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Doppler Indices and Notching Assessment of Uterine Artery Between the 19th and 22nd Week of Pregnancy in the Prediction of Pregnancy Outcome.
In Vivo 2019 Nov-Dec; 33(6):2199-2204V

Abstract

BACKGROUND/AIM

The aim of this study was to determine the value of Doppler indices and notching assessment of uterine artery between the 19th and 22nd week of gestation in the prediction of pregnancy outcome such as delivery mode, birth weight, Apgar score, afterbirth pH, fetal presentation, preeclampsia and fetal growth restriction in singleton pregnancy.

PATIENTS AND METHODS

This is a retrospective cohort study of Doppler ultrasound of the uterine arteries at 19-22 week of gestation in 1,472 women with singleton pregnancies.

RESULTS

Patients with bilateral high resistance-index (RI) and pulsatility-index (RI) or with the presence of a notch showed a significantly higher prevalence of small for gestational age (SGA) fetuses and intrauterine growth restriction (IUGR), low Apgar Scores at the 1st and the 5th min, high c-section rate, preterm birth, breech birth, placental insufficiency and placental abruption. The presence of a notch significantly increased the prevalence of severe preeclampsia, HELLP-syndrome and oligohydramnios. Also, patients with a bilateral uterine notching had a higher c-section rate along with higher prevalence of SGA and IUGR at screening time.

CONCLUSION

Uterine artery Doppler waveform analysis as well as the assessment of the presence of a notch in the second trimester can be used as a screening method to identify women who will thereafter develop a severe adverse outcome.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany Dominik.Ratiu@uk-koeln.de.Department of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.Department of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.Department of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.Department of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.Department of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.Department of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.Department of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.Department of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31662556

Citation

Ratiu, Dominik, et al. "Doppler Indices and Notching Assessment of Uterine Artery Between the 19th and 22nd Week of Pregnancy in the Prediction of Pregnancy Outcome." In Vivo (Athens, Greece), vol. 33, no. 6, 2019, pp. 2199-2204.
Ratiu D, Hide-Moser K, Morgenstern B, et al. Doppler Indices and Notching Assessment of Uterine Artery Between the 19th and 22nd Week of Pregnancy in the Prediction of Pregnancy Outcome. In Vivo. 2019;33(6):2199-2204.
Ratiu, D., Hide-Moser, K., Morgenstern, B., Gottschalk, I., Eichler, C., Ludwig, S., ... Thangarajah, F. (2019). Doppler Indices and Notching Assessment of Uterine Artery Between the 19th and 22nd Week of Pregnancy in the Prediction of Pregnancy Outcome. In Vivo (Athens, Greece), 33(6), pp. 2199-2204. doi:10.21873/invivo.11722.
Ratiu D, et al. Doppler Indices and Notching Assessment of Uterine Artery Between the 19th and 22nd Week of Pregnancy in the Prediction of Pregnancy Outcome. In Vivo. 2019;33(6):2199-2204. PubMed PMID: 31662556.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Doppler Indices and Notching Assessment of Uterine Artery Between the 19th and 22nd Week of Pregnancy in the Prediction of Pregnancy Outcome. AU - Ratiu,Dominik, AU - Hide-Moser,Katherina, AU - Morgenstern,Bernd, AU - Gottschalk,Ingo, AU - Eichler,Christian, AU - Ludwig,Sebastian, AU - Grüttner,Berthold, AU - Mallmann,Peter, AU - Thangarajah,Fabinshy, PY - 2019/08/12/received PY - 2019/09/16/revised PY - 2019/09/17/accepted PY - 2019/10/31/entrez PY - 2019/10/31/pubmed PY - 2019/10/31/medline KW - Doppler KW - fetal growth restriction KW - preeclampsia KW - second trimester screening KW - uterine artery SP - 2199 EP - 2204 JF - In vivo (Athens, Greece) JO - In Vivo VL - 33 IS - 6 N2 - BACKGROUND/AIM: The aim of this study was to determine the value of Doppler indices and notching assessment of uterine artery between the 19th and 22nd week of gestation in the prediction of pregnancy outcome such as delivery mode, birth weight, Apgar score, afterbirth pH, fetal presentation, preeclampsia and fetal growth restriction in singleton pregnancy. PATIENTS AND METHODS: This is a retrospective cohort study of Doppler ultrasound of the uterine arteries at 19-22 week of gestation in 1,472 women with singleton pregnancies. RESULTS: Patients with bilateral high resistance-index (RI) and pulsatility-index (RI) or with the presence of a notch showed a significantly higher prevalence of small for gestational age (SGA) fetuses and intrauterine growth restriction (IUGR), low Apgar Scores at the 1st and the 5th min, high c-section rate, preterm birth, breech birth, placental insufficiency and placental abruption. The presence of a notch significantly increased the prevalence of severe preeclampsia, HELLP-syndrome and oligohydramnios. Also, patients with a bilateral uterine notching had a higher c-section rate along with higher prevalence of SGA and IUGR at screening time. CONCLUSION: Uterine artery Doppler waveform analysis as well as the assessment of the presence of a notch in the second trimester can be used as a screening method to identify women who will thereafter develop a severe adverse outcome. SN - 1791-7549 UR - https://www.unboundmedicine.com/medline/citation/31662556/Doppler_Indices_and_Notching_Assessment_of_Uterine_Artery_Between_the_19th_and_22nd_Week_of_Pregnancy_in_the_Prediction_of_Pregnancy_Outcome_ L2 - http://iv.iiarjournals.org/cgi/pmidlookup?view=long&pmid=31662556 DB - PRIME DP - Unbound Medicine ER -