Role of uterine artery Doppler investigation in pregnant women with chronic hypertension

European Journal of Obstetrics, Gynecology, and Reproductive Biology
T FruscaA Valcamonico

Abstract

To evaluate the role of uterine artery Doppler investigation in predicting perinatal outcome of patients with chronic hypertension. Uterine artery velocimetry was investigated at 24 weeks gestation in 78 chronic hypertensive pregnant women by means of color Doppler. The resistance index (RI) and the presence of a diastolic notch were recorded and related to the development of superimposed preeclampsia (SPE), pregnancy aggravated hypertension (PAH). and intrauterine growth retardation (IUGR). There were more pregnancy complications in the 25 patients with abnormal RI, compared with the 53 women with normal RI (SPE 12% vs. 0%, PAH 36% vs. 7% and IUGR 52% vs. 2%; P<0.01), and more in women with a bilateral diastolic notch compared with those without (SPE 23% vs. 0, PAH 54% vs. 4%, IUGR 85% vs. 2%; P<0.0001), while no differences were detected in those with only a unilateral notch, except for PAH (27% vs. 4%; P<0.01). Uterine artery Doppler velocimetry identifies a subgroup of chronic hypertensive patients with a high frequency of pregnancy complications.

References

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Citations

May 1, 2002·Prenatal Diagnosis·Henry L GalanJohn C Hobbins
Dec 15, 2010·Archives of Gynecology and Obstetrics·Natalija VedmedovskaGilbert G G Donders
Jul 10, 2003·Obstetrics and Gynecology·T FruscaA Valcamonico
Dec 16, 2000·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A OhkuchiM Tateno
Apr 20, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·H ZeislerJ Deutinger
May 2, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E Hernandez-AndradeK Marsál
Jan 22, 2000·Journal of Perinatal Medicine·H JoernW Rath
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Jul 26, 2008·Seminars in Perinatology·Alessandro Ghidini, Anna Locatelli
Oct 15, 2013·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·G PaganiB Thilaganathan
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Dec 5, 2019·International Journal for Numerical Methods in Biomedical Engineering·Jason CarsonRaoul van Loon
Mar 7, 2019·Biomechanics and Modeling in Mechanobiology·Jason CarsonRaoul Van Loon

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