The relationship of the umbilical artery half peak systolic velocity deceleration time with postpartum Apgar scores and umbilical cord blood pH in pregnancy with fetal growth restriction


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Ilgen O., Akercan F., HORTU İ., Guven C., Ergenoglu M., Kula H.

Ginekologia Polska, cilt.97, sa.3, ss.212-217, 2026 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 97 Sayı: 3
  • Basım Tarihi: 2026
  • Doi Numarası: 10.5603/gpl.95237
  • Dergi Adı: Ginekologia Polska
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Central & Eastern European Academic Source (CEEAS), Directory of Open Access Journals
  • Sayfa Sayıları: ss.212-217
  • Anahtar Kelimeler: fetal growth restriction, umbilical artery Doppler, umbilical artery half peak systolic velocity deceleration time
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Objectives: This study aims to examine the correlation between neonatal reactions and umbilical artery half peak systolic velocity deceleration time (UA HPSVDT) Material and methods: For the research, participants were selected among 24-40 weeks pregnant women. While the study group consisted of those with fetal growth restriction (FGR), the control group included the rest. To determine UA HPSVDT and certain Doppler parameters, Doppler ultrasonography was used and within a week before delivery, the middle cerebral artery (MCA Doppler was obtained). Likewise, a peri-operatively taken blood sample made it possible to determine Cord blood pH. Apgar scores of neonates were assessed within the 1st-5th minutes. Results: In terms of fetal weight, cord blood pH, 1st and 5th minute Apgar scores and UA HPSVDT (for all parameters p < 0.01), a significant statistical difference was found between FGR and control groups. On the other hand, a significant correlation among neonatal weight, cord blood pH, 1st-5th minute Apgar scores and UA HPSVDT were observed. It was clear that in the FGR group (for all parameters p < 0.01), the Apgar scores, cord blood pH, and neonatal weight decreased as the UA HPSVDT decreased. However, between UA HPSVDT and other variables, no remarkable statistical significance was determined. Conclusions: The research makes it clear that the UA HPSVDT time is related to umbilical artery of blood pH levels and post-natal Apgar scores; therefore, it can be useful for efforts to minimize the rate of mortality and morbidity in perinatal practices.