"i agree to Ajit gandhi's point of view, Reversal of diastolic blood flow is a grave situation,measurements can be confusing & their is no need for it."
"absent or reversal of diastolic wave in the umb art conveys the exact grave situation of the fetus, and now is the universally accepted terminology (ADF and RDF). calculating the indices of such waveforms is not going to add any additional…"
"Dear Stephanie Bazinet; I will look for it but why dont you shift RI or SD RATIO to PI only,I have started taking PI and comaring with SD ratio what do you think abt this idea?"
"I think a 04 wks difference in biometry is significant. This is simple & easy to calculate. I do not particularly know the % difference in EFW between two babies."
What is normal practice/formula for determining discordance? Shouldn't it be based on fetal parameters as well as the EFW? This is the formula I have found. Any suggestions on a different formula that should be used?100-100xEFW(smaller twin)/EFW(larger twin)=%difference See More
I am trying to find the most widely used/recent Reference Values for Umbilical Artery R/I & S/D.I am using:Kofinas AM J of Perinatology Volume 9, Number 2 (March 1992) titeled Uteroplacental Doppler Flow Velocity Waveform Indices in Normal Pregnancy now.Does anyone use something different or newly published?Thanks! See More
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"That would be great! So for bidirectional flow the standard is to measure PI, but it is also useful information for normal waveforms?
I'm having a hard time finding literature that directly answers my question.
sbazinet@digison.net Thank you!
"
"yes these are important in this sequence
1) decrease DIastolic wave
2) absent diastolic wave
3)Reversal of diastolic wave--all these 1 to 3 in umb artery
4) phasicity in umb vein---which indicates hypxia/asphyxia in fetus
whereas in my experience PI…"
"In my experience, there is no possible S/D ratio for this situation, it is reported out as either absence of end diastolic flow or reversal of diastolic flow."