Uterine artery impedance to blood flow on the day of embryo transfer does not predict obstetric outcome

Objective To evaluate the influence of uterine artery impedance to blood flow on the day of embryo transfer for prediction of early pregnancy loss and obstetric outcome. Methods The uterine artery pulsatility index (PI) and resistance index (RI) were evaluated prospectively by transvaginal Doppler i...

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Veröffentlicht in:Ultrasound in obstetrics & gynecology 2000-06, Vol.15 (6), p.527-530
Hauptverfasser: Isaksson, R., Tiitinen, A., Cacciatore, B.
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Tiitinen, A.
Cacciatore, B.
description Objective To evaluate the influence of uterine artery impedance to blood flow on the day of embryo transfer for prediction of early pregnancy loss and obstetric outcome. Methods The uterine artery pulsatility index (PI) and resistance index (RI) were evaluated prospectively by transvaginal Doppler in 102 infertile women, who conceived as the result of fresh or frozen embryo transfer. Uterine artery impedance to blood flow was compared to the obstetric outcome. Results The 111 treatment cycles studied resulted in 31 spontaneous abortions, four ectopic pregnancies, and 76 deliveries. There were no differences in uterine artery PI and RI (mean ± SD) between cycles resulting in normal delivery (2.69 ± 0.71 and 0.88 ± 0.06) and those resulting in spontaneous abortion (2.71 ± 0.67 and 0.88 ± 0.05) or ectopic pregnancy (2.36 ± 0.54 and 0.85 ± 0.06). There were no differences in PI and RI between uncomplicated singleton pregnancies (2.74 ± 0.78 and 0.88 ± 0.06) and those developing intra‐uterine growth restriction (IUGR), pregnancy‐induced hypertension (PIH), or preterm birth (2.54 ± 0.47 and 0.87 ± 0.04, pooled data). Conclusions Uterine artery PI and RI on the day of embryo transfer were unrelated to the risk of the pregnancy ending in spontaneous abortion or ectopic pregnancy. These values were of no value in the prediction of IUGR, PIH or preterm birth. Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology
doi_str_mv 10.1046/j.1469-0705.2000.00133.x
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Methods The uterine artery pulsatility index (PI) and resistance index (RI) were evaluated prospectively by transvaginal Doppler in 102 infertile women, who conceived as the result of fresh or frozen embryo transfer. Uterine artery impedance to blood flow was compared to the obstetric outcome. Results The 111 treatment cycles studied resulted in 31 spontaneous abortions, four ectopic pregnancies, and 76 deliveries. There were no differences in uterine artery PI and RI (mean ± SD) between cycles resulting in normal delivery (2.69 ± 0.71 and 0.88 ± 0.06) and those resulting in spontaneous abortion (2.71 ± 0.67 and 0.88 ± 0.05) or ectopic pregnancy (2.36 ± 0.54 and 0.85 ± 0.06). There were no differences in PI and RI between uncomplicated singleton pregnancies (2.74 ± 0.78 and 0.88 ± 0.06) and those developing intra‐uterine growth restriction (IUGR), pregnancy‐induced hypertension (PIH), or preterm birth (2.54 ± 0.47 and 0.87 ± 0.04, pooled data). Conclusions Uterine artery PI and RI on the day of embryo transfer were unrelated to the risk of the pregnancy ending in spontaneous abortion or ectopic pregnancy. These values were of no value in the prediction of IUGR, PIH or preterm birth. Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology</description><identifier>ISSN: 0960-7692</identifier><identifier>EISSN: 1469-0705</identifier><identifier>DOI: 10.1046/j.1469-0705.2000.00133.x</identifier><identifier>PMID: 11005123</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adult ; Arteries - diagnostic imaging ; Biological and medical sciences ; Birth control ; Blood flow ; Chorionic Gonadotropin - blood ; Embryo transfer ; Embryo Transfer - methods ; Female ; Frozen‐embryo transfer ; Gynecology. Andrology. Obstetrics ; Humans ; Infertility ; In‐vitro fertilization ; Medical sciences ; Ovulation induction ; Pregnancy ; Pregnancy Outcome ; Prognosis ; Prospective Studies ; Pulsatile Flow ; Regional Blood Flow ; Sterility. Assisted procreation ; Ultrasonography, Doppler ; Uterus - blood supply ; Uterus - diagnostic imaging ; Vascular Resistance</subject><ispartof>Ultrasound in obstetrics &amp; gynecology, 2000-06, Vol.15 (6), p.527-530</ispartof><rights>Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4434-7b9925e17ac9977f4cad36ea1f35b2769e3820a1c3d9b0a460ebeb729b860bba3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1469-0705.2000.00133.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1469-0705.2000.00133.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=1484286$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11005123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Isaksson, R.</creatorcontrib><creatorcontrib>Tiitinen, A.</creatorcontrib><creatorcontrib>Cacciatore, B.