The role of uterine artery Doppler in predicting adverse pregnancy outcome

A T Papageorghiou, C K H Yu, K H Nicolaides

    Research output: Contribution to journalConference paper

    196 Citations (Scopus)

    Abstract

    The complications of placental insufficiency, pre-eclampsia and fetal growth restriction (FGR) are major causes of perinatal as well as maternal morbidity and mortality. In normal pregnancy, impedance to flow in the uterine arteries decreases with gestation, and histopathological studies suggest that this is due to trophoblastic invasion of the spiral arteries and their conversion into low-resistance vessels. Failure of trophoblastic invasion is associated with complications of uteroplacental insufficiency. Several Doppler screening studies, both in the second and more recently in the first trimester of pregnancy, have demonstrated an association between increased impedance to flow in the uterine arteries and subsequent development of pre-eclampsia, FGR and perinatal death.
    Original languageEnglish
    Pages (from-to)383 - 396
    Number of pages14
    JournalBest Practice & Research Clinical Obstetrics & Gynaecology
    Volume18
    Issue number3
    Publication statusPublished - Jun 2004
    Event7th International Symposium on Intrauterine Surveillance - London, ENGLAND
    Duration: 1 Jan 2004 → …

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