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https://hdl.handle.net/2440/17278
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Type: | Journal article |
Title: | Use of uterine Doppler in an Australian level II maternity hospital |
Author: | Nagtegaal, M. Van Rijswijk, S. McGavin, S. Dekker, G. |
Citation: | Australian and New Zealand Journal of Obstetrics and Gynaecology, 2005; 45(5):424-429 |
Publisher: | Blackwell Publishing Asia |
Issue Date: | 2005 |
ISSN: | 0004-8666 1479-828X |
Statement of Responsibility: | Mariëtte J. C. Nagtegaal, Suzanne Van Rijswijk, Steward McGavin, Gus Dekker |
Abstract: | Objective: To evaluate the clinical usefulness of uterine Doppler. Design: Retrospective study between March 2001 and March 2003. Setting: A high-risk population of pregnant women in a busy level II Maternity unit. Methods: Resistance index (RI) measurements of the right and left uterine artery were obtained by using pulsed wave Colour Doppler. The presence of a unilateral or bilateral early diastolic notch was noted. An abnormal result was defined as a mean RI ≥ 0.58 with no, one or two notches or a mean RI < 0.58 in the presence of bilateral notches. Results: Pre-eclampsia was found in 45 (24.7%) women, gestational hypertension (GH) in 22 (12.1%) and intrauterine growth restriction (IUGR) in 42 (23.1%) of women included (total 59.9%). In the overall group, 127 (69.8%) women were found to have abnormal uterine artery Doppler results and 55 (30.2%) of patients had a normal Doppler study. No significant differences were found between the group of women with abnormal uterine artery Doppler and the women with a normal velocity waveform in the prediction of pre-eclampsia, IUGR and GH, this was also true in the various high-risk-subgroups. Conclusions: Uterine Doppler is not particularly useful to the obstetrician in the management of patients with an a priori very high risk to develop uteroplacental |
Keywords: | Humans Pregnancy Complications Fetal Growth Retardation Eclampsia Pre-Eclampsia Ultrasonography, Doppler, Pulsed Ultrasonography, Prenatal Pregnancy Outcome Prenatal Care Sensitivity and Specificity Retrospective Studies Cohort Studies Maternal Age Parity Gestational Age Pregnancy Pregnancy, High-Risk Adult Hospitals, Maternity Australia Female |
Description: | The definitive version is available at www.blackwell-synergy.com |
DOI: | 10.1111/j.1479-828X.2005.00469.x |
Description (link): | http://www.blackwell-synergy.com/doi/abs/10.1111/j.1479-828X.2005.00469.x |
Published version: | http://dx.doi.org/10.1111/j.1479-828x.2005.00469.x |
Appears in Collections: | Aurora harvest 2 Obstetrics and Gynaecology publications |
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