a few case reports have been conducted on this issue. Methods: The retrospective study included consecutive pregnant[for full text, please go to the a.m. URL], 69. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Mexikanischen und Kolumbianischen Gesellschaft für Neurochirurgie

Published
2018
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19. Fetale kardiovaskuläre Funktionsnormwerte

Author

Wildner, N, additional, Ried, C, additional, Graupner, O, additional, Ortiz, JU, additional, Kuschel, B, additional, Haller, B, additional, Oberhoffer, R, additional, Wacker-Gussmann, A, additional, and Lobmaier, S, additional

Published
2019
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24. Severe fetal growth restriction at 26–32 weeks : key messages from the TRUFFLE study

Author

Bilardo, Cm, Hecher, K, Visser, Gha, Papageorghiou, At, Marlow, N, Thilaganathan, B, Van Wassenaer-Leemhuis, A, Todros, T, Marsal, K, Frusca, T, Arabin, B, Brezinka, C, Derks, Jb, Diemert, A, Duvekot, Jj, Ferrazzi, E, Ganzevoort, W, Martinelli, P, Ostermayer, E, Schlembach, D, Valensise, H, Thornton, J, Wolf, H, Lees, C, Calda, P, Gordjin, S, Gyselaers, W, Klaritsch, P, Lobmaier, S, Manz, M, Napolitano, R, Prefumo, F, Schild, R, Stampalija, T, von Holsbeke, C, von Kaisenberg, C, Bilardo, C. M., Hecher, K., Visser, G. H. A., Papageorghiou, A. T., Marlow, N., Thilaganathan, B., Van Wassenaer-Leemhuis, A., Todros, T., Marsal, K., Frusca, T., Arabin, B., Brezinka, C., Derks, J. B., Diemert, A., Duvekot, J. J., Ferrazzi, E., Ganzevoort, W., Martinelli, P., Ostermayer, E., Schlembach, D., Valensise, H., Thornton, J., Wolf, H., Lees, C., Calda, P., Gordjin, S., Gyselaers, W., Klaritsch, P., Lobmaier, S., Manz, M., Napolitano, R., Prefumo, F., Schild, R., Stampalija, T., von Holsbeke, C., and von Kaisenberg, C.

Subjects
Fetal Growth Retardation, Radiological and Ultrasound Technology, Obstetrics and Gynecology, Gestational Age, Fetal, Heart Rate, Fetal, Humans, Heart Rate, Reproductive Medicine, Radiology, Nuclear Medicine and Imaging, Settore MED/40, Human
Abstract

What was the TRUFFLE study? The Trial of Randomized Umbilical and Fetal Flow in Europe (TRUFFLE) was a prospective, multicenter, unblinded, randomized trial that ran between 1 January 2005 and 1 October 2010 in 20 European centers 1 . It studied singleton pregnancies at 26–32 weeks of gestation with a diagnosis of fetal growth restriction (FGR), defined as abdominal circumference < 10th percentile and high umbilical artery Doppler pulsatility index (PI) (> 95th percentile). In order to assess whether changes in the fetal ductus venosus (DV) Doppler waveform or short-term variation (STV) on cardiotocography (CTG) should be used as a trigger for delivery in these pregnancies, the 503 included women were randomly allocated to one of three ‘timing-of-delivery’ plans (with 1 : 1 : 1 randomization).

Published
2017
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25. Prenatally Diagnosed Isolated Coronary Arterial Fistula Leading to Severe Complications at Birth

Author

Wacker-Gussmann, A., Esser, T., Lobmaier, S. M., Vogt, M. O., Ostermayer, E., and Oberhoffer, R.

Subjects
Article Subject
Abstract

Prenatal diagnosis of a huge coronary artery fistula between the left coronary artery and the right ventricle was made by Doppler echocardiography at 22 weeks of gestation. Progression of the dilated fistula was monitored throughout pregnancy. The size of the fistula increased enormously up to 11 mm. Death occurred at birth. Monitoring of these fetuses is essential as severe complications can occur during pregnancy or at birth.

