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Ultrasound Detects Placenta Problems in Small Babies

By MedImaging International staff writers
Posted on 07 Feb 2024

Approximately 10% of fetuses are categorized as small for their gestational age. If these babies are otherwise healthy, there's typically no need for intervention during the pregnancy. However, for small babies experiencing placental dysfunction, proactive measures may be necessary, sometimes including the induction of birth. Therefore, it is crucial to identify which small babies are affected by placental issues. Now, a new study has discovered that Doppler ultrasound, which measures the blood flow in small unborn babies, can indicate the health of the placenta. If deviations are repeatedly observed in these Doppler measurements, further monitoring of the fetus is required. Such deviations signal an increased risk of oxygen deficiency and other health issues for the baby.

Growth ultrasounds have been utilized for nearly half a century to identify small fetuses and monitor their growth patterns, particularly to see if their growth rate decreases over time. In the study conducted at Amsterdam UMC (Amsterdam, the Netherlands), small babies were given a 'Doppler ultrasound' in addition to standard growth measurements. This ultrasound assesses the resistance in the blood vessels of the umbilical cord, providing insight into the blood flow to the placenta. It can also measure blood supply to the fetus's brain. An unusually high supply can indicate suboptimal placental function. In such cases, the fetus increases blood flow to the brain to mitigate deficiencies caused by the underperforming placenta. Poor placental function elevates the risk of health problems, like oxygen deprivation, and can increase the likelihood of mortality around birth.

The study also investigated whether inducing labor before 37 weeks of gestation led to better outcomes for the child. The findings showed no improvement in outcomes from early induction. Consequently, the recommendation is to delay labor induction until at least 37 weeks of pregnancy, unless additional health risks emerge. This approach is based on the understanding that it is generally better for the baby to remain in the womb as long as possible without additional health risks.

"What was possible with a Doppler ultrasound was already known, but it is not yet standard practice in all hospitals," said Mauritia Marijnen, PhD candidate at Amsterdam UMC and first author of the study. “This research now shows that this measurement certainly has added value for detecting pregnancies in babies that are too small with a malfunctioning placenta.”

"By adding this Doppler ultrasound to the care plan of these undersized babies, the higher risk of problems surrounding childbirth can be better detected and monitored,” added Wessel Ganzevoort, associate professor of obstetrics at Amsterdam UMC and leader of this study. “Small babies for whom the measurement is normal can also be monitored less intensively. There is therefore a greater chance that the delivery will take place naturally, without intervention.”

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84 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

92 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

93 (56.982040405273): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294800179 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

94 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

95 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

96 (408.88786315918): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294800179 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

97 (626.0871887207): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

98 (335.9317779541): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

99 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

100 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

101 (163.07830810547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

102 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

103 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

104 (39.815902709961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

105 (304.9373626709): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

106 (!!!!! 20916.938781738): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

107 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

108 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

109 (376.93977355957): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294800179 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294800179 AND type='deeppockets_item' AND published='1' LIMIT 1

110 (!!!!! 400121.92726135): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

111 (173.09188842773): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

112 (289.9169921875): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

113 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

114 (221.01402282715): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

115 (42.915344238281): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

116 (214.0998840332): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

117 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

118 (263.92936706543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

119 (104.90417480469): SELECT name FROM jos_deeppockets WHERE id=214

120 (72.002410888672): SELECT name FROM jos_deeppockets WHERE id=214

121 (456.80999755859): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

122 (374.79400634766): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

123 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

124 (39.815902709961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

125 (!!!!! 7596.9696044922): TRUNCATE TABLE jos_trademed_module

126 (81.062316894531): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294800179 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

127 (808.9542388916): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

128 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

129 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

130 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

131 (!!!!! 1070.9762573242): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

132 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

133 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

134 (36.001205444336): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294800179 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294800179 AND type='deeppockets_item' AND published='1' LIMIT 1

135 (30.040740966797): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)

136 (27.179718017578): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)

137 (34.093856811523): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

138 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

139 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800179 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800179 AND published='1' LIMIT 1

140 (108.95729064941): select jos_twitters.link from jos_twitters where cat=10

141 (28.848648071289): select jos_facebook.link from jos_facebook where cat=10

142 (27.179718017578): select jos_google_plus.link from jos_google_plus where cat=10

143 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

144 (255.10787963867): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

145 (!!!!! 1173.9730834961): insert into jos_banners_delta values (14615,'2025-04-29 15:48:56','18.222.24.251','view'),(14202,'2025-04-29 15:48:56','18.222.24.251','view'),(14203,'2025-04-29 15:48:56','18.222.24.251','view')

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