Non-invasive measurements of ductus arteriosus flow directly after birth

Jeroen J van Vonderen, Arjan B Te Pas, Clara Kolster-Bijdevaate, Jan M Van Lith, Nico A Blom, Stuart Brian Hooper, Arno A W Roest

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Abstract

To assess ductus arteriosus (DA) blood flow directly after birth in healthy term infants after elective caesarean section. DESIGN: In healthy term newborns, echocardiography was performed at 2, 5 and 10 min after birth to monitor cardiac output and DA blood flow. Heart rate (HR) was assessed using ECG. SETTING: The delivery rooms of the Leiden University Medical Center. PATIENTS: 24 healthy term infants born after a caesarean section were included in this study. RESULTS: Mean (SD) HR did not change (158 (18) beats per minute (bpm), 5 min (159 (23) bpm) and 10 min (156 (19) bpm). DA diameter decreased from 5.2 (1.3) mm at 2 min to 4.6 (1.3) mm at 5 min (p=0.01) to (3.9 (1.2) mm) (p=0.01) at 10 min. Right-to-left DA shunting was unaltered (median (IQR) 95 (64-154) mL/kg/min to 90 (56-168) mL/kg/min and 80 (64-120) mL/kg/min, respectively (ns)), whereas left-to-right shunting significantly increased between 2 and 5 min (41 (31-70) mL/kg/min vs 67 (37-102) mL/kg/min (p=0.01)) and increased significantly between 2 and 10 min (93 (67-125)) mL/kg/min (p
Original languageEnglish
Pages (from-to)F408 - F412
Number of pages5
JournalArchives of Disease in Childhood: Fetal and Neonatal Edition
Volume99
Issue number5
DOIs
Publication statusPublished - 2014

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