NDLI: Uterine artery Doppler in high-risk pregnancies at 23-24 gestational weeks is of value in predicting adverse outcome of pregnancy and selecting cases for more intense surveillance

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Uterine artery Doppler in high-risk pregnancies at 23-24 gestational weeks is of value in predicting adverse outcome of pregnancy and selecting cases for more intense surveillance

Content Provider	Scilit
Author	Li, Na Ghosh, Gisela Gudmundsson, Saemundur
Copyright Year	2014
Description	Journal: Acta Obstetricia et Gynecologica Scandinavica ObjectiveTo assess the role of the placental arterial Doppler examination at 23-24 gestational weeks for predicting adverse perinatal outcome in high-risk pregnancies. DesignRetrospective register study. SettingSkane University Hospital in Malmo. PopulationSix hundred and forty-five women with high-risk pregnancies, without fetal malformations or chromosomal abnormalities. MethodsPlacental (uterine and umbilical artery) Doppler ultrasound examination at 23-24 gestational weeks. Main outcome measuresAdverse perinatal outcomes including preeclampsia, small-for-gestational age newborns (smaller than 3rd percentile or smaller than the 10th percentile), preterm delivery (<34weeks or <37weeks of gestation at delivery), cesarean section, admission to the neonatal intensive care unit and intra-uterine fetal death. ResultsAbnormal uterine artery Doppler values were detected in 45% of this high-risk group but abnormal umbilical artery Doppler indices were only seen in 3.7%. Adverse perinatal outcome increased significantly with increasing placental vascular impedance (p<0.0001). There were seven cases of intrauterine fetal death and in five the uterine artery Doppler values at 23-24weeks were abnormal. A strong correlation between abnormal uterine artery Doppler and preeclampsia was present, but not with other forms of hypertensive disorder. ConclusionPlacental Doppler screening at 23-24weeks can be used in detecting pregnancies at risk of adverse outcome and in selecting cases for more intense surveillance. A surveillance plan is proposed based on Doppler screening at 23-24weeks of gestation
Ending Page	1281
Starting Page	1276
ISSN	00221295
e-ISSN	16000412
DOI	10.1111/aogs.12488
Journal	Acta Obstetricia et Gynecologica Scandinavica
Issue Number	12
Volume Number	93
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2014-12-01
Access Restriction	Open
Subject Keyword	Journal: Acta Obstetricia et Gynecologica Scandinavica Obstetrics and Gynecology Intra‐uterine Growth Restriction Perinatal Outcome
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology

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