Published
2018
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31. Fetale kardiovaskuläre Funktionsnormwerte

Author

Wildner, N;Ried, C;Graupner, O;Ortiz, JU;Kuschel, B;Haller, B;Oberhoffer, R;Wacker-Gussmann, A;Lobmaier, S and Wildner, N;Ried, C;Graupner, O;Ortiz, JU;Kuschel, B;Haller, B;Oberhoffer, R;Wacker-Gussmann, A;Lobmaier, S

Published
2018

33. Fetal monitoring indications for delivery and 2-year outcome in 310 infants with fetal growth restriction delivered before 32 weeks' gestation in the TRUFFLE study

Author

Visser, Gha, Bilardo, Cm, Derks, Jb, Ferrazzi, E, Fratelli, N, Frusca, T, Ganzevoort, W, Lees, Cc, Napolitano, R, Todros, T, Wolf, H, Hecher, K, Marlow, N, Arabin, B, Brezinka, C, Diemert, A, Duvekot, Jj, Martinelli, P, Ostermayer, E, Papageorghiou, At, Schlembach, D, Schneider, Ktm, Thilaganathan, B, Valcamonico, A, Aktas, A, Borgione, S, Chaoui, R, Cornette, Jmj, Diehl, T, van Eyck, J, van Haastert, Ic, Kingdom, J, Lobmaier, S, Lopriore, E, Missfelder-Lobos, H, Mansi, G, Martelli, P, Maso, G, Marsal, K, Maurer-Fellbaum, U, Mensing van Charante, N, Mulder-de Tollenaer, S, Oberto, M, Oepkes, D, Ogge, G, van der Post, Jam, Prefumo, F, Preston, L, Raimondi, F, Rattue, H, Reiss, Ikm, Scheepers, Ls, Skabar, A, Spaanderman, M, Thornton, J, Valensise, H, Weisglas-Kuperus, N, and Zimmermann, A

Subjects
Male, cardiotocography, ductus venosus, fetal growth restriction, fetal heart rate variation, preterm delivery, Cardiotocography, Female, Fetal Growth Retardation, Fetus, Gestational Age, Humans, Infant, Newborn, Netherlands, Pregnancy, Pregnancy Outcome, Pulsatile Flow, Survival Analysis, Umbilical Arteries, Delivery, Obstetric, Fetal Monitoring, Ultrasonography, Prenatal, Prenatal, Ultrasonography, Infant, Obstetric, Newborn, Settore MED/40, Delivery
Abstract

In the TRUFFLE (Trial of Randomized Umbilical and Fetal Flow in Europe) study on the outcome of early fetal growth restriction, women were allocated to one of three groups of indication for delivery according to the following monitoring strategies: (1) reduced fetal heart rate (FHR) short-term variation (STV) on cardiotocography (CTG); (2) early changes in fetal ductus venosus (DV) waveform (DV-p95); and (3) late changes in fetal DV waveform (DV-no-A). However, many infants per monitoring protocol were delivered because of safety-net criteria, for maternal or other fetal indications, or after 32 weeks of gestation when the protocol was no longer applied. The objective of the present posthoc subanalysis was to investigate the indications for delivery in relation to 2-year outcome in infants delivered before 32 weeks to further refine management proposals.We included all 310 cases of the TRUFFLE study with known outcome at 2 years' corrected age and seven fetal deaths, excluding seven cases with inevitable perinatal death. Data were analyzed according to the allocated fetal monitoring strategy in combination with the indication for delivery.Overall, only 32% of liveborn infants were delivered according to the specified monitoring parameter for indication for delivery; 38% were delivered because of safety-net criteria, 15% for other fetal reasons and 15% for maternal reasons. In the CTG-STV group, 51% of infants were delivered because of reduced STV. In the DV-p95 group, 34% of infants were delivered because of abnormal DV and, in the DV-no-A group, only 10% of infants were delivered accordingly. The majority of infants in the DV groups were delivered for the safety-net criterion of spontaneous decelerations in FHR. Two-year intact survival was highest in the DV groups combined compared with the CTG-STV group (P = 0.05 for live births only, P = 0.21 including fetal death), with no difference between DV groups. A poorer outcome in the CTG-STV group was restricted to infants delivered because of FHR decelerations in the safety-net subgroup. Infants delivered because of maternal reasons had the highest birth weight and a non-significantly higher intact survival.In this subanalysis of infants delivered before 32 weeks, the majority were delivered for reasons other than the allocated monitoring strategy indication. Since, in the DV group, CTG-STV criteria were used as a safety net but in the CTG-STV group, no DV safety-net criteria were applied, we speculate that the slightly poorer outcome in the CTG-STV group might be explained by the absence of DV data. The optimal timing of delivery of fetuses with early intrauterine growth restriction may therefore be best determined by monitoring them longitudinally, with both DV and CTG monitoring. Copyright © 2016 ISUOG. Published by John WileySons Ltd.

