Improved prediction of preeclampsia by two-stage screening of uterine arteries using the early diastolic notch and color Doppler imaging.

Abstract:

OBJECTIVE:To assess the value of the early diastolic notch and color Doppler imaging of the uterine arteries at 24 weeks' gestation in a two-stage Doppler screening test for preeclampsia. METHODS:Two thousand fifty-eight unselected women had an initial screening study with continuous-wave Doppler at 18-22 weeks' gestation. Color Doppler imaging was used at 24 weeks' gestation to examine both uterine arteries in 273 women with initial abnormal results (high resistance index or diastolic notch). RESULTS:Three hundred twenty-nine women (16%) had abnormal flow velocity waveforms at the first stage and 104 (5.1%) at the second stage of Doppler screening. The presence of an early diastolic notch in the flow velocity waveform was significantly better than a high resistance index at predicting preeclampsia at both 20 and 24 weeks; the relative risk of developing significant preeclampsia for a woman with a persistent notch at 24 weeks was increased 68-fold. All women delivered before 34 weeks because of severe preeclampsia had abnormal waveforms at both stages of screening. CONCLUSION:An early diastolic notch in the flow velocity waveform is a better predictor of preeclampsia than are conventional impedance indices. Preeclampsia can be predicted effectively by two-stage Doppler screening.

journal_name

Obstet Gynecol

authors

Bower S,Bewley S,Campbell S

subject

Has Abstract

pub_date

1993-07-01 00:00:00

pages

78-83

issue

1

eissn

0029-7844

issn

1873-233X

journal_volume

82

pub_type

杂志文章
  • Promethazine hydrochloride therapy in severely Rh-sensitized pregnancies.

    abstract::Seventeen severely Rh-sensitized women were treated with promethazine hydrochloride (Phenergan) in 18 pregnancies, according to a protocol described by Gusdon et al. There was an unequivocal amelioration of the disease process in 10 of the pregnancies. In 9 of these 10 pregnancies, the infant survived. In 4 of the pre...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Charles AG,Blumenthal LS

    更新日期:1982-11-01 00:00:00

  • Smoking and pregnancy: a comparison of Mexican-American and non-Hispanic white women.

    abstract:OBJECTIVE:To describe ethnic differences in tobacco use during pregnancy in a clinical population of Mexican-American and non-Hispanic white women. METHODS:Subjects were randomly selected from all patients attending a university-based obstetrics clinic in Tucson, Arizona. Of 555 subjects selected, 367 were interviewed...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Camilli AE,McElroy LF,Reed KL

    更新日期:1994-12-01 00:00:00

  • Effects of a cyproterone-containing oral contraceptive on hormonal levels in polycystic ovarian disease.

    abstract::The management of polycystic ovarian disease in women not desiring pregnancy is controversial. To avoid the progressive androgenic effects on peripheral target organs, some advocate the use of oral contraceptives. This study reports the effects of a preparation with 50 micrograms ethinyl estradiol and 2 mg cyproterone...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Calaf-Alsina J,Rodriguez-Espinosa J,Cabero-Roura A,Lenti-Paoli O,Mora-Brugues J,Esteban-Altirriba J

    更新日期:1987-02-01 00:00:00

  • Decreased plasma tryptophan in pregnancy.

    abstract:OBJECTIVE:To examine levels of serum tryptophan and its degradation product kynurenine in uncomplicated pregnancy, according to the week of pregnancy and the concentrations of neopterin. METHODS:Plasma was analyzed from 45 healthy pregnant women (15 in each trimester), 15 healthy puerperas, and 20 nonpregnant controls...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(96)00084-1

    authors: Schröcksnadel H,Baier-Bitterlich G,Dapunt O,Wachter H,Fuchs D

    更新日期:1996-07-01 00:00:00

  • Influence of acupuncture on maternal serum levels of interleukin-8, prostaglandin F2alpha, and beta-endorphin: a matched pair study.

    abstract:OBJECTIVE:To measure the serum levels of interleukin (IL)-8, prostaglandin (PG) F2alpha, and beta-endorphin in parturients with acupuncture treatment and in controls to clarify the effect of acupuncture and duration of labor on the serum levels of substances active in cervical ripening and dilatation. METHODS:A matche...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0029-7844(98)00200-2

    authors: Tempfer C,Zeisler H,Heinzl H,Hefler L,Husslein P,Kainz C

    更新日期:1998-08-01 00:00:00

  • The prevention of meconium aspiration in labor using amnioinfusion.

