The impact of umbilical and uterine artery Doppler indices on antenatal course, labor and delivery in a low-risk primigravid population.
Authors
Cooley, Sharon MDonnelly, Jennifer C
Walsh, Thomas
MacMahon, Corrina
Gillan, John
Geary, Michael P
Affiliation
Department of Obstetrics and Gynaecology, Rotunda Hospital, Dublin 1, Ireland., smcooley@hotmail.comIssue Date
2012-02-01T10:37:49ZMeSH
AdolescentAdult
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
Metadata
Show full item recordCitation
J Perinat Med. 2011 Mar;39(2):143-9. Epub 2010 Dec 3.Journal
Journal of perinatal medicineDOI
10.1515/JPM.2010.130PubMed ID
21126220Abstract
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
engISSN
1619-3997 (Electronic)0300-5577 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1515/JPM.2010.130
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