Published
2017

34. How to monitor pregnancies complicated by fetal growth restriction and delivery before 32 weeks: post-hoc analysis of TRUFFLE study

Author

Ganzevoort, W., Mensing Van Charante, N., Thilaganathan, B., Prefumo, F., Arabin, B., Bilardo, C. M., Brezinka, C., Derks, J. B., Diemert, A., Duvekot, J. J., Ferrazzi, E., Frusca, T., Hecher, K., Marlow, N., Martinelli, P., Ostermayer, E., Papageorghiou, A. T., Schlembach, D., Schneider, K. T. M., Todros, T., Valcamonico, A., Visser, G. H. A., Van Wassenaer-Leemhuis, A., Lees, C. C., Wolf, H., Aktas, A., Borgione, S., Chaoui, R., Cornette, J. M. J., Diehl, T., van Eyck, J., Fratelli, N., van Haastert, I. C., Lobmaier, S., Lopriore, E., Missfelder-Lobos, H., Mansi, G., Martelli, P., Maso, G., Maurer-Fellbaum, U., Mulder-de Tollenaer, S., Napolitano, R., Oberto, M., Oepkes, D., Ogge, G., van der Post, J. A. M., Preston, L., Raimondi, F., Rattue, H., Reiss, I. K. M., Scheepers, L. S., Skabar, A., Spaanderman, M., Weisglas-Kuperus, N., and Zimmermann, A.

Subjects
ductus venosus, fetal growth restriction, intrauterine growth restriction, cardiotocography
Published
2017

35. Longitudinal study of computerized cardiotocography in early fetal growth restriction

Author

Wolf, H., Arabin, B., Lees, C. C., Oepkes, D., Prefumo, F., Thilaganathan, B., Todros, T., Visser, G. H. A., Bilardo, C. M., Derks, J. B., Diemert, A., Duvekot, J. J., Ferrazzi, E., Frusca, T., Hecher, K., Marlow, N., Martinelli, P., Ostermayer, E., Papageorghiou, A. T., Scheepers, H. C. J., Schlembach, D., Schneider, K. T. M., Valcamonico, A., van Wassenaer-Leemhuis, A., Ganzevoort, W., Aktas, A., Borgione, S., Brezinka, C., Calvert, S., Chaoui, R., Cornette, J. M. J., Diehl, T., van Eyck, J., Fratelli, N., van Haastert, I. -L., Johnson, S., Lobmaier, S., Lopriore, E., Mansi, G., Missfelder-Lobos, H., Martelli, P., Maso, G., Maurer-Fellbaum, U., van Charante, N. M., De Tollenaer, S. M., Moore, T., Napolitano, R., Oberto, M., Ogge, G., van der Post, J., Preston, L., Raimondi, F., Reiss, I. K. M., Rigano, S., Schuit, E., Skabar, A., Spaanderman, M., Weisglas-Kuperus, N., and Zimmermann, A.

Subjects
ductus venosus, fetal growth restriction, fetal monitoring, short-term variation, cardiotocography, preterm
Published
2017

