Document Detail


Increased uterine arteries pulsatility after 34 weeks and pregnancy outcome.
MedLine Citation:
PMID:  21337443     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: To evaluate pregnancy outcome in patients with increased uterine artery pulsatility at 34 weeks as an isolated finding. METHODS: Normotensive women attending at 34 weeks for fetal growth assessment were enrolled in the study if fetal growth was appropriate and mean uterine pulsatility was persistently above the 95th centile for gestational age. Patients were excluded with any of the following conditions: multiple pregnancy, sonographic suspicion of fetal anomaly or fetal growth restriction, history of chronic maternal disease, hypertensive disorder or diabetes in the current pregnancy, one or more adverse events in the past obstetric history. The first consecutive low-risk patient attending at 34 weeks with normal uterine findings since midtrimester was selected as a control. RESULTS: Overall 66 normotensive patients with normal fetal growth and increased uterine pulsatility at 34 weeks were included in the study group. Women with abnormal Doppler findings compared to controls showed significantly lower gestational age at delivery (38.2 ± 1.6 vs 38.9 ± 1.3 weeks; p = 0.006), birthweight (2942 ± 583 vs 3404 ± 469 gr; p<0.001), Z-score (-0.61 ± 1.07 vs 0.19 ± 1.05; p<0.001), increased risk of SGA newborns (13/66 vs 1/66; p<0.001) whereas the occurrence of late preeclampsia (3/66 vs 0/66; p= 0.24), admission to NICU (6/66 vs 4/66; p= 0.74) and Caesarean section due to fetal distress (6/66 vs 3/66 p=0.49) were comparable among the two groups. CONCLUSIONS: Increased uterine artery pulsatility as an isolated finding at 34 weeks seems to increase the risk of SGA neonates. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.
Authors:
E Maroni; A Youssef; T Arcangeli; M Nanni; F De Musso; E Contro; M Kuleva; F Bellussi; G Pilu; N Rizzo; T Ghi
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-17
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  -     ISSN:  1469-0705     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.
Affiliation:
Department of Obstetrics and Gynecology, Bologna University Hospital.
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