Objective: To determine which variables obtained by Doppler ultrasound are associated with the outcome of patients with threatened abortion. Study design: We carried out a cross-sectional study. The patient population included patients with pregnancy less than 20 weeks, who were hospitalized with the diagnosis of threatened abortion. Results: We followed the outcome of 223 patients and found 32 patients (14.3%) who aborted and 191 patients (85.7%) who did not abort. The fetal heart rate for the group who aborted was significantly lower than the group who did not abort (143 ± 2.9 vs. 154 ± 3.6 beats per minute, respectively), p = 0.002; the resistance index of uterine artery was higher (0.79 ± 0.07 vs. 0.76 ± 0.09, respectively), p = 0.018; and the resistance index of trophoblastic flow was higher (0.55 ± 0.04 vs. 0.50 ± 0.06, respectively), p = 0.041. The resistance index of umbilical artery and corpus luteum were not statistically different. Conclusion: Alterations of fetal heart rate, resistance index of uterine artery and trophoblastic flow are associated with adverse outcome in women with threatened abortion.
| Published in | Clinical Medicine Research (Volume 2, Issue 3) |
| DOI | 10.11648/j.cmr.20130203.11 |
| Page(s) | 24-28 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Doppler Ultrasound, Threatened Abortion, Resistance Index, Uterine Artery, Trophoblastic Flow
| [1] | Sotiriadis A, Papatheodorou S, Makrydimas G. Threatened miscarriage: evaluation and management. BMJ 2004; 329:152-155. |
| [2] | Bae S, Karnitis J. Triple ultrasound markers including fetal cardiac activity are related to miscarriage risk. Fertil Steril 2011; 96:1145-1148. |
| [3] | Papaioannou GI, Syngelaki A, Maiz N, Ross JA, Nicolaides KH. Ultrasonographic prediction of early miscarriage. Hum Reprod 2011; 26:1685-1692. |
| [4] | Benson CB, Doubilet PM. Slow embryonic heart rate in early first trimester: indicator of poor pregnancy outcome. Radiology 1994; 192:343-344. |
| [5] | Kurjak A, Crvenkovic G, Salihagic A, Zalud I, Miljan M. The assessment of normal early pregnancy by transvaginal color Doppler ultrasonography. J Clin Ultrasound 1993; 21:3-8. |
| [6] | Jaffe R, Dorgan A, Abramowicz JS. Color Doppler imaging of the uteroplacental circulation in the first trimester: value in predicting pregnancy failure or complication. ARJ Am J Roentgenol 1995; 164:1255-1258. |
| [7] | Alcázar JL, Laparte C, López-Garcia G. Corpus luteum blood flow in abnormal early pregnancy. J Ultrasound Med 1996; 15:645-649. |
| [8] | El-mashad AI, Mohamed MA, Farag MA, Ahmad MK, Ismail Y. Role of uterine artery Doppler velocimetry indices and plasma adrenomedullin level in women with unexplained recurrent pregnancy loss. J Obstet Gynaecol Res 2011; 37:51-57. |
| [9] | Pellizzari P, Pozzan C, Marchiori S, Zen T, Gangemi M. Assessment of uterine artery blood flow in normal first-trimester pregnancies and in those complicated by uterine bleeding. Ultrasound Obstet Gynecol 2002; 19:366-370. |
| [10] | Goslin RG, King DH. Ultrasound angiology. In: Marcus AW, Adamson L. Editors. Arteries and veins. Edimburg: Chur-chill-Livingstone, 1975: 61-98. |
| [11] | Leible S, Cumsille F, Walton R, Muñoz H, Jankelevich J, Sepulveda W. Discordant uterine artery velocity waveforms as a predictor of subsequent miscarriage in early viable pregnancies. Am J Obstet Gynecol 1998; 179:1587-1593. |
| [12] | Salim A, Zalud I, Farmakides G, Shulman H, Kurjak A, Latin V. Corpus luteum blood flow in normal and abnormal early pregnancy: evaluation with transvaginal color and pulsed Doppler sonography. J Ultrasound Med 1994; 13:971-975. |
| [13] | Arduini D, Rizzo G. Umbilical artery velocity waveforms in early pregnancy: A transvaginal color Doppler study. J Clin Ultrasound 1991; 19:335-339. |
| [14] | Alcázar JL. Intraobserver variability of pulsatility index measurements in three fetal vessels in the first trimester. J Clin Ultrasound 1997; 25:366-371. |
| [15] | Hamela-Olkowska A, Wiech K, Jalinik K, Zarviewski D, Kornatowski L, Dangel J. Evaluation of the embryonic and foetal heart rate at 6(+0) to 11(+6) weeks of gestation. Ginekol Pol 2009; 80:188-192. |
| [16] | Cooley SM, Donnelly JC, Walsh T, MacMahon C, Gillan J, Geary MP. The impact of umbilical and uterine artery Doppler indices on antenatal course, labor and delivery in a low risk primigravid population. J Perinat Med 2011; 39:143-149. |
| [17] | Iacovella C, Franchi M, Egbor M, Bhide A, Thilaganathan B. Relationship of first-trimester uterine artery Doppler to late stillbirth. Prenat Diagn 2012; 17:1-5. |
| [18] | Alcázar JL, Ruiz-Pérez ML. Uteroplacental circulation in patients with first-trimester threatened abortion. Fertil Steril 2000; 73:130-5. |