43. Is middle cerebral artery Doppler related to neonatal and 2-year infant outcome in early fetal growth restriction?

Author

Stampalija, Tamara, primary, Arabin, Birgit, additional, Wolf, Hans, additional, Bilardo, Caterina M., additional, Lees, Christoph, additional, Brezinka, C., additional, Derks, J.B., additional, Diemert, A., additional, Duvekot, J.J., additional, Ferrazzi, E., additional, Frusca, T., additional, Ganzevoort, W., additional, Hecher, K., additional, Kingdom, J., additional, Marlow, N., additional, Marsal, K., additional, Martinelli, P., additional, Ostermayer, E., additional, Papageorghiou, A.T., additional, Schlembach, D., additional, Schneider, K.T.M., additional, Thilaganathan, B., additional, Thornton, J., additional, Todros, T., additional, Valcamonico, A., additional, Valensise, H., additional, van Wassenaer-Leemhuis, A, additional, Visser, G.H.A., additional, Aktas, A., additional, Borgione, S., additional, Chaoui, R., additional, Cornette, J.M.J., additional, Diehl, T., additional, van Eyck, J, additional, Fratelli, N., additional, van Haastert, I.C., additional, Lobmaier, S., additional, Lopriore, E., additional, Missfelder-Lobos, H., additional, Mansi, G., additional, Martelli, P., additional, Maso, G., additional, Maurer-Fellbaum, U., additional, Mensing van Charante, N., additional, Mulder-de Tollenaer, S., additional, Napolitano, R., additional, Oberto, M, additional, Oepkes, D., additional, Ogge, G., additional, van der Post, J.A.M., additional, Prefumo, F., additional, Preston, L., additional, Raimondi, F., additional, Reiss, I.K.M., additional, Scheepers, L.S., additional, Skabar, A., additional, Spaanderman, M., additional, Weisglas-Kuperus, N., additional, and Zimmermann, A., additional

Published
2017
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44. Is middle cerebral artery Doppler related to neonatal and 2-year infant outcome in early fetal growth restriction?

Author

Stampalija, Tamara, Arabin, Birgit, Wolf, Hans, Bilardo, Caterina M., Lees, Christoph, Brezinka, C., Derks, J. B., Diemert, A., Duvekot, J. J., Ferrazzi, E., Frusca, T., Ganzevoort, W., Hecher, K., Kingdom, J., Marlow, N., Marsal, K., Martinelli, P., Ostermayer, E., Papageorghiou, A. T., Schlembach, D., Schneider, K. T.M., Thilaganathan, B., Thornton, J., Todros, T., Valcamonico, A., Valensise, H., van Wassenaer-Leemhuis, A., Visser, GHA, Aktas, A., Borgione, S., Chaoui, R., Cornette, J. M.J., Diehl, T., van Eyck, J., Fratelli, N., van Haastert, I. C., Lobmaier, S., Lopriore, E., Missfelder-Lobos, H., Mansi, G., Martelli, P., Maso, G., Maurer-Fellbaum, U., Mensing van Charante, N., Mulder-de Tollenaer, S., Napolitano, R., Oberto, M., Oepkes, D., Ogge, G., van der Post, J. A.M., Prefumo, F., Preston, L., Raimondi, F., Reiss, I. K.M., Scheepers, L. S., Skabar, A., Spaanderman, M., Weisglas-Kuperus, N., Zimmermann, A., Stampalija, Tamara, Arabin, Birgit, Wolf, Hans, Bilardo, Caterina M., Lees, Christoph, Brezinka, C., Derks, J. B., Diemert, A., Duvekot, J. J., Ferrazzi, E., Frusca, T., Ganzevoort, W., Hecher, K., Kingdom, J., Marlow, N., Marsal, K., Martinelli, P., Ostermayer, E., Papageorghiou, A. T., Schlembach, D., Schneider, K. T.M., Thilaganathan, B., Thornton, J., Todros, T., Valcamonico, A., Valensise, H., van Wassenaer-Leemhuis, A., Visser, GHA, Aktas, A., Borgione, S., Chaoui, R., Cornette, J. M.J., Diehl, T., van Eyck, J., Fratelli, N., van Haastert, I. C., Lobmaier, S., Lopriore, E., Missfelder-Lobos, H., Mansi, G., Martelli, P., Maso, G., Maurer-Fellbaum, U., Mensing van Charante, N., Mulder-de Tollenaer, S., Napolitano, R., Oberto, M., Oepkes, D., Ogge, G., van der Post, J. A.M., Prefumo, F., Preston, L., Raimondi, F., Reiss, I. K.M., Scheepers, L. S., Skabar, A., Spaanderman, M., Weisglas-Kuperus, N., and Zimmermann, A.

