Doppler ultrasonography of the uterine artery in correlation with KANET
Author:
Medjedovic Edin12ORCID, Kurjak Asim3
Affiliation:
1. Clinic of Gynecology and Obstetrics, Clinical University Center Sarajevo , Sarajevo , Bosnia and Herzegovina 2. Department of Gynecology, Obstetrics and Reproductive Medicine , School of Medicine, Sarajevo School of Science and Technology , Sarajevo , Bosnia and Herzegovina 3. Department of Obstetrics and Gynecology , Medical School University of Zagreb , Zagreb , Croatia
Abstract
Abstract
Objectives
The aim of this prospective study was to correlate the Doppler ultrasonography of the uterine arteries with the Kurjak Antenatal Neurodevelopmental Test (KANET), to investigate the effect of uterine artery flow assessed by the Doppler on fetal behavior.
Methods
A population of 80 pregnant women in the second trimester of pregnancy was included for uterine artery Doppler (UAD) assessment. The investigation group consisted of 40 women with abnormal UAD, while the control group consisted of 40 women with normal UAD. The inclusion criteria for the investigated group were: gestation above 20 weeks, and an abnormal finding of Doppler ultrasonography of the uterine arteries. All patients underwent a KANET test and were followed up to the end of their pregnancy.
Results
There was a statistically significant difference in the average score of KANET tests between the two groups (9.20±3.32 vs. 13.55±2.21; p=0.001). In the first group, an abnormal flow on the side of the placenta affected the score of the KANET test (B=11.948; p=0.005), while abnormal flow on the opposite side did not affect the score of the KANET test (p>0.05). Physiological flow had no effect on the KANET test in the control group (p>0.05).
Conclusions
Abnormal flow affects the value of the KANET score, and can be used as one of the parameters in evaluation of probable fetal neurodevelopmental disorders.
Publisher
Walter de Gruyter GmbH
Subject
Obstetrics and Gynaecology,Pediatrics, Perinatology, and Child Health
Reference29 articles.
1. Giordano, R, Cacciatore, A, Romano, M, La Rosa, B, Fonti, I, Vigna, R. Uterine artery Doppler flow studies in obstetric practice. J Prenat Med 2010;4:59–62. 2. Barati, M, Shahbazian, N, Ahmadi, L, Masihi, S. Diagnostic evaluation of uterine artery Doppler sonography for the prediction of adverse pregnancy outcomes. J Res Med Sci 2014;19:515–19. 3. Ridder, A, Giorgione, V, Khalil, A, Thilaganathan, B. Preeclampsia: the relationship between uterine artery blood flow and trophoblast function. Int J Mol Sci 2019;20:3263. https://doi.org/10.3390/ijms20133263. 4. Medjedović, E, Suljevic, A, Iglica, A, Rama, A, Muftic, A. Doppler sonography of uterine arteries in pregnancy as a marker of preeclampsia. Donald Sch J Ultrasound Obstet Gynecol 2019;13:162–8. https://doi.org/10.5005/jp-journals-10009-1611. 5. Espinoza, J, Kusanovic, JP, Bahado-Singh, R, Gervasi, MT, Romero, R, Lee, W, et al.. Should bilateral uterine artery notching be used in the risk assessment for preeclampsia, small-for-gestational-age, and gestational hypertension? J Ultrasound Med 2010;29:1103–15. https://doi.org/10.7863/jum.2010.29.7.1103.
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|