A Prospective Analysis of the Role of Uterine Artery Doppler Waveform Notching in the Assessment of At-Risk Pregnancies

2005 ◽  
Vol 24 (2) ◽  
pp. 137-145 ◽  
Author(s):  
Afaf El-Hamedi ◽  
Jayne Shillito ◽  
Nigel A B. Simpson ◽  
James J. Walker
Keyword(s):  
At Risk ◽  
Uterine Artery ◽  
Prospective Analysis ◽  
Uterine Artery Doppler ◽  
Doppler Waveform

scholarly journals Understanding the uterine artery Doppler waveform and its relationship to spiral artery remodelling

Placenta ◽  
2021 ◽  
Vol 105 ◽  
pp. 78-84
Author(s):  
Claire Lloyd-Davies ◽  
Sally L. Collins ◽  
Graham J. Burton
Keyword(s):  
Uterine Artery ◽  
Spiral Artery ◽  
Uterine Artery Doppler ◽  
Doppler Waveform

Role of Uterine Artery Doppler Flow in Fibroid Embolization

2002 ◽  
Vol 21 (2) ◽  
pp. 113-120 ◽  
Author(s):  
Bruce McLucas ◽  
Rita Perrella ◽  
Scott Goodwin ◽  
Louis Adler ◽  
Jerry Dalrymple
Keyword(s):  
Uterine Artery ◽  
Uterine Artery Doppler ◽  
Doppler Flow

scholarly journals Role Of Uterine Artery Doppler For Prediction Of Fetal Outcome In Preeclamptic Patients

2019 ◽  
Vol 23 (2) ◽  
pp. 209-215
Author(s):  
Hany Saber ◽  
sabry mahmoud ◽  
Allam Abd El- Monem ◽  
HAZEM ABD EL GAFFAR
Keyword(s):  
Uterine Artery ◽  
Fetal Outcome ◽  
Uterine Artery Doppler

scholarly journals Role of uterine artery Doppler at 12 to 16 weeks of gestation in prediction of pre-eclampsia an observational study

2018 ◽  
Vol 7 (8) ◽  
pp. 3162
Author(s):  
Asha Neravi ◽  
Voorkara Udayashree
Keyword(s):  
Screening Test ◽  
Uterine Artery ◽  
Color Doppler ◽  
Resistance Index ◽  
Early Prediction ◽  
Singleton Pregnancy ◽  
Uterine Artery Doppler ◽  
Non Invasive ◽  
Doppler Study ◽  
Doppler Waveform

Background: Pre-eclampsia affects 2-5% of pregnancies and is a major cause of perinatal and maternal morbidity and mortality. Doppler is a non-invasive method for evaluation of feto-placental circulation without affecting pregnancy. A high resistance index in uterine artery Doppler waveform has been shown to be the best non-invasive screening test. Thus, we have conducted this study to find out the predictive value of transvaginal uterine artery doppler in early pregnancy for the prediction of pre-eclampsia. The aim of the study was early prediction of pre-eclampsia by trans-vaginal uterine artery Doppler study at 12-16 weeks.Methods: According to the study criteria 100 antenatal women between 12 to 16 weeks of singleton pregnancy attending out patient in the Department of OBG of S. D. M. Medical College Dharwad were included. After an informed consent, the women underwent ultrasound for dating and subsequently trans-vaginal ultrasound along with color doppler was performed to obtain uterine artery indices. These women were again rescanned at 24-26 weeks of gestation trans-abdominally and further followed up clinically for development of preeclampsia.Results: Out of 100 women, 22 patients developed preeclampsia. At 12-16 weeks 35% of women had bilateral uterine artery notching, mean RI was 0.57 and PI was 0.89. When uterine artery notch at 12-16 weeks alone was considered, 34.28% of women developed preeclampsia. Detection rate increased to 85.71% when RI>0.65 was also included along with notching. Uterine artery notching at 12-16 weeks gestation had 34.29% sensitivity, 84.62% specificity, 70.51% NPV. When notch and RI>0.65 considered together sensitivity and NPV increases to 85.71% to 98.25%.Conclusions: The uterine artery Doppler waveform indices at 12-16 weeks are the best non-invasive screening test available for early prediction of preeclampsia.

scholarly journals Role of second trimester uterine artery doppler for the prediction of preeclampsia in high risk pregnancy

2019 ◽  
Vol 8 (3) ◽  
pp. 906
Author(s):  
Madhuri Thakur ◽  
Reeti Mehra
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Uterine Artery ◽  
High Risk Pregnancy ◽  
Second Trimester ◽  
Uterine Artery Doppler ◽  
Risk Pregnancy ◽  
Doppler Study ◽  
Doppler Indices

Background: The uterine artery Doppler has potentials for screening for complications of impaired placentation. The purpose of study was to assess the role of uterine artery color Doppler waveform analysis in second trimester for the prediction of preeclampsia in a high-risk pregnancy between 18-24 weeks of gestation.Methods: 100 women with moderate or high-risk factors for developing preeclampsia reporting to Obstetrics and Gynaecology department of Government Medical College and Hospital, Sector 32, Chandigarh were enrolled for present study. Transabdominal uterine artery doppler measurements was done at 18-24weeks of gestation in these patients. Doppler . The Doppler indices generated automatically from the machine , the Pulsatility Index (PI), Resistance Index (RI) , presence or absence of diastolic notch and S/D Ratio were recorded, and average was calculated.Results: Out of 100 patients there were 46 primigravidas with no additional risk factors, 22 pateints with two or more risk factors and there were no patients who had three or more risk factors in present study population. Preeclampsia is seen more commonly in primigravida and primigravida is considered as moderate risk factor for preeclampsia. It was found that an elevated second trimester uterine artery RI was significantly associated with developing preeclampsia later in pregnancy. The sensitivity and specificity of uterine artery Doppler velocimetry were found to be 84% and 55% respectively. Receiver operator characteristics (ROC) curves were created to demonstrate the prognostic value of RI and PI of uterine artery doppler indices at 18-24 weeks of gestation for the development preeclampsia. In addition, there were statistically significant positive correlations between mean RI of uterine artery doppler study and patients who developed preeclampsia. With a sensitivity of 84.21% it could identify 31% of the cases of preeclampsia at a false positive rate of 44.4%.Conclusions: Uterine artery doppler study can be used as a predictor of moderate strength for preeclampsia.

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