Published
2017

45. Longitudinal study of computerized cardiotocography in early fetal growth restriction

Author

Wolf, H. (Hans Uwe), Arabin, B. (Birgit), Lees, C. (Christoph), Oepkes, D., Prefumo, F. (F.), Thilaganathan, B. (Baskaran), Todros, T. (Tullia), Visser, G.H. (Gerhard Henk), Bilardo, C.M. (Caterina Maddalena), Derks, J.B. (Jan), Diemert, A. (Anke), Duvekot, J.J. (Hans), Ferrazzi, E. (Enrico), Frusca, T. (T.), Hecher, K. (Kurt), Marlow, N. (Neil), Martinelli, P. (Pasquale), Ostermayer, E. (Eva), Papageorghiou, A.T. (A.), Scheepers, H.C.J. (Hubertina), Schlembach, D. (Dietmar), Schneider, K.T.M. (K. T.M.), Valcamonico, A. (Adriana), Wassenaer-Leemhuis, A.G. (Aleid) van, Ganzevoort, W. (Wessel), Aktas, A. (Ayse), Borgione, S. (Silvia), Brezinka, C.A. (Christoph), Calvert, S. (Sandra), Chaoui, R. (R.), Cornette, J.M.J. (Jerome M. J.), Diehl, T. (Thilo), Eyck, J. (Jim) van, Fratelli, N. (N.), van Haastert, I.-L. (Inge-Lot), Johnson, S. (Samantha), Lobmaier, S. (Silvia), Lopriore, E., Mansi, G. (Giuseppina), Missfelder-Lobos, H. (H.), Martelli, P. (Paola), Maso, G. (G.), Maurer-Fellbaum, U. (Ute), Van Charante, N.M. (Nico Mensing), Tollenaer, S.M. (S.) de, Moore, T. (Tamanna), Napolitano, R. (Raffaele), Oberto, M. (M.), Ogge, G. (G.), Post, J.A.M. (Joris) van der, Preston, L. (Lucy), Raimondi, F. (Francesco), Reiss, I.K.M. (Irwin), Rigano, S. (Serena), Schuit, E. (Ewoud), Skabar, A. (Aldo), Spaanderman, M.E.A., Weisglas–Kuperus, N. (Nynke), Zimmermann, A. (Andrea), Wolf, H. (Hans Uwe), Arabin, B. (Birgit), Lees, C. (Christoph), Oepkes, D., Prefumo, F. (F.), Thilaganathan, B. (Baskaran), Todros, T. (Tullia), Visser, G.H. (Gerhard Henk), Bilardo, C.M. (Caterina Maddalena), Derks, J.B. (Jan), Diemert, A. (Anke), Duvekot, J.J. (Hans), Ferrazzi, E. (Enrico), Frusca, T. (T.), Hecher, K. (Kurt), Marlow, N. (Neil), Martinelli, P. (Pasquale), Ostermayer, E. (Eva), Papageorghiou, A.T. (A.), Scheepers, H.C.J. (Hubertina), Schlembach, D. (Dietmar), Schneider, K.T.M. (K. T.M.), Valcamonico, A. (Adriana), Wassenaer-Leemhuis, A.G. (Aleid) van, Ganzevoort, W. (Wessel), Aktas, A. (Ayse), Borgione, S. (Silvia), Brezinka, C.A. (Christoph), Calvert, S. (Sandra), Chaoui, R. (R.), Cornette, J.M.J. (Jerome M. J.), Diehl, T. (Thilo), Eyck, J. (Jim) van, Fratelli, N. (N.), van Haastert, I.-L. (Inge-Lot), Johnson, S. (Samantha), Lobmaier, S. (Silvia), Lopriore, E., Mansi, G. (Giuseppina), Missfelder-Lobos, H. (H.), Martelli, P. (Paola), Maso, G. (G.), Maurer-Fellbaum, U. (Ute), Van Charante, N.M. (Nico Mensing), Tollenaer, S.M. (S.) de, Moore, T. (Tamanna), Napolitano, R. (Raffaele), Oberto, M. (M.), Ogge, G. (G.), Post, J.A.M. (Joris) van der, Preston, L. (Lucy), Raimondi, F. (Francesco), Reiss, I.K.M. (Irwin), Rigano, S. (Serena), Schuit, E. (Ewoud), Skabar, A. (Aldo), Spaanderman, M.E.A., Weisglas–Kuperus, N. (Nynke), and Zimmermann, A. (Andrea)

