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

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    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
    Issue Date
    2012-02-01T10:37:49Z
    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
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    Citation
    J Perinat Med. 2011 Mar;39(2):143-9. Epub 2010 Dec 3.
    Journal
    Journal of perinatal medicine
    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
    ISSN
    1619-3997 (Electronic)
    0300-5577 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1515/JPM.2010.130
    Scopus Count
    Collections
    Rotunda Hospital

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