Uterine artery Doppler velocimetry in pregnant women with hypertension

Adiel Fleischer, Harold Schulman, George Farmakides, Luis Bracero, Lawrence Grunfeld, Burton Rochelson, Mordecai Koenigsberg

Research output: Contribution to journalArticlepeer-review

228 Scopus citations

Abstract

Uterine and umbilical artery velocimetry was carried out on 71 women with hypertensive disorders in pregnancy. Three categories of hypertensive disease were diagnosed: chronic hypertension, preeclampsia, and chronic hypertension with superimposed preeclampsia. Clinical classifications describe the severity of disease effectively, primarily because the classification is based on the appearance of abnormal physical or laboratory findings. Doppler velocimetry of the uterine arteries shows that normal pregnancy occurs when the systolic/diastolic ratio is ≤2.6. When the ratio exceeds this level and there is a notch in the waveform, the pregnancy is complicated by stillbirth, premature birth, intrauterine growth retardation, and maternal preeclampsia. The positive and negative predictive value of the examination is 93% and 91%, respectively. It appears that this new technology will be an essential ingredient of optimum pregnancy surveillance.

Original languageEnglish (US)
Pages (from-to)806-812
Number of pages7
JournalAmerican journal of obstetrics and gynecology
Volume154
Issue number4
DOIs
StatePublished - Apr 1986

Keywords

  • Doppler
  • hypertension
  • pregnancy
  • ultrasound
  • uterine arteries

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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