The impact of umbilical and uterine artery Doppler indices on antenatal course, labor and delivery in a low-risk primigravid population.

Hdl Handle:
http://hdl.handle.net/10147/189989
Title:
The impact of umbilical and uterine artery Doppler indices on antenatal course, labor and delivery in a low-risk primigravid population.
Authors:
Cooley, Sharon M; Donnelly, Jennifer C; Walsh, Thomas; MacMahon, Corrina; Gillan, John; Geary, Michael P
Affiliation:
Department of Obstetrics and Gynaecology, Rotunda Hospital, Dublin 1, Ireland. smcooley@hotmail.com
Citation:
The impact of umbilical and uterine artery Doppler indices on antenatal course, labor and delivery in a low-risk primigravid population. 2011, 39 (2):143-9 J Perinat Med
Journal:
Journal of perinatal medicine
Issue Date:
Mar-2011
URI:
http://hdl.handle.net/10147/189989
DOI:
10.1515/JPM.2010.130
PubMed ID:
21126220
Additional Links:
http://www.reference-global.com/doi/abs/10.1515/JPM.2010.130?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed
Abstract:
To evaluate the impact of umbilical and uterine artery Doppler in the second and third trimester on antenatal course, labor and delivery in a low-risk primigravid population.; Prospective recruitment of 1011 low-risk primigravidas with uterine and umbilical artery Doppler assessment at 22-24 weeks and 36 weeks. All mothers and infants were reviewed postnatally with a retrospective analysis of ultrasound and clinical outcome data.; Elevated uterine artery indices were associated with increased rates of threatened miscarriage, higher rates of pre-eclampsia (PET) and a higher incidence of fetal birth weight <2nd and 9th centile for gestation. Uterine artery pulsatility index (PI) >95th centile for gestation was associated with statistically higher rates of small-for-gestational age (SGA) infants. Elevated umbilical artery indices were associated with higher rates of induction of labor and a higher incidence of fetal birth weight infants <2nd and 9th centile for gestation. Umbilical artery PI >95th centile for gestation was associated with statistically higher rates of SGA infants.; Elevated uterine and umbilical artery indices are associated with higher rates of maternal and fetal disease.
Item Type:
Article
Language:
en
Description:
AIMS: To evaluate the impact of umbilical and uterine artery Doppler in the second and third trimester on antenatal course, labor and delivery in a low-risk primigravid population. METHODS: Prospective recruitment of 1011 low-risk primigravidas with uterine and umbilical artery Doppler assessment at 22-24 weeks and 36 weeks. All mothers and infants were reviewed postnatally with a retrospective analysis of ultrasound and clinical outcome data. RESULTS: Elevated uterine artery indices were associated with increased rates of threatened miscarriage, higher rates of pre-eclampsia (PET) and a higher incidence of fetal birth weight <2nd and 9th centile for gestation. Uterine artery pulsatility index (PI) >95th centile for gestation was associated with statistically higher rates of small-for-gestational age (SGA) infants. Elevated umbilical artery indices were associated with higher rates of induction of labor and a higher incidence of fetal birth weight infants <2nd and 9th centile for gestation. Umbilical artery PI >95th centile for gestation was associated with statistically higher rates of SGA infants. CONCLUSION: Elevated uterine and umbilical artery indices are associated with higher rates of maternal and fetal disease.
MeSH:
Adolescent; Adult; Delivery, Obstetric; Female; Gravidity; Humans; Infant, Newborn; Infant, Small for Gestational Age; Labor, Obstetric; Male; Pregnancy; Pregnancy Complications; Pregnancy Outcome; Retrospective Studies; Risk Factors; Ultrasonography, Doppler, Color; Ultrasonography, Prenatal; Umbilical Arteries; Uterine Artery; Young Adult
ISSN:
1619-3997

