Uterine artery Doppler velocimetry for the detection of adverse obstetric outcomes in patients with elevated mid-trimester β-human chorionic gonadotrophin
| Autor: | Euan M. Wallace, Meabh N Bhuinneain, Lesleigh S Baker, Andrea Barkehall-Thomas, Catherine Wilson |
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| Rok vydání: | 2005 |
| Předmět: |
Gestational hypertension
Gynecology education.field_of_study medicine.medical_specialty business.industry Obstetrics medicine.drug_class Population Obstetrics and Gynecology Intrauterine growth restriction General Medicine Laser Doppler velocimetry medicine.disease Preeclampsia medicine.artery medicine Gestation Gonadotropin business education Uterine artery |
| Zdroj: | Acta Obstetricia et Gynecologica Scandinavica. 84:743-747 |
| ISSN: | 0001-6349 |
| DOI: | 10.1111/j.0001-6349.2005.00798.x |
| Popis: | Aim. The aim of this study is to review the clinical usefulness of Doppler velocimetry of the uterine artery for the detection of adverse obstetric outcome in a population of women with elevated mid-trimester serum β-human chorionic gonadotrophin (βhCG). Methods. Women with an unexplained elevated mid-trimester βhCG level (≥ 4.0 multiples of the median) are offered uterine artery Doppler assessment at 22-24 weeks of gestation. We have audited the clinical usefulness of this practice by reviewing the prevalence of the adverse outcomes of gestational hypertension, intrauterine growth restriction (IUGR) and preterm birth and the predictive capacity of the test when applied to this subgroup of high-risk patients. Results. Sixty-two women had an elevated serum βhCG and underwent Doppler study of uterine artery flow velocity waveform. Notching afforded better predictive utility for any outcome than the resistance index alone or in combination with notching. For a composite adverse outcome of any or all of gesta... |
| Databáze: | OpenAIRE |
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