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Identifying the High-Risk Fetus in the Low-Risk Mother Using Fetal Doppler Screening

Ute Feucht, Tsakane Hlongwane, Valerie Vannevel, Helen Mulol, Tanita Botha and Robert Pattinson
Global Health: Science and Practice June 2022, 10(3):e2100692; https://doi.org/10.9745/GHSP-D-21-00692

Figures & Tables

Figures

  • Figure

    The Umbiflow device, a continuous-wave Doppler ultrasound device used to measure the resistance index in the umbilical artery. © 2022 Council for Scientific and Industrial Research/South African Medical Research Council

  • FIGURE
    FIGURE

    Protocol for Managing Women With an Abnormal Continuous-Wave Doppler Ultrasound Result

    Abbreviations: AEDF, absent end diastolic flow; AFI, amniotic fluid index; CTG, cardiotocograph; RI, resistance index; SF, symphysis fundal height.

    Note: Ward-based health outreach teams assisted to trace patients who could not be contacted by other means (except in Umbi-9 study).

Tables

  • TABLE.

    Results of Recent Umbiflow Studies

    No. of ParticipantsPrevalence Abnormal RIPrevalence AEDFMortality Reduction
    Mamelodi
    Nkosi et al.21    		2,86811.7%1.5%PNMR: −42%
    Umbi 9
    Hlongwane et al.29    		7,08813.0%1.2%SBR: −43%
    Umbiflow International
    Vannevel et al.30    		7,1516.9%0.2%---

    • Abbreviations: AEDF, absent end diastolic flow; PNMR, perinatal mortality rate; RI, resistance index; SBR, stillbirth rate.

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Identifying the High-Risk Fetus in the Low-Risk Mother Using Fetal Doppler Screening
Ute Feucht, Tsakane Hlongwane, Valerie Vannevel, Helen Mulol, Tanita Botha, Robert Pattinson
Global Health: Science and Practice Jun 2022, 10 (3) e2100692; DOI: 10.9745/GHSP-D-21-00692
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