Document Detail


Doppler evaluation of umbilical and uterine-arcuate arteries in the postdates pregnancy.
MedLine Citation:
PMID:  1876366     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To assess the correlation between Doppler velocimetry and perinatal outcome in the postdates pregnancy, 75 women who were at least 41 weeks' gestation were evaluated twice weekly until delivery. Evaluation included Doppler velocimetry of the umbilical and uterine-arcuate arteries, as well as nonstress testing and amniotic fluid volume estimation. The mean umbilical artery systolic-diastolic ratio (S/D) was significantly higher in the pregnancies with subsequent abnormal perinatal outcomes than in those with normal outcomes (2.42 versus 2.19; P = .03). Using a receiver operating characteristic curve, an abnormal umbilical artery S/D was defined as 2.40 or greater. Using this value, sensitivity was 57.1% and specificity was 77.8%. Our study suggests that an umbilical artery S/D of 2.40, rather than the more traditionally accepted cutoff of 3.0, may be a useful threshold to identify those postdates pregnancies at high risk for abnormal perinatal outcome.
Authors:
R L Fischer; K A Kuhlman; R Depp; R J Wapner
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  78     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-09-20     Completed Date:  1991-09-20     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  363-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteries / ultrasonography
Blood Flow Velocity / physiology
Female
Humans
Placental Insufficiency / ultrasonography*
Pregnancy
Pregnancy Outcome*
Pregnancy, Prolonged / physiology*
ROC Curve
Reference Values
Sensitivity and Specificity
Ultrasonics
Ultrasonography, Prenatal*
Umbilical Arteries / ultrasonography*
Uterus / blood supply*
Grant Support
ID/Acronym/Agency:
HD21363-05/HD/NICHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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