| [19] | Jauniaux E, Johns J, Burton GJ. The role of ultrasound imaging in diagnosing and investigating early pregnancy failure. Ultrasound Obstet Gynecol 2005; 25:613-624. |
| [20] | Yazawa H, Soeda S, Hiraiwa T, Takaiwa M, Hasegawa-Endo S, Kojima M, Fujimori K. Prospective evaluation of the incidence of uterine vascular malformations developing after abortion or delivery. J Minim Invasive Gynecol 2013. pii: S1553-4650(12)01381-7. doi: 10.1016/j.jmig.2012.12.008. [Epub ahead of print]. |
APA Style
Gustavo Romero-Gutiérrez, Antonio Abraham Huebe-Martínez, Immer Amaral-Navarro, Armando Saúl Ruiz-Treviño. (2013). Doppler Ultrasound Assessment in Women with Threatened Abortion. Clinical Medicine Research, 2(3), 24-28. https://doi.org/10.11648/j.cmr.20130203.11
ACS Style
Gustavo Romero-Gutiérrez; Antonio Abraham Huebe-Martínez; Immer Amaral-Navarro; Armando Saúl Ruiz-Treviño. Doppler Ultrasound Assessment in Women with Threatened Abortion. Clin. Med. Res. 2013, 2(3), 24-28. doi: 10.11648/j.cmr.20130203.11
AMA Style
Gustavo Romero-Gutiérrez, Antonio Abraham Huebe-Martínez, Immer Amaral-Navarro, Armando Saúl Ruiz-Treviño. Doppler Ultrasound Assessment in Women with Threatened Abortion. Clin Med Res. 2013;2(3):24-28. doi: 10.11648/j.cmr.20130203.11
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Download@article{10.11648/j.cmr.20130203.11,
author = {Gustavo Romero-Gutiérrez and Antonio Abraham Huebe-Martínez and Immer Amaral-Navarro and Armando Saúl Ruiz-Treviño},
title = {Doppler Ultrasound Assessment in Women with Threatened Abortion},
journal = {Clinical Medicine Research},
volume = {2},
number = {3},
pages = {24-28},
doi = {10.11648/j.cmr.20130203.11},
url = {https://doi.org/10.11648/j.cmr.20130203.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20130203.11},
abstract = {Objective: To determine which variables obtained by Doppler ultrasound are associated with the outcome of patients with threatened abortion. Study design: We carried out a cross-sectional study. The patient population included patients with pregnancy less than 20 weeks, who were hospitalized with the diagnosis of threatened abortion. Results: We followed the outcome of 223 patients and found 32 patients (14.3%) who aborted and 191 patients (85.7%) who did not abort. The fetal heart rate for the group who aborted was significantly lower than the group who did not abort (143 ± 2.9 vs. 154 ± 3.6 beats per minute, respectively), p = 0.002; the resistance index of uterine artery was higher (0.79 ± 0.07 vs. 0.76 ± 0.09, respectively), p = 0.018; and the resistance index of trophoblastic flow was higher (0.55 ± 0.04 vs. 0.50 ± 0.06, respectively), p = 0.041. The resistance index of umbilical artery and corpus luteum were not statistically different. Conclusion: Alterations of fetal heart rate, resistance index of uterine artery and trophoblastic flow are associated with adverse outcome in women with threatened abortion.},
year = {2013}
}
TY - JOUR T1 - Doppler Ultrasound Assessment in Women with Threatened Abortion AU - Gustavo Romero-Gutiérrez AU - Antonio Abraham Huebe-Martínez AU - Immer Amaral-Navarro AU - Armando Saúl Ruiz-Treviño Y1 - 2013/05/02 PY - 2013 N1 - https://doi.org/10.11648/j.cmr.20130203.11 DO - 10.11648/j.cmr.20130203.11 T2 - Clinical Medicine Research JF - Clinical Medicine Research JO - Clinical Medicine Research SP - 24 EP - 28 PB - Science Publishing Group SN - 2326-9057 UR - https://doi.org/10.11648/j.cmr.20130203.11 AB - Objective: To determine which variables obtained by Doppler ultrasound are associated with the outcome of patients with threatened abortion. Study design: We carried out a cross-sectional study. The patient population included patients with pregnancy less than 20 weeks, who were hospitalized with the diagnosis of threatened abortion. Results: We followed the outcome of 223 patients and found 32 patients (14.3%) who aborted and 191 patients (85.7%) who did not abort. The fetal heart rate for the group who aborted was significantly lower than the group who did not abort (143 ± 2.9 vs. 154 ± 3.6 beats per minute, respectively), p = 0.002; the resistance index of uterine artery was higher (0.79 ± 0.07 vs. 0.76 ± 0.09, respectively), p = 0.018; and the resistance index of trophoblastic flow was higher (0.55 ± 0.04 vs. 0.50 ± 0.06, respectively), p = 0.041. The resistance index of umbilical artery and corpus luteum were not statistically different. Conclusion: Alterations of fetal heart rate, resistance index of uterine artery and trophoblastic flow are associated with adverse outcome in women with threatened abortion. VL - 2 IS - 3 ER -
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