Journals / Journal of Surgery and Medicine / 2021 / Cilt: 5 - Sayı: 4

The effect of uterine and spiral artery Doppler velocimetry in predicting miscarriage in threatened miscarriage patients

Uterin ve spiral arter doppler velosimetrisinin abortus imminens hastalarında abortusu öngörmedeki etkisi

Pages
376–379
Publication Date
2021-04-01
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions: Our results showed that there was no significant difference between the indexes of spiral and uterine artery in Doppler ultrasonography.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background/Aim: Doppler sonography was used to investigate the effect of abnormal placentation on early and late pregnancy complications with conflicting results on changes in uterine blood flow and spiral arteries in early pregnancy.
📊
Key Findings & Data:Methods: In this prospective case-control study, the uterine and spiral artery Doppler findings of 60 patients with threatened miscarriage between 12-20 weeks of gestation were compared with those of 60 healthy pregnant women at similar gestational weeks.
💡
Conclusion & Impact:Conclusions: Our results showed that there was no significant difference between the indexes of spiral and uterine artery in Doppler ultrasonography.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Abortus imminens · Pulsalite indeks · Rezistans indeks

Abstract

Background/Aim: Doppler sonography was used to investigate the effect of abnormal placentation on early and late pregnancy complications with conflicting results on changes in uterine blood flow and spiral arteries in early pregnancy. This study aimed to compare the uterine and spiral artery Doppler findings between healthy pregnant women and patients with threatened miscarriage. Methods: In this prospective case-control study, the uterine and spiral artery Doppler findings of 60 patients with threatened miscarriage between 12-20 weeks of gestation were compared with those of 60 healthy pregnant women at similar gestational weeks. Resistance index, spiral artery pulsatility index, systolic/diastolic ratio, and uterine artery Doppler values were evaluated. Results: The patients in the threatened miscarriage group had a higher mean age than those in the control group (P0.05 for each). Conclusions: Our results showed that there was no significant difference between the indexes of spiral and uterine artery in Doppler ultrasonography. Further studies are needed to evaluate uterine vascular bed alterations to predict the threatened miscarriage prognosis in the first trimester.

Özet

Giriş: Uterin ve spiral arter doppler bulgularının sağlıklı gebeler ve abortus imminens tanılı hastalar arasında karşılaştırılması. Yöntemler: Çalışma prospektif vaka-kontrol çalışması olarak planlandı. 12-20 hafta arası gebeliği olan abortus imminens tanılı hastalar ve sağlıklı gebeler arasında uterin ve spiral arter doppler bulguları (pulsalite indeksleri, rezistan indeksleri, sistol/diyastol oranları) karşılaştırıldı. Bulgular: Ortalama yaş abortus imminens tanılı hastalarda kontrol grubundan yüksekti (p 0.05). Sonuç: İlk trimesterde uterus vasküler yatağını değerlendiren az sayıda çalışma mevcuttur. Uterin vasküler yatağı değerlendirerek, ilk trimesterde abortus imminens prognozunu öngören daha fazla sayıda çalışmaya ihtiyaç vardır.

🔖

Cite This Article

OKÇU, N. T., GÜRBÜZ, T. (2021). The effect of uterine and spiral artery Doppler velocimetry in predicting miscarriage in threatened miscarriage patients. Journal of Surgery and Medicine, Cilt: 5 - Sayı: 4, 376–379. https://ajindex.com/articles/779991

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Alp MN, Oral D. Genetic screening of couples with recurrent spontaneous abortion. Dicle Tıp Dergisi. 2006;33(2):71-80
  2. Makrydimas G, Sebire NJ, Lolis D, Vlassis N, Nicolaides KH. Fetal loss following ultrasound diagnosis of a live fetus at 6-10 weeks of gestation. Ultrasound Obstet Gynecol. 2003;22(4):368-72
  3. Tong S, Kaur A, Walker SP, Bryant V, Onwude JL, Permezel M. Miscarriage risk for asymptomatic women after a normal first-trimester prenatal visit. Obstet Gynecol. 2008;111(3):710-4
  4. Ozdemirci S, Karahanoglu E, Esinler D, Gelisen O, Kayıkcıoglu F. Influence of threatened miscarriage on pregnancy and the early postpartum period: a case-control report. J Matern Fetal Neonatal Med. 2015;28(10):1186-9
  5. Kurdi W, Fayyad A, Thakur V, Harrington K. Delayed normalization of uterine artery Doppler waveforms is not a benign phenomenon. Eur J Obstet Gynecol Reprod Biol. 2004;117(1):20-3
  6. Prefumo F, Sebire NJ, Thilaganathan B. Decreased endovascular trophoblast invasion in first trimester pregnancies with high resistance uterine artery Doppler indices. Hum Reprod. 2004;19(1):206-9
  7. Dugoff L, Lynch AM, Cioffi-Ragan D, et al. First trimester uterine artery Doppler abnormalities predict subsequent intrauterine growth restriction. Am J Obstet Gynecol. 2005;193(3 Pt 2):1208-12
  8. Makikallio K, Jouppila P, Tekay A. First trimester uterine, placental and yolk sac haemodynamics in preeclampsia and preterm labour. Hum Reprod. 2004;19(3):729-33
  9. Guedes-Martins L, Saraiva J, Gaio R, Macedo F, Almeida H. Uterine artery impedance at very early clinical pregnancy. Prenat Diagn. 2014;34(8):719-25
  10. Marchi L, Zwertbroek E, Snelder J, Kloosterman M, Bilardo CM. Intra- and inter-observer reproducibility and generalizability of first trimester uterine artery pulsatility index by transabdominal and transvaginal ultrasound. Prenat Diagn. 2016;36(13):1261-9
  11. Jauniaux E, Burton GJ. Pathophysiology of histological changes in early pregnancy loss. Placenta. 2005;26(2-3):114–23
  12. Aardema MW, Oosterhof H, Timmer A, Van Rooy I, Aarnoudse JG. Uterine artery Doppler flow and uteroplacental vascular pathology in normal pregnancies and pregnancies complicated by pre-eclampsia and small for gestational age fetuses. Placenta. 2001;22(5):405–11
  13. Collins SL, Stevenson GN, Noble J, Impey L. Developmental changes in spiral artery blood flow in the human placenta observed with colour Doppler ultrasonography. Placenta. 2012;33(10):782–7
  14. Pellizzari P, Pozzan C,