Doppler Sonography during Pregnancy – DEGUM Quality Standards and Clinical Applications (Part 1)

Author:

Faber R.1,Heling Kai-Sven2,Steiner Horst3,Gembruch Ulrich4

Affiliation:

1. Center of Prenatal Medicine, Leipzig, Germany

2. Praxis, prenetal diagnosis and human genetics, Berlin, Germany

3. Praxis prenatal medicine, Salzburg, Austria

4. Obstetrics and Prenatal Medicine, University-Hospital, Bonn, Germany

Abstract

AbstractDoppler sonography is widely established in prenatal medicine and obstetrics and is commonly used in screening for aneuploidy and preeclampsia during the first trimester. More importantly, during the 2nd and 3rd trimester, it is used in the assessment of fetal health as well as the surveillance of underlying fetal conditions such as IUGR and anemia. Correct use of the method is vital for correct data interpretation and the inferred clinical decision process. Therefore, we aim to provide all users of doppler sonography with a guide for meeting the required quality standards. These quality standards will further be the basis of DEGUM-certified training courses. In the first part, we will introduce the technical principles of the method and potential error sources, vascular disciplines to which the method can be applied, analysis of the spectral curves, patient safety and the needed requirements for successful certification.

Publisher

Georg Thieme Verlag KG

Subject

Radiology, Nuclear Medicine and imaging

Reference28 articles.

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2. Fetal and umbilical Doppler ultrasound in normal pregnancy;Z Alfirevic;Cochrane Database Syst Rev,2015

3. ISUOG Practice Guidelines: use of Doppler ultrasonography in obstetrics;A Bhide;Ultrasound Obstet Gynecol,2013

4. Uterine Artery Doppler in First-trimester Pregnancy Screening;R O Bahada-Singh;Clin Obstet Gynecol,2010

5. Reference ranges for uterine artery mean pulsatility index at 11–41 weeks of gestation;O Gómez;Ultrasound Obstet Gynecol,2008

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