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Doppler in Obstetrics: Beyond the Umbilical Artery

KALACHE, KARIM D. MD; DÜCKELMANN, ANNA MARIA

Clinical Obstetrics & Gynecology: March 2012 - Volume 55 - Issue 1 - p 288–295
doi: 10.1097/GRF.0b013e3182488156
Imaging in Obstetrics: State of the Art

Doppler analysis of the umbilical and uterine arteries has long been performed in perinatal medicine to assess fetal health and maternal risk for preeclampsia. Several other vessels can be interrogated to obtain additional, vital information. Velocimetry in the fetal middle cerebral artery can yield evidence of the presence or absence of anemia and, in cases of delayed growth, of the risk of hypoxic damage. Ductus venosus waveforms are a very good indicator of impeding fetal jeopardy and should be used when umbilical artery waveforms become abnormal. Early pregnancy uterine artery Doppler reflects the status of the placental vasculature and, as such, is an excellent tool for predicting the risk of preeclampsia or intrauterine growth restriction.

Department of Obstetrics, Campus Charité Mitte, Charité University Hospital, Berlin, Germany

The authors declare that they have nothing to disclose.

Correspondence: Karim D. Kalache, MD, Department of Obstetrics, Campus Charité Mitte, Charité University Hospital, Charitéplatz 1/D-10117, Berlin, Germany. E-mail: karim.kalache@charite.de

© 2012 Lippincott Williams & Wilkins, Inc.