JDMS Article - SDMS CME Credit

Article: Hemodynamic Changes in Umbilical Artery and Middle Cerebral Artery With Oligohydramnios in Third Trimester of Pregnancy

Authors: Zara Jabeen, MPhil, Raham Bacha, PhD, MS, Zain-ul-Hassan, PhD, Mehreen Fatima, PhD, Iqra Manzoor, MPhil, Iqra Ramzan, MSMIT, and Maida Iyaz, MPH

Category: OB/GYN [OB]

Credit: 0.75 SDMS CME Credit

Objectives: After studying the article entitled “Hemodynamic Changes in Umbilical Artery and Middle Cerebral Artery With Oligohydramnios in Third Trimester of Pregnancy,” you will be able to:

1. Define oligohydramnios

2. Explain the role that amniotic fluid plays in fetal development

3. Explain the hemodynamic dynamic changes in the umbilical artery (UA) and middle cerebral artery (MCA) with oligohydramnios in the third trimester of pregnancy

1. An amniotic fluid index (AFI) below which measurement is diagnostic of oligohydramnios?

2. 0 cm

3. 15 cm

4. 20 cm

According to this article, what is the risk of miscarriage when both the uterine and fetal cerebral waveforms change at the same time?

4%

25%

60%

86%

What was the mean AFI in this study?

2.00

4.20

6.50

8.0

Which ultrasound parameter was used in this study to identify the UA?

B mode

M mode

Pulsed Doppler

Color Doppler

According to Table 2, what was the mean pulsatility indices (PI) of the MCA?

0.66

1.25

1.67

1.77