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VOLUME 16 , ISSUE 3 ( July-September, 2022 ) > List of Articles

ORIGINAL RESEARCH ARTICLE

Reference Values of Ductus Venosus in First and Second Trimester in Northern Indian Population: An Observational Study in Tertiary Care Center

Parmeet Kaur, Ramanjit Kaur, Gursangeet Singh, Guneet Awal, Pavneet Kaur

Keywords : Ductus venosus blood flow velocimetry, First trimester and second trimester, Northern India

Citation Information : Kaur P, Kaur R, Singh G, Awal G, Kaur P. Reference Values of Ductus Venosus in First and Second Trimester in Northern Indian Population: An Observational Study in Tertiary Care Center. Donald School J Ultrasound Obstet Gynecol 2022; 16 (3):181-186.

DOI: 10.5005/jp-journals-10009-1938

License: CC BY-NC 4.0

Published Online: 18-10-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Background: The ductus venosus (DV) can be easily identified by color Doppler mapping in the first and second trimesters. Higher values of DV parameters associated with an increased risk of congenital abnormalities have been established in recent times, thus making it important for continuous monitoring of DV. Aim: The purpose of this study was to put normal reference values of duct venosus in normal gestation during the first and second trimesters. Materials and methods: A cross-sectional study was performed on 400 consecutive pregnant patients between 10 and 24 weeks of gestation. The reference value of DV length, DV area, S wave velocity, A wave velocity, pulsatility index (PI), and resistive index (RI) were calculated. Results: The DV length ranged from 0.96 to 1.23 cm in the first trimester and 0.96 to 1.62 cm in the second trimester, respectively. The range of DV area was found between 0.07–0.15 cm2 and 0.07–0.17 cm2 in the first and in the second trimester, respectively. PI and RI ranged between 0.82–1.40 and 0.62–0.85 in the first trimester and 0.74–1.16 and 0.55–0.77 in the second trimester, respectively. S and A wave velocities ranged between 11.17–69.66 cm/second and 1.61–25.29 in the first trimester of pregnancy. The range of S and A wave velocities was between 13.78–97.11 cm/second and 2.96–49.42 cm/second in the second trimester, respectively. Conclusion: We sought to establish a reference range based on the population's percentile module to ease the process of fetal follow-up, especially in high-risk pregnancies and suspicion of chromosomal or congenital anomalies.

