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- Title
Uterine and umbilical artery Doppler velocimetry as a predictor for adverse pregnancy outcomes in pregnant women with anemia.
- Authors
Hwang, Han Sung; Kim, Young Han; Kwon, Ja Young; Park, Yong Won
- Abstract
Aims: The aim of this study was to investigate the significance of Doppler ultrasound as a predictor for adverse pregnancy outcomes in Korean women with anemia during the third trimester of pregnancy. Methods: A retrospective study comparing women with (n=377) and without (n=3183) anemia was performed. Maternal anemia was defined as hemoglobin concentration <10 g/dL. Umbilical artery Doppler (UmA) and uterine artery Doppler (UtA) velocimetry was performed before delivery. Results: There were higher rates of small for gestational age, cesareans for fetal distress, and preterm birth among the anemic compared to non-anemic women. When maternal anemia was combined with abnormal Doppler, the odds ratio (OR) of adverse pregnancy outcome was further increased. Both abnormal UtA and UmA to predict adverse pregnancy outcome showed sensitivity, specificity, positive and negative predictive values of 41.2%, 97.4%, 85.9%, and 51.2%, respectively (OR 2.0; 95% confidence interval 1.2–2.3). Conclusions: Doppler ultrasound examination could be used as a predictor for adverse pregnancy outcomes in women with anemia during the third trimester.
- Subjects
KOREA; PREMATURE infants; ANEMIA; HYPOXEMIA; ANALYSIS of variance; ARTERIES; CESAREAN section; COMPUTER software; CONFIDENCE intervals; EPIDEMIOLOGY; FETAL distress; EVALUATION of medical care; MULTIVARIATE analysis; NAVEL; T-test (Statistics); ULTRASONIC imaging; UTERUS; LOGISTIC regression analysis; DATA analysis; PREDICTIVE tests; RETROSPECTIVE studies; CASE-control method; DIAGNOSIS; DONOR blood supply; PREGNANCY
- Publication
Journal of Perinatal Medicine, 2010, Vol 38, Issue 5, p467
- ISSN
0300-5577
- Publication type
Article
- DOI
10.1515/JPM.2010.047