Role of Doppler ultrasonography in the prediction of pregnancy outcome in women with recurrent spontaneous abortion
We prospectively studied 96 patients with a history of recurrent spontaneous abortion to determine whether the resistive index of the main uterine artery or subchorionic vessels can allow prediction of pregnancy outcome. The subchorionic RI declined progressively for a mean of 0.54 at 6 weeks to 0.4...
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| Veröffentlicht in: | Journal of ultrasound in medicine 1996-08, Vol.15 (8), p.557-562 |
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| container_title | Journal of ultrasound in medicine |
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| creator | Frates, M. C Doubilet, P. M Brown, D. L Benson, C. B DiSalvo, D. N Laing, F. C Berck, D. J Hill, J. A |
| description | We prospectively studied 96 patients with a history of recurrent spontaneous abortion to determine whether the resistive index of the main uterine artery or subchorionic vessels can allow prediction of pregnancy outcome. The subchorionic RI declined progressively for a mean of 0.54 at 6 weeks to 0.42 at 13 weeks (P < 10(‐8), F‐test). No significant difference was found in subchorionic RI values between outcomes for liveborn infants versus loss. Uterine artery RI values also declined significantly through the first trimester (P < 10(‐8), F‐test). Uterine artery RI values tended to be lower in pregnancies ending in loss than in successful gestations; however, there was too much overlap for this index to be clinically useful. In conclusion, first trimester RI does not allow prediction of pregnancy outcome in patients with recurrent abortion. |
| doi_str_mv | 10.7863/jum.1996.15.8.557 |
| format | Article |
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C ; Doubilet, P. M ; Brown, D. L ; Benson, C. B ; DiSalvo, D. N ; Laing, F. C ; Berck, D. J ; Hill, J. A</creator><creatorcontrib>Frates, M. C ; Doubilet, P. M ; Brown, D. L ; Benson, C. B ; DiSalvo, D. N ; Laing, F. C ; Berck, D. J ; Hill, J. A</creatorcontrib><description>We prospectively studied 96 patients with a history of recurrent spontaneous abortion to determine whether the resistive index of the main uterine artery or subchorionic vessels can allow prediction of pregnancy outcome. The subchorionic RI declined progressively for a mean of 0.54 at 6 weeks to 0.42 at 13 weeks (P < 10(‐8), F‐test). No significant difference was found in subchorionic RI values between outcomes for liveborn infants versus loss. Uterine artery RI values also declined significantly through the first trimester (P < 10(‐8), F‐test). Uterine artery RI values tended to be lower in pregnancies ending in loss than in successful gestations; however, there was too much overlap for this index to be clinically useful. In conclusion, first trimester RI does not allow prediction of pregnancy outcome in patients with recurrent abortion.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.7863/jum.1996.15.8.557</identifier><identifier>PMID: 8839402</identifier><identifier>CODEN: JUMEDA</identifier><language>eng</language><publisher>Laurel, MD: Am inst Ulrrasound Med</publisher><subject>Abortion, Habitual - diagnostic imaging ; Abortion, Habitual - physiopathology ; Abortion, Habitual - prevention & control ; Adult ; Biological and medical sciences ; Blood Flow Velocity ; Female ; Genital system. Mammary gland ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Newborn ; Investigative techniques, diagnostic techniques (general aspects) ; Management. Prenatal diagnosis ; Medical sciences ; Middle Aged ; Placental Circulation ; Predictive Value of Tests ; Pregnancy ; Pregnancy Outcome ; Pregnancy. Fetus. Placenta ; Progesterone - therapeutic use ; Prospective Studies ; Recurrence ; Ultrasonic investigative techniques ; Ultrasonography, Doppler - methods ; Ultrasonography, Prenatal</subject><ispartof>Journal of ultrasound in medicine, 1996-08, Vol.15 (8), p.557-562</ispartof><rights>2016 by the American Institute of Ultrasound in Medicine</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4827-44c5c68c368cd7c8d7b968f4c7a7dcca05b1f61c052e458f46a5a3f4625ddf5c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.7863%2Fjum.1996.15.8.557$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.7863%2Fjum.1996.15.8.557$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3171593$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8839402$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Frates, M. C</creatorcontrib><creatorcontrib>Doubilet, P. M</creatorcontrib><creatorcontrib>Brown, D. L</creatorcontrib><creatorcontrib>Benson, C. B</creatorcontrib><creatorcontrib>DiSalvo, D. N</creatorcontrib><creatorcontrib>Laing, F. C</creatorcontrib><creatorcontrib>Berck, D. J</creatorcontrib><creatorcontrib>Hill, J. A</creatorcontrib><title>Role of Doppler ultrasonography in the prediction of pregnancy outcome in women with recurrent spontaneous abortion</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>We prospectively studied 96 patients with a history of recurrent spontaneous abortion to determine whether the resistive index of the main uterine artery or subchorionic vessels can allow prediction of pregnancy outcome. The subchorionic RI declined progressively for a mean of 0.54 at 6 weeks to 0.42 at 13 weeks (P < 10(‐8), F‐test). No significant difference was found in subchorionic RI values between outcomes for liveborn infants versus loss. Uterine artery RI values also declined significantly through the first trimester (P < 10(‐8), F‐test). Uterine artery RI values tended to be lower in pregnancies ending in loss than in successful gestations; however, there was too much overlap for this index to be clinically useful. In conclusion, first trimester RI does not allow prediction of pregnancy outcome in patients with recurrent abortion.