</creatorcontrib><title>Uterine artery impedance to blood flow on the day of embryo transfer does not predict obstetric outcome</title><title>Ultrasound in obstetrics &amp; gynecology</title><addtitle>Ultrasound Obstet Gynecol</addtitle><description>Objective To evaluate the influence of uterine artery impedance to blood flow on the day of embryo transfer for prediction of early pregnancy loss and obstetric outcome. Methods The uterine artery pulsatility index (PI) and resistance index (RI) were evaluated prospectively by transvaginal Doppler in 102 infertile women, who conceived as the result of fresh or frozen embryo transfer. Uterine artery impedance to blood flow was compared to the obstetric outcome. Results The 111 treatment cycles studied resulted in 31 spontaneous abortions, four ectopic pregnancies, and 76 deliveries. There were no differences in uterine artery PI and RI (mean ± SD) between cycles resulting in normal delivery (2.69 ± 0.71 and 0.88 ± 0.06) and those resulting in spontaneous abortion (2.71 ± 0.67 and 0.88 ± 0.05) or ectopic pregnancy (2.36 ± 0.54 and 0.85 ± 0.06). There were no differences in PI and RI between uncomplicated singleton pregnancies (2.74 ± 0.78 and 0.88 ± 0.06) and those developing intra‐uterine growth restriction (IUGR), pregnancy‐induced hypertension (PIH), or preterm birth (2.54 ± 0.47 and 0.87 ± 0.04, pooled data). Conclusions Uterine artery PI and RI on the day of embryo transfer were unrelated to the risk of the pregnancy ending in spontaneous abortion or ectopic pregnancy. These values were of no value in the prediction of IUGR, PIH or preterm birth. Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology</description><subject>Adult</subject><subject>Arteries - diagnostic imaging</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Blood flow</subject><subject>Chorionic Gonadotropin - blood</subject><subject>Embryo transfer</subject><subject>Embryo Transfer - methods</subject><subject>Female</subject><subject>Frozen‐embryo transfer</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infertility</subject><subject>In‐vitro fertilization</subject><subject>Medical sciences</subject><subject>Ovulation induction</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Pulsatile Flow</subject><subject>Regional Blood Flow</subject><subject>Sterility. 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infertility</topic><topic>In‐vitro fertilization</topic><topic>Medical sciences</topic><topic>Ovulation induction</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Pulsatile Flow</topic><topic>Regional Blood Flow</topic><topic>Sterility. Assisted procreation</topic><topic>Ultrasonography, Doppler</topic><topic>Uterus - blood supply</topic><topic>Uterus - diagnostic imaging</topic><topic>Vascular Resistance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Isaksson, R.</creatorcontrib><creatorcontrib>Tiitinen, A.</creatorcontrib><creatorcontrib>Cacciatore, B.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in obstetrics &amp; gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Isaksson, R.</au><au>Tiitinen, A.</au><au>Cacciatore, B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Uterine artery impedance to blood flow on the day of embryo transfer does not predict obstetric outcome</atitle><jtitle>Ultrasound in obstetrics &amp; gynecology</jtitle><addtitle>Ultrasound Obstet Gynecol</addtitle><date>2000-06</date><risdate>2000</risdate><volume>15</volume><issue>6</issue><spage>527</spage><epage>530</epage><pages>527-530</pages><issn>0960-7692</issn><eissn>1469-0705</eissn><abstract>Objective To evaluate the influence of uterine artery impedance to blood flow on the day of embryo transfer for prediction of early pregnancy loss and obstetric outcome. Methods The uterine artery pulsatility index (PI) and resistance index (RI) were evaluated prospectively by transvaginal Doppler in 102 infertile women, who conceived as the result of fresh or frozen embryo transfer. Uterine artery impedance to blood flow was compared to the obstetric outcome. Results The 111 treatment cycles studied resulted in 31 spontaneous abortions, four ectopic pregnancies, and 76 deliveries. There were no differences in uterine artery PI and RI (mean ± SD) between cycles resulting in normal delivery (2.69 ± 0.71 and 0.88 ± 0.06) and those resulting in spontaneous abortion (2.71 ± 0.67 and 0.88 ± 0.05) or ectopic pregnancy (2.36 ± 0.54 and 0.85 ± 0.06). There were no differences in PI and RI between uncomplicated singleton pregnancies (2.74 ± 0.78 and 0.88 ± 0.06) and those developing intra‐uterine growth restriction (IUGR), pregnancy‐induced hypertension (PIH), or preterm birth (2.54 ± 0.47 and 0.87 ± 0.04, pooled data). Conclusions Uterine artery PI and RI on the day of embryo transfer were unrelated to the risk of the pregnancy ending in spontaneous abortion or ectopic pregnancy. These values were of no value in the prediction of IUGR, PIH or preterm birth. Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>11005123</pmid><doi>10.1046/j.1469-0705.2000.00133.x</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Arteries - diagnostic imaging
Biological and medical sciences
Birth control
Blood flow
Chorionic Gonadotropin - blood
Embryo transfer
Embryo Transfer - methods
Female
Frozen‐embryo transfer
Gynecology. Andrology. Obstetrics
Humans
Infertility
In‐vitro fertilization
Medical sciences
Ovulation induction
Pregnancy
Pregnancy Outcome
Prognosis
Prospective Studies
Pulsatile Flow
Regional Blood Flow
Sterility. Assisted procreation
Ultrasonography, Doppler
Uterus - blood supply
Uterus - diagnostic imaging
Vascular Resistance
title Uterine artery impedance to blood flow on the day of embryo transfer does not predict obstetric outcome
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