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  1. Kumar S. Fetal and placental physiology. In: Basic science in obstetrics and gynaecology. Elsevier; 2010. p. 49–55.
  2. Kiserud T, Rasmussen S, Skulstad S. Blood flow and the degree of shunting through the ductus venosus in the human fetus. Am J Obstet Gynecol 2000;182(1 Pt 1):147–153. DOI: 10.1016/s0002-9378(00)70504-7
  3. Kiserud T, Rasmussen S. Ultrasound assessment of the fetal foramen ovale. Ultrasound Obstet Gynecol 2001;17(2):119–124. DOI: 10.1046/j.1469-0705.2001.00331.x
  4. Kiserud T, Eik-Nes SH, Blaas HG, et al. Foramen ovale: an ultrasonographic study of its relation to the inferior vena cava, ductus venosus and hepatic veins. Ultrasound Obstet Gynecol 1992;2(6):389–396. DOI: 10.1046/j.1469-0705.1992.02060389.x
  5. Clur SA, Oude Rengerink K, Ottenkamp J, et al. Cardiac function in trisomy 21 fetuses. Ultrasound Obstet Gynecol 2011;37(2):163–171. DOI: 10.1002/uog.8819
  6. Karakoç G, Yavuz A, Eriş Yalçın S, et al. The significance of reverse flow in ductus venosus between sixteen and twenty weeks’ gestation. Turk J Obstet Gynecol 2017;14(1):23–27. DOI: 10.4274/tjod.61482
  7. Chelemen T, Syngelaki A, Maiz N, et al. Contribution of ductus venosus Doppler in first-trimester screening for major cardiac defects. Fetal Diagn Ther 2011;29(2):127–134. DOI: 10.1159/000322138
  8. Miller JL, De Veciana M, Turan S, et al. First-trimester detection of fetal anomalies in pregestational diabetes using nuchal translucency, ductus venosus Doppler, and maternal glycosylated hemoglobin. Am J Obstet Gynecol 2013;208(5):385.e1–385.e8. DOI: 10.1016/j.ajog.2013.01.041
  9. Kagan KO, Wright D, Valencia C, et al. Hum ReprodScreening for trisomies 21, 18 and 13 by maternal age, fetal nuchal translucency, fetal heart rate, free beta-hCG and pregnancy-associated plasma protein-A. 2008;23(9):1968–1975. DOI: 10.1093/humrep/den224
  10. Becker R, Wegner RD. Detailed screening for fetal anomalies and cardiac defects at the 11-13-week scan. Ultrasound Obstet Gynecol 2006;27(6):613–618. DOI: 10.1002/uog.2709
  11. Poon LC, Kametas NA, Maiz N, et al. First-trimester prediction of hypertensive disorders in pregnancy. Hypertension 2009;53(5):812–818. DOI: 10.1161/HYPERTENSIONAHA.108.127977
  12. Oh C, Harman C, Baschat AA. Abnormal first-trimester ductus venosus blood flow: a risk factor for adverse outcome in fetuses with normal nuchal translucency. Ultrasound Obstet Gynecol 2007;30(2):192–196. DOI: 10.1002/uog.4034
  13. Maiz N, Valencia C, Emmanuel EE, et al. Screening for adverse pregnancy outcome by ductus venosus Doppler at 11-13+6 weeks of gestation. Obstet Gynecol 2008;112(3):598–605. DOI: 10.1097/AOG.0b013e3181834608
  14. Maiz N, Staboulidou I, Leal AM, et al. Ductus venosus Doppler at 11 to 13 weeks of gestation in the prediction of outcome in twin pregnancies. Obstet Gynecol 2009;113(4):860–865. DOI: 10.1097/AOG.0b013e31819c9f66
  15. Kiserud T, Eik-Nes SH, Blaas HG, et al. Ultrasonographic velocimetry of the fetal ductus venosus. Lancet 1991;338(8780):1412– 1414. DOI: 10.1016/0140-6736(91)92720-m
  16. Hecher K, Campbell S, Snijders R, et al. Reference ranges for fetal venous and atrioventricular blood flow parameters. Ultrasound Obstet Gynecol 1994;4(5):381–390. DOI: 10.1046/j.1469-0705.1994.04050381.x
  17. Baschat AA, Turan OM, Turan S. Ductus venosus blood flow patterns – more than meets the eye? Ultrasound Obstet Gynecol 2012; 39(5):598–599. DOI: 10.1002/uog.10151
  18. Crispi F, Gratacós E. Fetal cardiac function: technical considerations and potential research and clinical applications. Fetal Diagn Ther 2012;32(1-2):47–64. DOI: 10.1159/000338003
  19. Bahlmann F, Wellek S, Reinhardt I, et al. Reference values of ductus venosus flow velocities and calculated waveform indices. Prenat Diagn 2000;20(8):623–634. DOI: 10.1002/1097-0223(200008)20:83.3.CO;2-U
  20. Axt-Fliedner R, Diler S, Georg T, et al. Reference values of ductus venosus blood flow velocities and waveform indices from 10 to 20 weeks of gestation. Arch Gynecol Obstet 2004;269(3):199–204. DOI: 10.1007/s00404-003-0484-y
  21. Kessler J, Rasmussen S, Hanson M et al. Longitudinal reference ranges for ductus venosus flow velocities and waveform indices. Ultrasound Obstet Gynecol 2006;28(7):890–898. DOI: 10.1002/uog.3857
  22. Tongprasert F, Srisupundit K, Luewan S, et al. Normal reference ranges of ductus venosus Doppler indices in the period from 14 to 40 weeks’ gestation. Gynecol Obstet Invest 2012;73(1):32–37. DOI: 10.1159/000329322
  23. Pokharel P, Ansari MA. Fetal ductus venosus pulsatility index and diameter during second and third trimester of gestation. J Nepal Med Assoc 2017;56(205):124–131. DOI: 10.31729/jnma.3042
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