    abstract::In an effort to improve maternal and fetal outcome in patients laboring with thick meconium, 85 patients presenting with thick meconium were randomized to receive either amnioinfusion with 1000 mL normal saline initially and every 6 hours until delivery, or routine care. Meconium was discovered on initial examination ...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Wenstrom KD,Parsons MT

    更新日期:1989-04-01 00:00:00

  • Uterine rupture after uterine artery embolization for symptomatic leiomyomas.

    abstract:BACKGROUND:There are few data regarding safety of pregnancy after uterine artery embolization. However, numerous women desire future fertility after this procedure. Uterine rupture without a history of cesarean delivery or uterine scarring is an exceedingly rare complication in pregnancy. CASE:We report a case of uter...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3182a46df9

    authors: Yeaton-Massey A,Loring M,Chetty S,Druzin M

    更新日期:2014-02-01 00:00:00

  • Operational improvement of gynecologic laparoscopic operating room services: an internal review.

    abstract:BACKGROUND:To reorganize reusable laparoscopic instrumentation to promote instrument accessibility, minimize instrument breakage, eliminate infrequently used instruments on permanent trays, and help control maintenance costs. TECHNIQUE:The Robert Wood Johnson University Hospital Gynecologic Steering Committee evaluate...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Bachmann GA,Trattler B,Ko T,Tweddel G

    更新日期:1998-07-01 00:00:00

  • The effect of educational brochures on follow-up compliance in women with abnormal Papanicolaou smears.

    abstract:OBJECTIVE:To determine whether women with abnormal Papanicolaou smears who received educational brochures at the initial booking for colposcopy were more likely to complete recommended treatment and follow-up after 18-24 months than were those who did not receive the brochures. METHODS:One hundred eight women particip...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00006250-199404000-00016

    authors: Stewart DE,Buchegger PM,Lickrish GM,Sierra S

    更新日期:1994-04-01 00:00:00

  • Toward the ethical evaluation and use of maternal-fetal surgery.

    abstract:BACKGROUND:Important clinical, social, and ethical questions are associated with the evaluation and use of surgical approaches aimed at correcting fetal anatomic abnormalities. In particular, the expansion of maternal-fetal surgery to ameliorate nonlethal fetal conditions has intensified the need to address issues abou...

    journal_title:Obstetrics and gynecology

    pub_type: 共识发展会议,杂志文章,评审

    doi:10.1016/s0029-7844(01)01513-7

    authors: Lyerly AD,Gates EA,Cefalo RC,Sugarman J

    更新日期:2001-10-01 00:00:00

  • Preoperative vaginal preparation with povidone-iodine and the risk of postcesarean endometritis.

    abstract:OBJECTIVE:Postcesarean endometritis and wound infection remain significant morbidities, despite use of strategies to prevent these complications. We investigated the effect of preoperative vaginal preparation with povidone-iodine as a preventive intervention against postcesarean endometritis and wound infection. METHO...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.AOG.0000164032.16599.7e

    authors: Starr RV,Zurawski J,Ismail M

    更新日期:2005-05-01 00:00:00

  • Release of tumor necrosis factor alpha by human peritoneal macrophages in response to toxic shock syndrome toxin-1.

    abstract::We examined the release in vitro of tumor necrosis factor-alpha (TNF-alpha) by peritoneal macrophages and peripheral blood monocytes following incubation with toxic shock syndrome toxin-1 (TSST-1). We obtained peritoneal macrophages from 22 women at laparoscopy and peripheral blood monocytes from four healthy women du...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Buyalos RP,Rutanen EM,Tsui E,Halme J

    更新日期:1991-08-01 00:00:00

  • Prenatal diagnosis of liver calcifications.

    abstract:OBJECTIVE:To report our experience with the prenatal diagnosis of hepatic calcification. METHODS:Routine ultrasonography was done in 24,600 consecutive pregnancies of 14-26 weeks' gestation. Detailed sonographic studies, amniocenteses, and chromosomal, bacteriologic, virologic, and serologic investigations were perfor...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(95)00278-Y

    authors: Bronshtein M,Blazer S

    更新日期:1995-11-01 00:00:00

  • Obstetric Care Consensus No. 2: Levels of maternal care.

