| Autor: |
Gus, Ridding, Philip J, Schluter, Jon A, Hyett, Andrew C, McLennan |
| Rok vydání: |
2014 |
| Předmět: |
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| Zdroj: |
Fetal diagnosis and therapy. 37(4) |
| ISSN: |
1421-9964 |
| Popis: |
Uterine artery pulsatility index (PI) is a key variable in the first trimester screening for pre-eclampsia. The aims of the study were to examine the effect of sampling the uterine arteries at a site distal to the level of the internal os, and to determine a lower limit of peak systolic velocity (PSV) to establish an auditable standard.PI and PSV measurements were performed at 11-13(+6) weeks' gestation at two sites: at the level of the internal os and 3 cm distal to the internal os. Comparative analyses utilised the Student's paired t-test. A 90% reference interval of transformed PSV measurements at the internal os was generated by polynomial regression.There was a significant reduction in both the PI (14.9%) and the PSV (17.4%) when measured at the distal site compared to the level of the internal os (both p0.001). The best estimated 5th centile for uterine artery PSV at 11-13(+6) weeks was 60.9 cm/s.PI measurements performed distal to the internal os are significantly lower and will result in inaccurate pre-eclampsia risk assessment. PSV measurements below 60 cm/s are likely to indicate an incorrect sampling site. Development of auditable measurement standards is important to ensure accuracy of prospective pre-eclampsia screening. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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