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Uterine Artery Doppler and Prediction of Preeclampsia

LOVGREN, TODD R MD; DUGOFF, LORRAINE MD; GALAN, HENRY L MD

Clinical Obstetrics & Gynecology: December 2010 - Volume 53 - Issue 4 - pp 888-898
doi: 10.1097/GRF.0b013e3181fbb687
New Horizons In Doppler Imaging In Obstetrics

Identifying patients at risk for preeclampsia would allow an increase in perinatal surveillance and possibly decrease the inherent maternal and fetal morbidity and mortality associated with severe preeclampsia and eclampsia. First and second trimester uterine artery Doppler velocimetry is a sensitive screening tool for the detection of preeclampsia and intrauterine growth retardation (IUGR) requiring delivery before 34 weeks. The performance of uterine artery Doppler velocimetry as a screening test depends on the prevalence of the adverse outcome in the studied population and whether the adverse outcomes are assessed individually or collectively as a group. Future research in this area should focus on identification of additional markers that may be incorporated into a prediction model for early identification of patients at risk for adverse outcomes.

Department of Obstetrics and Gynecology, Aurora, Colorado

Correspondence: Henry L Galan, MD, Chief of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, UCDHSC, Academic Office 1, Aurora, CO. E-mail: henry.galan@ucdenver.edu

© 2010 Lippincott Williams & Wilkins, Inc.