    abstract::In the 1970s, studies demonstrated that timely access to risk-appropriate neonatal and obstetric care could reduce perinatal mortality. Since the publication of the Toward Improving the Outcome of Pregnancy report, more than three decades ago, the conceptual framework of regionalization of care of the woman and the ne...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000460770.99574.9f

    authors:

    更新日期:2015-02-01 00:00:00

  • Antibiotic concentration in maternal blood, cord blood, and placental membranes in chorioamnionitis.

    abstract::Levels of five antibiotics used in treating chorioamnionitis were measured in maternal and cord blood and placenta. Ampicillin provided the highest ratio of cord to maternal blood (0.71). Gentamicin was also relatively high in this respect and also had the highest placenta to maternal blood ratio (3.97). Based on thes...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Gilstrap LC 3rd,Bawdon RE,Burris J

    更新日期:1988-07-01 00:00:00

  • An interactive web site for research on fetal heart rate monitoring.

    abstract:BACKGROUND:Traditional methods of exchange of research information may not be rapid enough, especially for international multicenter studies or when discussing controversial issues such as the value of fetal monitoring. The Internet is a useful tool that provides numerous opportunities for immediate communication withi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(99)00569-4

    authors: Costa Santos C,Ayres de Campos D,da Costa Pereira A,Bernardes J

    更新日期:2000-02-01 00:00:00

  • The accuracy of risk scores in predicting ovarian malignancy: a systematic review.

    abstract:OBJECTIVE:To perform a systematic review of the literature on the accuracy of prediction models in the preoperative assessment of adnexal masses. DATA SOURCES:Studies were identified through the MEDLINE and EMBASE databases from inception to March 2008. The MEDLINE search was performed using the keywords ["ovarian neo...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e318195ad17

    authors: Geomini P,Kruitwagen R,Bremer GL,Cnossen J,Mol BW

    更新日期:2009-02-01 00:00:00

  • Comparison of bone density in amenorrheic women due to athletics, weight loss, and premature menopause.

    abstract::Studied was the peripheral bone density of 39 women (ages 18 to 43) with the diagnosis of secondary amenorrhea in an effort to define the population of amenorrheic women at risk for osteoporosis. Eight women had exercise-induced amenorrhea (athletes), 20 women had amenorrhea associated with weight loss, and 11 women h...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Jones KP,Ravnikar VA,Tulchinsky D,Schiff I

    更新日期:1985-07-01 00:00:00

  • Oxytocin and its receptor in pregnancy and parturition: current concepts and clinical implications.

    abstract:OBJECTIVE:To present our current understanding of oxytocin and its receptors during pregnancy and parturition and their potential clinical applications. DATA SOURCES:A MEDLINE search was conducted for pertinent articles from 1966 to October 1996 related to oxytocin and its receptor and their clinical implications duri...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/s0029-7844(97)00056-2

    authors: Zeeman GG,Khan-Dawood FS,Dawood MY

    更新日期:1997-05-01 00:00:00

  • Pregnancy and reproductive function in a patient with non-mosaic Turner syndrome.

    abstract::A patient with non-mosaic Turner syndrome and normal fertility had four documented pregnancies, two of which were carried to term. Although her fertility history can be considered normal, she did not have spontaneous sexual maturation or menarche, and bilateral streak gonads were identified on laparotomy for tubal lig...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Baudier MM,Chihal HJ,Dickey RP

    更新日期:1985-03-01 00:00:00

  • Transvaginal Doppler assessment of fetal intracranial venous flow.

    abstract:OBJECTIVE:To investigate physiologic blood-flow-velocity waveform patterns of the fetal cerebral venous system during normal pregnancies by transvaginal Doppler studies and to evaluate cases with abnormal venous-flow patterns. METHODS:Internal cerebral veins and the three dural sinuses, those of the superior sagittal ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(98)00546-8

    authors: Pooh RK,Pooh KH,Nakagawa Y,Maeda K,Fukui R,Aono T

    更新日期:1999-05-01 00:00:00

  • Extent of surgery for pelvic inflammatory disease in relation to duration of intrauterine device use.

    abstract::The risk of a first episode of pelvic inflammatory disease resulting in extensive surgery was examined in relation to duration of intrauterine device (IUD) use in a case-control study. Extensive surgery for pelvic inflammatory disease was defined as hysterectomy or bilateral adenexal surgery, with pelvic inflammatory ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Stadel BV,Schlesselman S