Abstract

Objectives: To explore whether, in early fetal growth restriction (FGR), the longitudinal pattern of fetal heart rate (FHR) short-term variation (STV) can be used to identify imminent fetal distress and whether abnormalities of FHR recordings are associated with 2-year infant outcome. Methods: The original TRUFFLE study assessed whether, in early FGR, delivery based on ductus venosus (DV) Doppler pulsatility index (PI), in combination with safety-net criteria of very low STV on cardiotocography (CTG) and/or recurrent FHR decelerations, could improve 2-year infant survival without neurological impairment in comparison with delivery based on CTG monitoring only. This was a secondary analysis of women who delivered before 32 weeks and had consecutive STV data recorded > 3 days before delivery and known infant outcome at 2 years of age. Women who received corticosteroids within 3 days of delivery were excluded. Individual regression line algorithms of all STV values, except the last one before delivery, were calculated. Life tables and Cox regression analysis were used to calculate the daily risk for low STV or very low STV and/or FHR decelerations (below DV group safety-net criteria) and to assess which parameters were associated with this risk. Furthermore, it was assessed whether STV pattern, last STV value or recurrent FHR decelerations were associated with 2-year infant outcome. Results: One hundred and forty-nine women from the original TRUFFLE study met the inclusion criteria. Using the individual STV regression lines, prediction of a last STV below the cut-off used by the CTG monitoring group had sensitivity of 42% and specificity of 91%. For each day after study inclusion, the median risk for low STV (CTG group cut-off) was 4% (interquartile range (IQR), 2–7%) and for very low STV and/or recurrent FHR decelerations (below DV group safety-net criteria) was 5% (IQR, 4–7%). Measures of STV pattern, fetal Doppler (arterial or venous), birth-weight multiples of the

Published
2017
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46. How to monitor pregnancies complicated by fetal growth restriction and delivery before 32 weeks: post-hoc analysis of TRUFFLE study

Author

Ganzevoort, W. (Wessel), Mensing Van Charante, N. (N.), Thilaganathan, B. (Baskaran), Prefumo, F. (F.), Arabin, B. (Birgit), Bilardo, C.M. (Caterina Maddalena), Brezinka, C.A. (Christoph), Derks, J.B. (Jan), Diemert, A. (Anke), Duvekot, J.J. (Hans), Ferrazzi, E. (Enrico), Frusca, T. (Tiziana), Hecher, K. (Kurt), Marlow, N. (Neil), Martinelli, P. (Pasquale), Ostermayer, E. (Eva), Papageorghiou, A.T. (A.), Schlembach, D. (Dietmar), Schneider, K.T.M., Todros, T. (Tullia), Valcamonico, A. (Adriana), Visser, G.H.A. (Gerard H.A.), Wassenaer-Leemhuis, A.G. (Aleid) van, Lees, C. (Christoph), Wolf, H., Aktas, A. (Ayse), Borgione, S. (Silvia), Chaoui, R. (R.), Cornette, J.M.J. (Jérôme), Diehl, T. (Thilo), Eyck, J. (Jim) van, Fratelli, N. (N.), van Haastert, I.C., Lobmaier, S. (Silvia), Lopriore, E., Missfelder-Lobos, H. (H.), Mansi, G. (Giuseppina), Martelli, P. (Paola), Maso, G. (G.), Maurer-Fellbaum, U. (Ute), Mulder-De Tollenaer, S.M., Napolitano, F. (Francesco), Oberto, M. (M.), Oepkes, D., Ogge, G. (G.), Post, J.A.M. (Joris) van der, Preston, L. (Lucy), Raimondi, F., Rattue, H., Reiss, I.K.M. (Irwin), Scheepers, L.S., Skabar, A. (Aldo), Spaanderman, M.E.A., Weisglas-Kuperus, N. (Nynke), Zimmermann, A. (Andrea), Ganzevoort, W. (Wessel), Mensing Van Charante, N. (N.), Thilaganathan, B. (Baskaran), Prefumo, F. (F.), Arabin, B. (Birgit), Bilardo, C.M. (Caterina Maddalena), Brezinka, C.A. (Christoph), Derks, J.B. (Jan), Diemert, A. (Anke), Duvekot, J.J. (Hans), Ferrazzi, E. (Enrico), Frusca, T. (Tiziana), Hecher, K. (Kurt), Marlow, N. (Neil), Martinelli, P. (Pasquale), Ostermayer, E. (Eva), Papageorghiou, A.T. (A.), Schlembach, D. (Dietmar), Schneider, K.T.M., Todros, T. (Tullia), Valcamonico, A. (Adriana), Visser, G.H.A. (Gerard H.A.), Wassenaer-Leemhuis, A.G. (Aleid) van, Lees, C. (Christoph), Wolf, H., Aktas, A. (Ayse), Borgione, S. (Silvia), Chaoui, R. (R.), Cornette, J.M.J. (Jérôme), Diehl, T. (Thilo), Eyck, J. (Jim) van, Fratelli, N. (N.), van Haastert, I.C., Lobmaier, S. (Silvia), Lopriore, E., Missfelder-Lobos, H. (H.), Mansi, G. (Giuseppina), Martelli, P. (Paola), Maso, G. (G.), Maurer-Fellbaum, U. (Ute), Mulder-De Tollenaer, S.M., Napolitano, F. (Francesco), Oberto, M. (M.), Oepkes, D., Ogge, G. (G.), Post, J.A.M. (Joris) van der, Preston, L. (Lucy), Raimondi, F., Rattue, H., Reiss, I.K.M. (Irwin), Scheepers, L.S., Skabar, A. (Aldo), Spaanderman, M.E.A., Weisglas-Kuperus, N. (Nynke), and Zimmermann, A. (Andrea)

