Doppler sonography of the uterine and the cubital arteries in normal pregnancies, preeclampsia and intrauterine growth restriction: evidence for a systemic vessel involvement

Journal of Perinatal Medicine
Barbara SchiesslKlaus Friese

Abstract

The decrease in uterine resistance during normal pregnancy is known to be related to invading trophoblast cells which derive from placental tissue. Uterine and peripheral resistance is elevated in preeclampsia. The aim of the present study was to prospectively examine uterine and peripheral resistance in pregnancies complicated by preeclampsia (PE), fetal intrauterine growth restriction (IUGR) and pregnancy induced hypertension (PIH). Sixty-seven women with normal pregnancies, 17 with PE, 12 with IUGR underwent Doppler sonographic investigation of the uterine and the cubital arteries. The Pulsatility Index (PI) was calculated for each vessel. Statistical analysis was performed and a P-value <0.05 was considered significant. Patients with preeclampsia and IUGR showed a significant higher resistance at the placental (mean PI 1.267 and 1.063), nonplacental (mean PI 1.631 and 1.124) and cubital artery (mean PI 3,777 and 3.995) compared to the normal pregnancy group (mean PI 0.678; 0.859 and 2.95 respectively). Mean birth weight in the PE group was 1409 g, in the IUGR group 1649 g and 3419 g in the normal pregnancy group. Pregnancies with IUGR are associated with elevated peripheral resistance in the maternal arterial system as seen...Continue Reading

References

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Citations

Dec 7, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·L NanettiA L Tranquilli
Feb 19, 2008·Clinics in Perinatology·Cande V Ananth, Anthony M Vintzileos
Oct 14, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Emma von WowernPer Olofsson
Oct 21, 2016·American Journal of Physiology. Regulatory, Integrative and Comparative Physiology·Mais M AljunaidySandra T Davidge
Mar 14, 2007·Current Opinion in Obstetrics & Gynecology

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