An effect of maternal nifedipine therapy on fetoplacental blood flow: a prospective study

Ahmet Namazov, Leonti Grin, Resul Karakus, Mehmet Uludogan, Habibe Ayvaci

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Purpose: The aim of this study is to assess the effects of maternal nifedipine administration on placental and fetal blood flow. Methods: A total of 29 patients with preterm labor diagnosis admitted to the tertiary care center, Zeynep Kamil Hospital, were evaluated. Before and 24–48 h after administration of oral nifedipine, Doppler ultrasound scan was carried out to measure fetal middle cerebral artery, ductus venosus, umbilical artery, and maternal uterine artery blood flow. Results: After 24 and 48 h of therapy, there were no changes in mean PI and RI in the umbilical arteries and ductus venosus (p > 0.05). Fetal middle cerebral artery and maternal uterine artery PI and RI values showed a significant reduction 24–48 h after oral nifedipine therapy (p < 0.05). Conclusions: Our study showed that 24 and 48 h after oral nifedipine therapy, there is a significant increase in fetal MCA and maternal uterine artery blood flow, while fetal umbilical artery and ductus venosus Doppler values do not change.

Original languageEnglish
Pages (from-to)685-688
Number of pages4
JournalArchives of Gynecology and Obstetrics
Volume298
Issue number4
DOIs
StatePublished - 1 Oct 2018

Keywords

  • Ductus venosus
  • Middle cerebral artery
  • Nifedipine
  • Umbilical artery
  • Uterine artery

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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