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Cited by 68Pregnancy and preeclampsia studiesPrenatal Screening and DiagnosticsMaternal and Perinatal Health Interventions

The antenatal assessment of utero-placental and feto-placental blood flow using Doppler ultrasound

Cohen-Overbeek, Titia, Pearce, J.Malcolm, Campbell, Stuart·1985·Ultrasound in Medicine & Biology
DOI 10.1016/0301-5629(85)90132-2
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Abstract

A brief discussion of the normal anatomy and physiology relevant to the understanding of blood flow is presented. After a review of previous attempts to measure blood flow in the utero-placental and feto-placental circulation, a description is given of the methods of obtaining Doppler signals from both maternal and fetal vessels. Some of the problems are presented. Flow velocity waveform (FVW) analysis is then presented in normal and in complicated pregnancies. FVW in pregnancies complicated by proteinuric hypertension have arcuate FVWs that demonstrate increased pulsatility and decreased velocities in diastole. These changes are also observed in most pregnancies complicated by intrauterine growth retardation and precede changes in the fetal circulation by several weeks. Impaired fetal circulation is demonstrated by low or decreased diastolic velocities in both the descending thoracic aorta and the umbilical artery. An attempt is made to give a pathophysiological understanding for these changes.

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Crossref · 10.1016/0301-5629(85)90132-2

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37 of 37 references verified0 citation errors · 0 not checkable

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  • ROC curves for prediction of cSGA in an unselected population using sPlaV alone give an area under the curve of 0.77 (0.66 to 0.87), or 0.80 (0.69 to 0.92) when used in combination with PAPP-A and NT.

    “Receiver operating characteristic (ROC) curves for prediction of cSGA in an unselected population using sPlaV alone give an area under the curve of 0.77 (0.66 to 0.87), or 0.80 (0.69 to 0.92) when used in combination with PAPP-A and NT [42].”

    From Volume and vascularity: Using ultrasound to unlock the secrets of the first trimester placenta (2019) · cites this paper as [42]

  • A pilot study of 143 women showed that sPlaV, derived using the random walker algorithm, is significantly different in cSGA compared with AGA pregnancies (p < 0.001) and that combining sPlaV with PAPP-A and NT produces a predictive model for cSGA.

    “A pilot study of 143 women has shown that sPlaV, derived using the random walker algorithm, is significantly different in cSGA compared with appropriate for gestational age (AGA) pregnancies (p = <0.001) and that combining sPlaV with PAPP-A and NT produces a predictive model for cSGA.”

    From Volume and vascularity: Using ultrasound to unlock the secrets of the first trimester placenta (2019) · cites this paper as [42]

  • Pilot data suggests that both placental volume and vascularity measurements have utility in the prediction of pre-eclampsia and cSGA.

    “Pilot data suggests that both placental volume and vascularity measurements have utility in the prediction of pre-eclampsia and cSGA.”

    From Volume and vascularity: Using ultrasound to unlock the secrets of the first trimester placenta (2019) · cites this paper as [42]

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Authors
Cohen-Overbeek, T., Pearce, J. M., & Campbell, S.
Affiliations
King's College Hospital (GB)
ORCID
Campbell, Stuart
Venue
Ultrasound in Medicine & Biology
Publisher
Elsevier BV
Published
1985-03
Volume
11
Issue
2
Pages
329-339
ISSN
0301-5629 (ISSN-L)
DOI
10.1016/0301-5629(85)90132-2
OpenAlex
W2011765492
Cited by
68
References
39
Citations by year
2023: 2 · 2022: 1 · 2019: 1 · 2018: 2 · 2012: 1
FWCI
16.12
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Ultrasound in Medicine & Biology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
uteroplacental blood flow, fetoplacental circulation, Doppler ultrasound, proteinuric hypertension, fetal growth restriction, umbilical artery, fetal circulation, placental circulation, antenatal assessment, complicated pregnancy
MeSH terms
Adult, Blood Flow Velocity, Female, Fetal Growth Retardation, Fetus, Humans, Placenta, Pregnancy, Pregnancy Complications, Prenatal Diagnosis, Ultrasonography, Ultrasonics, Uterus

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