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/10147/207715
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:
J Perinat Med. 2011 Mar;39(2):143-9. Epub 2010 Dec 3.
Journal:
Journal of perinatal medicine
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207715
DOI:
10.1515/JPM.2010.130
PubMed ID:
21126220
Abstract:
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.
Language:
eng
MeSH:
Adolescent; Adult; Delivery, Obstetric; Female; Gravidity; Humans; Infant, Newborn; Infant, Small for Gestational Age; Labor, Obstetric; Male; Pregnancy; Pregnancy Complications/etiology/ultrasonography; Pregnancy Outcome; Retrospective Studies; Risk Factors; Ultrasonography, Doppler, Color; Ultrasonography, Prenatal; Umbilical Arteries/*ultrasonography; Uterine Artery/*ultrasonography; Young Adult
ISSN:
1619-3997 (Electronic); 0300-5577 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorCooley, Sharon Men_GB
dc.contributor.authorDonnelly, Jennifer Cen_GB
dc.contributor.authorWalsh, Thomasen_GB
dc.contributor.authorMacMahon, Corrinaen_GB
dc.contributor.authorGillan, Johnen_GB
dc.contributor.authorGeary, Michael Pen_GB
dc.date.accessioned2012-02-01T10:37:49Z-
dc.date.available2012-02-01T10:37:49Z-
dc.date.issued2012-02-01T10:37:49Z-
dc.identifier.citationJ Perinat Med. 2011 Mar;39(2):143-9. Epub 2010 Dec 3.en_GB
dc.identifier.issn1619-3997 (Electronic)en_GB
dc.identifier.issn0300-5577 (Linking)en_GB
dc.identifier.pmid21126220en_GB
dc.identifier.doi10.1515/JPM.2010.130en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207715-
dc.description.abstractAIMS: 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_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshDelivery, Obstetricen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshGravidityen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInfant, Newbornen_GB
dc.subject.meshInfant, Small for Gestational Ageen_GB
dc.subject.meshLabor, Obstetricen_GB
dc.subject.meshMaleen_GB
dc.subject.meshPregnancyen_GB
dc.subject.meshPregnancy Complications/etiology/ultrasonographyen_GB
dc.subject.meshPregnancy Outcomeen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshRisk Factorsen_GB
dc.subject.meshUltrasonography, Doppler, Coloren_GB
dc.subject.meshUltrasonography, Prenatalen_GB
dc.subject.meshUmbilical Arteries/*ultrasonographyen_GB
dc.subject.meshUterine Artery/*ultrasonographyen_GB
dc.subject.meshYoung Adulten_GB
dc.titleThe impact of umbilical and uterine artery Doppler indices on antenatal course, labor and delivery in a low-risk primigravid population.en_GB
dc.contributor.departmentDepartment of Obstetrics and Gynaecology, Rotunda Hospital, Dublin 1, Ireland., smcooley@hotmail.comen_GB
dc.identifier.journalJournal of perinatal medicineen_GB
dc.description.provinceLeinster-

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