{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T05:00:21Z","timestamp":1764997221343},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T00:00:00Z","timestamp":1557187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the correlation between fetal blood vessel Doppler measurements and fetal anemia among Rhesus isoimmunized pregnancies after two intrauterine transfusions as a potential guide to therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective observational study was conducted among 30 women who attended a single hospital in India between April 2, 2015 and October 30, 2016. The participants underwent a third intrauterine transfusion based on a middle cerebral artery (<jats:styled-content style=\"fixed-case\">MCA<\/jats:styled-content>) peak systolic velocity (<jats:styled-content style=\"fixed-case\">PSV<\/jats:styled-content>) of greater than 1.50 multiples of the median (MoM). Cordocentesis was performed before the third intrauterine transfusion and hematocrit values correlated with the blood vessel Doppler measurements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">MCA PSV<\/jats:styled-content> MoM and fetal hematocrit MoM had a correlation coefficient of \u22120.43 (95% confidence interval \u22120.68 to 0.08; <jats:italic>P<\/jats:italic>=0.017). The sensitivity, specificity, positive predictive value, and negative predictive value were 68%, 57%, 83%, and 33%, respectively. The descending aorta <jats:styled-content style=\"fixed-case\">PSV<\/jats:styled-content> \u03b4 and fetal hematocrit \u03b4 had a correlation coefficient of \u22120.54 (95% confidence interval \u22120.75 to \u22120.23; <jats:italic>P<\/jats:italic>=0.001). An area under the curve of 0.80 (standard error 0.085; <jats:italic>P<\/jats:italic>=0.017) had 87% sensitivity and 57% specificity for diagnosing fetal anemia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The descending aorta <jats:styled-content style=\"fixed-case\">PSV<\/jats:styled-content> could offer a useful diagnostic adjunct to <jats:styled-content style=\"fixed-case\">MCA PSV<\/jats:styled-content> after two intrauterine transfusions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12825","type":"journal-article","created":{"date-parts":[[2019,4,20]],"date-time":"2019-04-20T12:53:24Z","timestamp":1555764804000},"page":"218-222","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Correlation of fetal blood vessel Doppler measurements with fetal anemia among Rhesus isoimmunized pregnancies after two intrauterine transfusions"],"prefix":"10.1002","volume":"146","author":[{"given":"Sarita","family":"Kumari","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology All India Institute of Medical Sciences  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipika","family":"Deka","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology All India Institute of Medical Sciences  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vatsla","family":"Dadhwal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology All India Institute of Medical Sciences  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanamail","family":"Perumal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology All India Institute of Medical Sciences  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12265"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000362812"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(91)90281-U"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5365.1107"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2004.00394.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000328683"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-015-3915-7"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200001063420102"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.03.060"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.01.059"},{"key":"e_1_2_7_12_1","first-page":"141","volume-title":"Fetal therapy: Invasive and transplacental","author":"Fisk NM","year":"1997"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2004.04815.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2006.06451.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.118161"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.seminhematol.2005.04.007"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.01314.x"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(90)90852-X"},{"key":"e_1_2_7_19_1","first-page":"233","article-title":"Fetal blood velocities in Rh isoimmunization: Relationship to gestational age and to fetal hematocrit","volume":"68","author":"Rightmire DA","year":"1986","journal-title":"Obstet Gynecol"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)00034-O"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.1870220109"}],"container-title":["International Journal of Gynecology &amp; 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