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Doppler Ultrasound of the Umbilical Artery: Clinical Application

Rocha, Ana Sá ; Andrade, Ana Rosa Araújo ; Moleiro, Maria Lúcia ; Guedes-Martins, Luís

Revista Brasileira de ginecologia e obstetrícia, 2022-05, Vol.44 (5), p.519-531 [Periódico revisado por pares]

Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil: Thieme Revinter Publicações Ltda

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  • Título:
    Doppler Ultrasound of the Umbilical Artery: Clinical Application
  • Autor: Rocha, Ana Sá ; Andrade, Ana Rosa Araújo ; Moleiro, Maria Lúcia ; Guedes-Martins, Luís
  • Assuntos: Female ; Gestational Age ; Humans ; OBSTETRICS & GYNECOLOGY ; Pregnancy ; Pregnancy, High-Risk ; Review ; Ultrasonography, Doppler ; Ultrasonography, Prenatal - methods ; Umbilical Arteries - diagnostic imaging
  • É parte de: Revista Brasileira de ginecologia e obstetrícia, 2022-05, Vol.44 (5), p.519-531
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Abstract Objective  To provide a survey of relevant literature on umbilical artery Doppler ultrasound use in clinical practice, technical considerations and limitations, and future perspectives. Methods  Literature searches were conducted in PubMed and Medline, restricted to articles written in English. Additionally, the references of all analyzed studies were searched to obtain necessary information. Results  The use of this technique as a routine surveillance method is only recommended for high-risk pregnancies with impaired placentation. Meta-analyses of randomized trials have established that obstetric management guided by umbilical artery Doppler findings can improve perinatal mortality and morbidity. The values of the indices of Umbilical artery Doppler decrease with advancing gestational age; however, a lack of consensus on reference ranges prevails. Conclusion  Important clinical decisions are based on the information obtained with umbilical artery Doppler ultrasound. Future efforts in research are imperative to overcome the current limitations of the technique.
  • Editor: Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil: Thieme Revinter Publicações Ltda
  • Idioma: Inglês;Português
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