Abstract

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Published
2017
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49. Is middle cerebral artery Doppler related to neonatal and 2-year infant outcome in early fetal growth restriction?

Author

MS Verloskunde, Other research (not in main researchprogram), MS Neonatologie, Brain, Stampalija, Tamara, Arabin, Birgit, Wolf, Hans, Bilardo, Caterina M., Lees, Christoph, Brezinka, C., Derks, J. B., Diemert, A., Duvekot, J. J., Ferrazzi, E., Frusca, T., Ganzevoort, W., Hecher, K., Kingdom, J., Marlow, N., Marsal, K., Martinelli, P., Ostermayer, E., Papageorghiou, A. T., Schlembach, D., Schneider, K. T.M., Thilaganathan, B., Thornton, J., Todros, T., Valcamonico, A., Valensise, H., van Wassenaer-Leemhuis, A., Visser, GHA, Aktas, A., Borgione, S., Chaoui, R., Cornette, J. M.J., Diehl, T., van Eyck, J., Fratelli, N., van Haastert, I. C., Lobmaier, S., Lopriore, E., Missfelder-Lobos, H., Mansi, G., Martelli, P., Maso, G., Maurer-Fellbaum, U., Mensing van Charante, N., Mulder-de Tollenaer, S., Napolitano, R., Oberto, M., Oepkes, D., Ogge, G., van der Post, J. A.M., Prefumo, F., Preston, L., Raimondi, F., Reiss, I. K.M., Scheepers, L. S., Skabar, A., Spaanderman, M., Weisglas-Kuperus, N., Zimmermann, A., MS Verloskunde, Other research (not in main researchprogram), MS Neonatologie, Brain, Stampalija, Tamara, Arabin, Birgit, Wolf, Hans, Bilardo, Caterina M., Lees, Christoph, Brezinka, C., Derks, J. B., Diemert, A., Duvekot, J. J., Ferrazzi, E., Frusca, T., Ganzevoort, W., Hecher, K., Kingdom, J., Marlow, N., Marsal, K., Martinelli, P., Ostermayer, E., Papageorghiou, A. T., Schlembach, D., Schneider, K. T.M., Thilaganathan, B., Thornton, J., Todros, T., Valcamonico, A., Valensise, H., van Wassenaer-Leemhuis, A., Visser, GHA, Aktas, A., Borgione, S., Chaoui, R., Cornette, J. M.J., Diehl, T., van Eyck, J., Fratelli, N., van Haastert, I. C., Lobmaier, S., Lopriore, E., Missfelder-Lobos, H., Mansi, G., Martelli, P., Maso, G., Maurer-Fellbaum, U., Mensing van Charante, N., Mulder-de Tollenaer, S., Napolitano, R., Oberto, M., Oepkes, D., Ogge, G., van der Post, J. A.M., Prefumo, F., Preston, L., Raimondi, F., Reiss, I. K.M., Scheepers, L. S., Skabar, A., Spaanderman, M., Weisglas-Kuperus, N., and Zimmermann, A.

Published
2017

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