[Notching of the bilateral uterine artery flow velocity wave-forms in the third trimester and perinatal complications].
Pulsatile color duplex Doppler ultrasonography system was used to study blood flow velocity waveforms in the uterine arteries of 492 pregnant women in the third trimester. In 38 (7.7%) patients unilateral and in 42 (8.5%) bilateral postsystolic notches were observed. Those with bilateral early diastolic notches experienced poor perinatal outcome in 40 (95.2%) instances. The same occurred in 16 (42.1%) others with unilateral notches and in 13 (3.2%) without notches but with evidence of increased impedance (pulsatility index > 1.20, resistance index > 0.58 and systolic/diastolic ratio > 2.6). The presence of bilateral postsystolic notches in the uterine artery flow velocity waveforms appears to be a reliable predictor of poor pregnancy outcome.
Jakobovits
A
A
Universitäts-Kliniken, Frauenklinik, Rheinisch-Westfälische Technische Hochschule, Aachen.
Jörn
H
H
D000328:Adult; D001034:Apgar Score; D001783:Blood Flow Velocity; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007226:Infant Mortality; D007231:Infant, Newborn; D011225:Pre-Eclampsia / Q000209:etiology; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000000981:diagnostic imaging; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D018615:Ultrasonography, Doppler, Color; D016216:Ultrasonography, Prenatal / Q000379:methods; D014599:Uterus / Q000098:blood supply* / Q000000981:diagnostic imaging
A kétoldali arteria uterina véráramlás-sebesség hullámformáinak incisurája a terhesség harmadik trimesterében és a perinatalis szövödmények.