    更新日期:1984-02-01 00:00:00

  • Oncogene expression: long-term compared with short-term survival in patients with advanced epithelial ovarian cancer.

    abstract:OBJECTIVE:To determine if oncogene overexpression in patients with advanced epithelial ovarian cancer correlates with survival. METHODS:Twenty-two women with stage III ovarian cancer, observed for a median of 66 (range 48-204) months were compared with 30 with a median survival of 18 (range 2-28) months. Using immunoc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(98)00121-5

    authors: Goff BA,Muntz HG,Greer BE,Tamimi HK,Gown AM

    更新日期:1998-07-01 00:00:00

  • A trial of prophylactic cefamandole in extended gynecologic surgery.

    abstract::A double-blind randomized trial of antibiotic prophylaxis was performed with 49 patients undergoing extended pelvic surgery for adenocarcinoma of the endometrium. In this series infections of the Hemovac drain site(s) were most common (8 of 10 infections); only 1 serious infection, pelvic cellulitis, occurred. Short-t...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Creasman WT,Hill GB,Weed JC Jr,Gall SA

    更新日期:1982-03-01 00:00:00

  • Thromboembolism and oral contraceptives.

    abstract::A 1970 study by Fuertes-de la Haba et al. (Obstetrics and Gynecology 36: 597-602) on thromboembolism in Puerto Rican women taking oral contraceptives is criticized. Fuertes-de la Haba et al. interpreted their results as failing to corroborate previous publications indication an increased mortality rate from thrombo...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Seigel DG

    更新日期:1971-09-01 00:00:00

  • Lamellar body counts compared with traditional phospholipid analysis as an assay for evaluating fetal lung maturity.

    abstract:OBJECTIVE:To compare lamellar body counts with the lecithin/sphingomyelin ratio and phosphatidylglycerol analysis in terms of assessment of risk of respiratory distress syndrome (RDS). METHODS:Lamellar body counts, lecithin-sphingomyelin ratios (L/Ss), and phosphatidylglycerol levels were assessed in 1611 amniotic flu...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0029-7844(00)01133-9

    authors: Neerhof MG,Haney EI,Silver RK,Ashwood ER,Lee IS,Piazze JJ

    更新日期:2001-02-01 00:00:00

  • Abortion provision among practicing obstetrician-gynecologists.

    abstract:OBJECTIVE:To estimate prevalence and correlates of abortion provision among practicing obstetrician-gynecologists (ob-gyns) in the United States. METHODS:We conducted a national probability sample mail survey of 1,800 practicing ob-gyns. Key variables included whether respondents ever encountered patients seeking abor...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31822ad973

    authors: Stulberg DB,Dude AM,Dahlquist I,Curlin FA

    更新日期:2011-09-01 00:00:00

  • Vascular endothelial growth factor serum concentrations in ovarian cancer.

    abstract:OBJECTIVE:To determine whether serum vascular endothelial growth factor is an independent prognostic factor in ovarian cancer patients. METHODS:We measured vascular endothelial growth factor in pretreatment serum samples of 60 women with International Federation of Gynecology and Obstetrics stages I to IV epithelial o...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(98)00190-2

    authors: Tempfer C,Obermair A,Hefler L,Haeusler G,Gitsch G,Kainz C

    更新日期:1998-09-01 00:00:00

  • Neonatal Morbidity and Maternal Complication Rates in Women With a Delivery Body Mass Index of 60 or Higher.

    abstract:OBJECTIVE:To investigate neonatal morbidity and maternal complication rates with delivery body mass index (BMI) 60 or greater. METHODS:This retrospective, multicenter cohort study included singleton pregnancies between 23 and 42 weeks of gestation from January 2005 to April 2016. Women with BMI 60 or greater were comp...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/AOG.0000000000002316

    authors: Kim T,Burn SC,Bangdiwala A,Pace S,Rauk P

    更新日期:2017-11-01 00:00:00

  • Fetal heart rate recorder for long-duration use in active full-term pregnant women.

    abstract::We sought to assess the signal consistency and accuracy of a long-duration fetal heart rate (FHR) recorder (a 1-MHz ultrasonic Doppler transducer composed of six miniprobes and an autocorrelation technique) in active, full-term pregnant women. The FHR data of 15 normal full-term fetuses were obtained every 250 millise...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Shono H,Muro M,Kohara M,Ito Y,Nagasawa T,Sugimori H

    更新日期:1994-02-01 00:00:00