Full metadata record

DC FieldValue Language
dc.contributor.authorCooley, Sharon Men
dc.contributor.authorDonnelly, Jennifer Cen
dc.contributor.authorWalsh, Thomasen
dc.contributor.authorMacMahon, Corrinaen
dc.contributor.authorGillan, Johnen
dc.contributor.authorGeary, Michael Pen
dc.date.accessioned2011-11-18T15:22:22Z-
dc.date.available2011-11-18T15:22:22Z-
dc.date.issued2011-03-
dc.identifier.citationThe impact of umbilical and uterine artery Doppler indices on antenatal course, labor and delivery in a low-risk primigravid population. 2011, 39 (2):143-9 J Perinat Meden
dc.identifier.issn1619-3997-
dc.identifier.pmid21126220-
dc.identifier.doi10.1515/JPM.2010.130-
dc.identifier.urihttp://hdl.handle.net/10147/189989-
dc.descriptionAIMS: To evaluate the impact of umbilical and uterine artery Doppler in the second and third trimester on antenatal course, labor and delivery in a low-risk primigravid population. METHODS: Prospective recruitment of 1011 low-risk primigravidas with uterine and umbilical artery Doppler assessment at 22-24 weeks and 36 weeks. All mothers and infants were reviewed postnatally with a retrospective analysis of ultrasound and clinical outcome data. RESULTS: Elevated uterine artery indices were associated with increased rates of threatened miscarriage, higher rates of pre-eclampsia (PET) and a higher incidence of fetal birth weight <2nd and 9th centile for gestation. Uterine artery pulsatility index (PI) >95th centile for gestation was associated with statistically higher rates of small-for-gestational age (SGA) infants. Elevated umbilical artery indices were associated with higher rates of induction of labor and a higher incidence of fetal birth weight infants <2nd and 9th centile for gestation. Umbilical artery PI >95th centile for gestation was associated with statistically higher rates of SGA infants. CONCLUSION: Elevated uterine and umbilical artery indices are associated with higher rates of maternal and fetal disease.en
dc.description.abstractTo evaluate the impact of umbilical and uterine artery Doppler in the second and third trimester on antenatal course, labor and delivery in a low-risk primigravid population.-
dc.description.abstractProspective recruitment of 1011 low-risk primigravidas with uterine and umbilical artery Doppler assessment at 22-24 weeks and 36 weeks. All mothers and infants were reviewed postnatally with a retrospective analysis of ultrasound and clinical outcome data.-
dc.description.abstractElevated uterine artery indices were associated with increased rates of threatened miscarriage, higher rates of pre-eclampsia (PET) and a higher incidence of fetal birth weight <2nd and 9th centile for gestation. Uterine artery pulsatility index (PI) >95th centile for gestation was associated with statistically higher rates of small-for-gestational age (SGA) infants. Elevated umbilical artery indices were associated with higher rates of induction of labor and a higher incidence of fetal birth weight infants <2nd and 9th centile for gestation. Umbilical artery PI >95th centile for gestation was associated with statistically higher rates of SGA infants.-
dc.description.abstractElevated uterine and umbilical artery indices are associated with higher rates of maternal and fetal disease.-
dc.language.isoenen
dc.relation.urlhttp://www.reference-global.com/doi/abs/10.1515/JPM.2010.130?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmeden
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshDelivery, Obstetric-
dc.subject.meshFemale-
dc.subject.meshGravidity-
dc.subject.meshHumans-
dc.subject.meshInfant, Newborn-
dc.subject.meshInfant, Small for Gestational Age-
dc.subject.meshLabor, Obstetric-
dc.subject.meshMale-
dc.subject.meshPregnancy-
dc.subject.meshPregnancy Complications-
dc.subject.meshPregnancy Outcome-
dc.subject.meshRetrospective Studies-
dc.subject.meshRisk Factors-
dc.subject.meshUltrasonography, Doppler, Color-
dc.subject.meshUltrasonography, Prenatal-
dc.subject.meshUmbilical Arteries-
dc.subject.meshUterine Artery-
dc.subject.meshYoung Adult-
dc.titleThe impact of umbilical and uterine artery Doppler indices on antenatal course, labor and delivery in a low-risk primigravid population.en
dc.typeArticleen
dc.contributor.departmentDepartment of Obstetrics and Gynaecology, Rotunda Hospital, Dublin 1, Ireland. smcooley@hotmail.comen
dc.identifier.journalJournal of perinatal medicineen
dc.description.provinceLeinster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.