</description><subject>Abortion, Habitual - diagnostic imaging</subject><subject>Abortion, Habitual - physiopathology</subject><subject>Abortion, Habitual - prevention & control</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity</subject><subject>Female</subject><subject>Genital system. Mammary gland</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Management. Prenatal diagnosis</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Placental Circulation</subject><subject>Predictive Value of Tests</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Progesterone - therapeutic use</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Ultrasonic investigative techniques</subject><subject>Ultrasonography, Doppler - methods</subject><subject>Ultrasonography, Prenatal</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtv3CAUhVHUKp08fkAWlVi02dkFAwZL2VRJ-lKqSFGyRgzGYyJsHLBlzb8PlkezzQKu4H7ncsQB4AqjnIuS_HiduhxXVZljloucMX4CNpgxlFUlJp_ABhVcZLSo-BdwFuMrQgXCnJ6CUyFIRVGxAfHJOwN9A-_8MDgT4OTGoKLv_S6ood1D28OxNXAIprZ6tL5f4HTa9arXe-inUfvOLNicatrt2MJg9BSC6UcYB9-Pqjd-ilBtfVgmXIDPjXLRXB7qOXj5df98-yd7ePz99_bnQ6apKHhGqWa6FJqkVXMtar6tStFQzRWvtVaIbXFTYo1YYShLjVIxRVIpWF03TJNzcL3OHYJ_m0wcZWejNs6tfiQXRBQE0w9BzDjhTFQJxCuog48xmEYOwXYq7CVGcklEpkTkkkjSSCFTIknz9TB82namPioOEaT-t0NfRa1cE9K_2njECOaYVSRhNys2W2f2H78r_738Xy4wE6uL76u8tbt2tsHI2Cnnkics53k-un0HgmO2iQ</recordid><startdate>199608</startdate><enddate>199608</enddate><creator>Frates, M. C</creator><creator>Doubilet, P. M</creator><creator>Brown, D. L</creator><creator>Benson, C. B</creator><creator>DiSalvo, D. N</creator><creator>Laing, F. C</creator><creator>Berck, D. J</creator><creator>Hill, J. A</creator><general>Am inst Ulrrasound Med</general><general>American Institute of Ultrasound in Medicine</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>199608</creationdate><title>Role of Doppler ultrasonography in the prediction of pregnancy outcome in women with recurrent spontaneous abortion</title><author>Frates, M. C ; Doubilet, P. M ; Brown, D. L ; Benson, C. B ; DiSalvo, D. N ; Laing, F. C ; Berck, D. J ; Hill, J. 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A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of Doppler ultrasonography in the prediction of pregnancy outcome in women with recurrent spontaneous abortion</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>1996-08</date><risdate>1996</risdate><volume>15</volume><issue>8</issue><spage>557</spage><epage>562</epage><pages>557-562</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><coden>JUMEDA</coden><abstract>We prospectively studied 96 patients with a history of recurrent spontaneous abortion to determine whether the resistive index of the main uterine artery or subchorionic vessels can allow prediction of pregnancy outcome. The subchorionic RI declined progressively for a mean of 0.54 at 6 weeks to 0.42 at 13 weeks (P < 10(‐8), F‐test). No significant difference was found in subchorionic RI values between outcomes for liveborn infants versus loss. Uterine artery RI values also declined significantly through the first trimester (P < 10(‐8), F‐test). Uterine artery RI values tended to be lower in pregnancies ending in loss than in successful gestations; however, there was too much overlap for this index to be clinically useful. In conclusion, first trimester RI does not allow prediction of pregnancy outcome in patients with recurrent abortion.</abstract><cop>Laurel, MD</cop><pub>Am inst Ulrrasound Med</pub><pmid>8839402</pmid><doi>10.7863/jum.1996.15.8.557</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Abortion, Habitual - diagnostic imaging Abortion, Habitual - physiopathology Abortion, Habitual - prevention & control Adult Biological and medical sciences Blood Flow Velocity Female Genital system. Mammary gland Gestational Age Gynecology. Andrology. Obstetrics Humans Infant, Newborn Investigative techniques, diagnostic techniques (general aspects) Management. Prenatal diagnosis Medical sciences Middle Aged Placental Circulation Predictive Value of Tests Pregnancy Pregnancy Outcome Pregnancy. Fetus. Placenta Progesterone - therapeutic use Prospective Studies Recurrence Ultrasonic investigative techniques Ultrasonography, Doppler - methods Ultrasonography, Prenatal |
| title | Role of Doppler ultrasonography in the prediction of pregnancy outcome in women with recurrent spontaneous abortion |
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