Document Detail


Uterine and umbilical artery Doppler velocimetry as a predictor for adverse pregnancy outcomes in pregnant women with anemia.
MedLine Citation:
PMID:  20443671     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: The aim of this study was to investigate the significance of Doppler ultrasound as a predictor for adverse pregnancy outcomes in Korean women with anemia during the third trimester of pregnancy.
METHODS: A retrospective study comparing women with (n=377) and without (n=3183) anemia was performed. Maternal anemia was defined as hemoglobin concentration <10 g/dL. Umbilical artery Doppler (UmA) and uterine artery Doppler (UtA) velocimetry was performed before delivery.
RESULTS: There were higher rates of small for gestational age, cesareans for fetal distress, and preterm birth among the anemic compared to non-anemic women. When maternal anemia was combined with abnormal Doppler, the odds ratio (OR) of adverse pregnancy outcome was further increased. Both abnormal UtA and UmA to predict adverse pregnancy outcome showed sensitivity, specificity, positive and negative predictive values of 41.2%, 97.4%, 85.9%, and 51.2%, respectively (OR 2.0; 95% confidence interval 1.2-2.3).
CONCLUSIONS: Doppler ultrasound examination could be used as a predictor for adverse pregnancy outcomes in women with anemia during the third trimester.
Authors:
Han Sung Hwang; Young Han Kim; Ja Young Kwon; Yong Won Park
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  38     ISSN:  1619-3997     ISO Abbreviation:  J Perinat Med     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-03     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  467-71     Citation Subset:  IM    
Affiliation:
Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, Yonsei University Health System, Seoul, Republic of Korea.
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MeSH Terms
Descriptor/Qualifier:
Anemia / complications*,  ultrasonography*
Cesarean Section
Female
Humans
Infant, Newborn
Infant, Small for Gestational Age
Laser-Doppler Flowmetry
Male
Pregnancy
Pregnancy Complications, Hematologic / ultrasonography*
Pregnancy Outcome
Pregnancy Trimester, Third
Premature Birth
Republic of Korea
Retrospective Studies
Ultrasonography, Doppler, Color
Umbilical Arteries / ultrasonography*
Uterus / blood supply*,  ultrasonography*

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


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