@article{oai:shiga-med.repo.nii.ac.jp:00003955,
 author = {桂, 大輔 and 辻, 俊一郎 and 木村, 文則 and 村上, 節 and KATSURA, Daisuke and TAKAHASHI, Yuichiro and IWAGAKI, Shigenori and CHIAKI, Rika and ASAI, Kazuhiko and KOIKE, Masako and TSUJI, Shunichiro and KIMURA, Fuminori and MURAKAMI, Takashi},
 issue = {1},
 journal = {Journal of Medical Case Reports},
 month = {Jul},
 note = {pdf, Background:
There is no established treatment for fetal growth restriction during pregnancy. We report two cases that represent an example of an amnioinfusion-based management strategy for severe fetal growth restriction with umbilical cord complications., Case presentation:
We encountered two cases of fetal growth restriction with abnormal fetal Doppler velocity. In one case, fetal ultrasound revealed a hypercoiled umbilical cord with a single umbilical artery and oligohydramnios, while fetal Doppler revealed a reversed end-diastolic flow in the umbilical artery and reversed a-waves of the ductus venosus. Umbilical cord compression was confirmed at 22 weeks and 2 days of gestation, and nine amnioinfusions were performed to relieve the umbilical cord compression. A cesarean section was performed at 31 weeks and 2 days of gestation because of severe preeclampsia. The Asian infant is now a normally developed 6-month-old. In another Asian case, fetal ultrasound revealed a hypercoiled cord, while fetal Doppler revealed a reversed end-diastolic flow in the umbilical artery and intermittent reversed a-waves of the ductus venosus. Umbilical cord compression was confirmed at 24 weeks and 5 days of gestation, and seven amnioinfusions were performed. A cesarean section was performed at 31 weeks and 1 day of gestation because of nonreassuring fetal status. At the age of 1 month, the Asian infant was stable on respiratory circulation. In both cases, fetal Doppler findings improved significantly following amnioinfusions., Conclusions:
Amnioinfusion is a symptomatic treatment for umbilical cord compression. However, to determine the therapeutic effect of amnioinfusion, complete resolution of the umbilical cord compression should be ascertained by ultrasonography., Journal Article},
 title = {Successful amnioinfusion for severe fetal growth restriction with umbilical cord complications: two case reports.},
 volume = {15},
 year = {2021}
}