Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, MD, FRCOG, Joachim W.

Ed. by Bancalari, Eduardo / Chappelle, Joseph / Chervenak, Frank A. / D'Addario , Vincenzo / Genc, Mehmet R. / Greenough, Anne / Grunebaum, Amos / Konje, Justin C. / Kurjak M.D., Asim / Romero, Roberto / Zalud, MD PhD, Ivica

IMPACT FACTOR 2018: 1.361
5-year IMPACT FACTOR: 1.578

CiteScore 2018: 1.29

SCImago Journal Rank (SJR) 2018: 0.522
Source Normalized Impact per Paper (SNIP) 2018: 0.602

See all formats and pricing
More options …
Volume 41, Issue 1


Comparison between antenatal neurodevelopmental test and fetal Doppler in the assessment of fetal well being

Asim Kurjak / Amira Talic / Ulrich Honemeyer / Milan Stanojevic / Ivica Zalud
  • Department of Obstetrics, University of Hawaii John A. Burns School of Medicine, Gynecology and Women’s Health, Honolulu, HI, USA
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2012-03-21 | DOI: https://doi.org/10.1515/jpm-2012-0018


Aims: The primary aim of this study was to compare circulatory changes in the fetal brain under certain pathological conditions with alterations in fetal behavior.

Patients and methods: A prospective longitudinal cohort study on fetal behavior of fetuses from singleton pregnancies between the 28th and 38th gestational week in the period from March 2009 to October 2011 was undertaken. There were 596 fetuses in the high-risk group and 273 fetuses in the low-risk group. Elevated umbilical artery Doppler pulsatility index and reduced middle cerebral artery pulsatility index obtained in the absence of fetal movements were considered abnormal. The Kurjak Antenatal Neurodevelopmental Test (KANET) was used to assess fetal behavior.

Results: Statistically significant differences in the distribution of normal, abnormal, and borderline KANET scores between low-risk and high-risk groups were found. Furthermore, 596 fetuses from the high-risk group were subdivided into subgroups according to the risk factor. The largest proportion of abnormal KANET scores (23.9%) was in the subgroup of fetuses whose mothers had an offspring diagnosed with cerebral palsy (23.9%), followed by the proportion of borderline KANET scores in the subgroup of fetuses from febrile mothers (12.7%). Fetal behavior was significantly different between the normal group and the following subgroups of fetuses: fetal growth restriction (FGR), gestational diabetes mellitus, threatened preterm birth, antepartal hemorrhage, maternal fever, sibling with cerebral palsy, and polyhydramnios.

Conclusions: A new clinical application of the KANET test in early identification of fetuses at risk for adverse neurological outcome was demonstrated.

Keywords: Fetal behavior; fetal Doppler; high-risk pregnancies

About the article

Corresponding author: Asim Kurjak Department of Obstetrics and Gynecology Medical School University Zagreb Sveti Duh 64 Zagreb 10000 Croatia Tel.: +385-1-3712317 Fax: +385-1-3745534

Received: 2012-01-30

Revised: 2012-02-13

Accepted: 2012-02-16

Published Online: 2012-03-21

Published in Print: 2013-01-01

Citation Information: Journal of Perinatal Medicine, Volume 41, Issue 1, Pages 107–114, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/jpm-2012-0018.

Export Citation

©2012 by Walter de Gruyter Berlin Boston.Get Permission

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

Amira Dieb, Randa Salam, Dina Shaheen, and Eman Shaeer
The Journal of Maternal-Fetal & Neonatal Medicine, 2018, Page 1
Panagiotis Antsaklis, Selma Porovic, George Daskalakis, and Asim Kurjak
Journal of Perinatal Medicine, 2017, Volume 45, Number 6
Asim Kurjak, Panos Antsaklis, Milan Stanojevic, Radu Vladareanu, Simona Vladareanu, Raul Moreira Neto, Lara Spalldi Barisic, Selma Porovic, and Taib Delic
Journal of Perinatal Medicine, 2017, Volume 45, Number 6
Atul Malhotra, Michael Ditchfield, Michael C Fahey, Margie Castillo-Melendez, Beth J Allison, Graeme R Polglase, Euan M Wallace, Ryan Hodges, Graham Jenkin, and Suzanne L Miller
Pediatric Research, 2017, Volume 82, Number 2, Page 184
Toshiyuki Hata
Journal of Obstetrics and Gynaecology Research, 2016, Volume 42, Number 10, Page 1211
Monographs of the Society for Research in Child Development, 2015, Volume 80, Number 3, Page 95
Hélio Antonio Guimarães Filho, Edward Araujo Júnior, Carlos Fernando de Mello Júnior, Luciano Marcondes Machado Nardozza, and Antonio Fernandes Moron
Revista da Associação Médica Brasileira, 2013, Volume 59, Number 5, Page 507
Maja Predojević, Amira Talić, Milan Stanojević, Asim Kurjak, and Aida Salihagić Kadić
The Journal of Maternal-Fetal & Neonatal Medicine, 2014, Volume 27, Number 3, Page 247

Comments (0)

Please log in or register to comment.
Log in