{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T13:44:19Z","timestamp":1700660659505},"reference-count":28,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2013,9,1]],"date-time":"2013-09-01T00:00:00Z","timestamp":1377993600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The objectives of this study is to compare ductus venosus (DV) and cerebral transverse sinus (CTS) Doppler velocimetry for predicting acidemia at birth in pregnancies complicated by placental insufficiency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective cross\u2010sectional study involving 69 cases. Doppler assessment of the DV and CTS was carried out in the last 24\u2009hours prior to delivery. The sensitivity, specificity, positive and negative predictive values, and the accuracy and false\u2010positive and false\u2010negative rates were calculated for those parameters considered to be good predictors of acidemia. The McNemar test was used to compare the various parameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The DV pulsatility index(PI), S\/A, and (S\u2009\u2212\u2009A)\/S ratios as well as the CTS PI and the (S\u2009\u2212\u2009A)\/S ratio were good predictors of acidemia. The comparison between DV and CTS showed that for pulsatility index for veins, the sensitivity was 52.4% versus 66.7%, <jats:italic>p<\/jats:italic>\u2009=\u20090.508; the specificity was 81.2% versus 77.1%, <jats:italic>p<\/jats:italic>\u2009=\u20090.774; and the accuracy was 72.5% versus 73.9%, <jats:italic>p<\/jats:italic>\u2009=\u20091.00. For the (S\u2009\u2212\u2009A)\/S ratio the sensitivity was 52.4% versus 52.4%, <jats:italic>p<\/jats:italic>\u2009=\u20091.00; the specificity was 85.4% versus 79.2%, <jats:italic>p<\/jats:italic>\u2009=\u20090.508; and the accuracy was 75.4% versus 71%, p\u2009=\u20090.647.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In pregnancies with placental insufficiency, the PI and the (S\u2009\u2212\u2009A)\/S ratio of both DV and CTS were equally effective in predicting acidemia at birth. \u00a9 2013 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pd.4208","type":"journal-article","created":{"date-parts":[[2013,7,24]],"date-time":"2013-07-24T23:19:37Z","timestamp":1374707977000},"page":"1146-1151","source":"Crossref","is-referenced-by-count":1,"title":["Ductus venosus versus cerebral transverse sinus Doppler velocimetry for predicting acidemia at birth in pregnancies complicated by placental insufficiency"],"prefix":"10.1002","volume":"33","author":[{"given":"Manoel","family":"Martins Neto","sequence":"first","affiliation":[{"name":"Assis Chateaubriand Maternity Teaching Hospital Federal University of Cear\u00e1 (UFC)  Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Herl\u00e2nio Costa","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Assis Chateaubriand Maternity Teaching Hospital Federal University of Cear\u00e1 (UFC)  Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maur\u00edcio Mendes","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics Federal University of S\u00e3o Paulo (UNIFESP)  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa Maria Salani","family":"Mota","sequence":"additional","affiliation":[{"name":"Assis Chateaubriand Maternity Teaching Hospital Federal University of Cear\u00e1 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