icon fsr

文献詳細

雑誌文献

臨床婦人科産科59巻12号

2005年12月発行

文献概要

今月の臨床 FGR─Fetal Growth Restriction 娩出のタイミング

児のwell─beingを指標として

著者: 佐藤昌司1 湯元康夫2

所属機関: 1大分県立病院総合周産期母子医療センター 2九州大学大学院医学研究院生殖病態生理学

ページ範囲:P.1613 - P.1619

文献購入ページに移動
はじめに

 子宮内胎児発育遅延(fetal growth restriction : FGR)における娩出時期の設定に当たっては,妊娠期間の延長を企図しつつ,胎児健常性悪化の有無を的確に把握して娩出をはかることが重要であり,この観点から多くの研究が報告されている.本稿では,FGR症例に対する胎児健常性の評価法ならびに児娩出のタイミングについて文献的報告をもとに概説する.

参考文献

1) Cunningham FG, Leveno KJ, Bloom SL, et al : Fetal growth disorders. In : Williams Obstetrics, 22nd ed(Cunningham FG, et al ed).pp893─910, McGraw─Hill, 2005
2) American College of Obstetricians and Gynecologists : Technical Bulletin no.188, 1994
3) Freeman RK, et al : Fetal Heart Rate Monitoring. 2nd ed, p158, Williams&Wilkins, Baltimore, 1991
4) 佐藤昌司 : 機能的な視点からみたIUGRの病態生理 : 循環動態,心拍数変動および尿産生率を中心として.新生児誌26 : 25─30, 1989
5) Manning FA, Harman CR, Morrison I, et al : Fetal assessment based on fetal biophysical profile scoring. IV. An analysis of perinatal morbidity and mortality. Am J Obstet Gynecol 162 : 703─709, 1990
6) Phelan JP, Ahn MO, Smith CV, et al : Amniotic fluid index measurements during pregnancy. J Reprod Med 32 : 601─604, 1987
7) Rutherford SE, Phelan JP, Smith CV, et al : The four─quadrant assessment of amniotic fluid volume : an adjunct to antepartum fetal heart rate testing. Obstet Gynecol 70 : 353─356, 1987
8) Manning FA, Harman CR, Morrison I, et al : Fetal assessment based on fetal biophysical profile scoring. IV. An analysis of perinatal morbidity and mortality. Am J Obstet Gynecol 162 : 703─709 1990
9) Manning FA, Morrison I, Lange IR, et al : Fetal biophysical profile scoring : selective use of the nonstress test. Am J Obstet Gynecol 156 : 709─712, 1987
10) Manning FA, Morrison I, Harman CR, et al : Fetal assessment based on fetal biophysical profile scoring : Experience in 19, 221 referred high─risk pregnancies. II. An analysis of false─negative fetal deaths. Am J Obstet Gynecol 157 : 880, 1987
11) Satoh S, Nakano H : Clinical applications of the Doppler technique in monitoring the fetus. Clin Perinatol 26 : 853─868, 1999
12) Lingman G, Laurin J, Marsal K : Circulatory changes in fetuses with imminent asphyxia. Biol Neonat 49 : 66─73, 1986
13) Al─Ghazali W, Chita SK, Chapman MG, et al : Evidence of redistribution of cardiac output in asymmetrical growth retardation. Br J Obstet Gynaecol 96 : 697─704, 1989
14) Kanzaki T, Chiba Y : Evaluation of the preload condition of the fetus by inferior vena caval blood flow pattern. Fetal Diagn Ther 5 : 168─174, 1990
15) Rizzo G, Capponi A, Talone PE, et al : Doppler indices from inferior vena cava and ductus venosus in predicting pH and oxygen tension in umbilical blood at cordocentesis in growth─retarded fetuses. Ultrasound in Obstet Gynecol 7 : 401─410, 1996
16) Indik JH, Chen V, Reed KL : Association of umbilical venous with inferior vena cava blood flow velocities. Obstet Gynecol 77 : 551─557, 1991
17) Arduini D, Rizzo G, Soliani A, et al : Doppler velocimetry versus nonstress test in the antepartum monitoring of low─risk pregnancies. J Ultrasound Med 10 : 331─335, 1991
18) Chang TC, Cheng HH : Recent advances in the use of Doppler waveform indices in the antenatal assessment of intrauterine growth retardation. Aust N Z J Obstet Gynaecol 34 : 8─13, 1994
19) Arias F : Accuracy of the middle─cerebral─to─umbilical─artery resistance index ratio in the prediction of neonatal outcome in patients at high risk for fetal and neonatal complications. Am J Obstet Gynecol 171 : 1541─1545, 1994
20) Nicolaides KH, Economides DL, Soothill PW : Blood gases, pH, and lactate in appropriate─ and small─for─gestational─age fetuses. Am J Obstet Gynecol 161 : 996─1001, 1989
21) Nageotte MP, Towers CV, Asrat T, et al : Perinatal outcome with the modified biophysical profile. Am J Obstet Gynecol 170 : 1672, 1994
22) Miller DA, Rabello YA, Paul RH, et al : The modified biophysical profile : Antepartum testing in the 1990s. Am J Obstet Gynecol 174 : 812, 1996
23) Baschat AA, Gembruch U, Harman CR : The sequence of changes in Doppler and biophysical parameters as severe fetal growth restriction worsens. Ultrasound Obstet Gynecol 18 : 571, 2001
24) Baschat AA, Harman CR : Antenatal assessment of the growth restricted fetus. Curr Opin Obstet Gynecol 13 : 161, 2001

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1294

印刷版ISSN:0386-9865

雑誌購入ページに移動
icon up
あなたは医療従事者ですか?