The Value of The Uterine Artery Doppler at 22-24 Weeks Gestation In The Prediction of Adverse Perinatal Outcome In an Unselected Population

Authors

  • Derya Eroğlu Department of Obstetrics and Gynecology Başkent University Faculty of Medicine, Ankara
  • Filiz Yanık Department of Obstetrics and Gynecology Başkent University Faculty of Medicine, Ankara
  • Eralp Başer Department of Obstetrics and Gynecology Başkent University Faculty of Medicine, Ankara
  • Esra Kuşcu Department of Obstetrics and Gynecology Başkent University Faculty of Medicine, Ankara

Keywords:

Gestational hypertension, Resistance index, Small for gestational age, Uterine Artery Doppler

Abstract

OBJECTIVE: To evaluate the value of uterine artery Doppler at 22-24 weeks gestation in the prediction of complications resulting from uteroplacental insufficiency in an unselected population.
STUDY DESIGN: A total of 383 women underwent color flow imaging combined with pulsed wave Doppler of both uterine arteries at 22-24 weeks gestation. The mean resistance index of both uterine arteries greater than 0.58, unilateral or bilateral early diastolic notches was considered abnormal.
RESULTS: The mean resistance index was greater than 0.58 in 17.5% of cases; the prevalence of unilateral and bilateral early diastolic notches was 11.5% and 3.7%, respectively. The prevalence of gestational hypertension, preeclampsia, and small for gestational age were 2.3%, 0.3%, and 10.2% respectively. The negative predictive values of abnormal resistance index, unilateral and bilateral notches for
gestational hypertension were 99.1%, 98.2%, and 97.8% respectively. The negative predictive values of each parameter for babies small for gestational age were 91.8%, 92%, and 90.2% respectively. The positive predictive values of each parameter for gestational hypertension and for babies small for gestational age were less powerful. The combination of these Doppler parameters caused a slight increase in the positive predictive values compared to a single parameter.
CONCLUSIONS: The screening efficacy of uterine artery Doppler at 22-24 weeks gestation for adverse perinatal outcome seems poor in population at low risk; however, normal uterine artery Doppler studies in this population could be used to estimate an uncomplicated pregnancy.

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Published

2007-08-16

How to Cite

1.
Eroğlu D, Yanık F, Başer E, Kuşcu E. The Value of The Uterine Artery Doppler at 22-24 Weeks Gestation In The Prediction of Adverse Perinatal Outcome In an Unselected Population. Gynecol Obstet Reprod Med [Internet]. 2007Aug.16 [cited 2022Jan.26];13(2):85-91. Available from: https://gorm.com.tr/index.php/GORM/article/view/522

Issue

Section

Obstetrics; Maternal Fetal Medicine and Perinatology

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