Journal of Postgraduate Medicine
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Year : 1996  |  Volume : 42  |  Issue : 4  |  Page : 101-4

Value of intraplacental villous artery Doppler measurements in severe preeclampsia.


Department of Obstetrics and Gynecology and Radiology, Dokuz, Eylul University, School of Medicine, Izmir, Turkey., Turkey

Correspondence Address:
S S Lacin
Department of Obstetrics and Gynecology and Radiology, Dokuz, Eylul University, School of Medicine, Izmir, Turkey.
Turkey
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Source of Support: None, Conflict of Interest: None


PMID: 0009715309

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Blood flow velocity waveforms were recorded by color Doppler ultrasound from intraplacental villous and umbilical arteries in 20 normal and 23 severe preeclamptic pregnancies. The results of the resistance index measurements in intraplacental villous arteries were 0.51 +/- 0.037 and 0.55 +/- 0.052 in healthy controls and preeclamptics respectively, which was not significantly different. Resistance indices showed a decrease through the umbilical cord from fetus to placenta in both groups. We also noted that Doppler examination of the umbilical cord might be an early indicator of fetal compromise. Detectable intraplacental villous flows were in normal limits even in patients with abnormally high umbilical resistance indices and failure to detect villous artery color Doppler flow signals is probably associated with fetal compromise. We conclude that Doppler measurements from the intraplacental arteries cannot be used in clinical management of patients with severe preeclampsia.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow