Doppler Ultrasound Assessment in Women with Threatened Abortion
Clinical Medicine Research
Volume 2, Issue 3, May 2013, Pages: 24-28
Received: Apr. 10, 2013; Published: May 2, 2013
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Authors
Gustavo Romero-Gutiérrez, Dept. Obstetrics and Gynecology. UMAE. Hospital de Gineco-Pediatría Nº 48, IMSS, León, Guanajuato. México
Antonio Abraham Huebe-Martínez, Dept. Radiology. Hospital of Family Medicine N° 51, IMSS, León, Guanajuato, México
Immer Amaral-Navarro, Dept. Obstetrics and Gynecology. UMAE. Hospital de Gineco-Pediatría Nº 48, IMSS, León, Guanajuato. México
Armando Saúl Ruiz-Treviño, Dept. Obstetrics and Gynecology. UMAE. Hospital de Gineco-Pediatría Nº 48, IMSS, León, Guanajuato. México
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Abstract
Objective: To determine which variables obtained by Doppler ultrasound are associated with the outcome of patients with threatened abortion. Study design: We carried out a cross-sectional study. The patient population included patients with pregnancy less than 20 weeks, who were hospitalized with the diagnosis of threatened abortion. Results: We followed the outcome of 223 patients and found 32 patients (14.3%) who aborted and 191 patients (85.7%) who did not abort. The fetal heart rate for the group who aborted was significantly lower than the group who did not abort (143 ± 2.9 vs. 154 ± 3.6 beats per minute, respectively), p = 0.002; the resistance index of uterine artery was higher (0.79 ± 0.07 vs. 0.76 ± 0.09, respectively), p = 0.018; and the resistance index of trophoblastic flow was higher (0.55 ± 0.04 vs. 0.50 ± 0.06, respectively), p = 0.041. The resistance index of umbilical artery and corpus luteum were not statistically different. Conclusion: Alterations of fetal heart rate, resistance index of uterine artery and trophoblastic flow are associated with adverse outcome in women with threatened abortion.
Keywords
Doppler Ultrasound, Threatened Abortion, Resistance Index, Uterine Artery, Trophoblastic Flow
To cite this article
Gustavo Romero-Gutiérrez, Antonio Abraham Huebe-Martínez, Immer Amaral-Navarro, Armando Saúl Ruiz-Treviño, Doppler Ultrasound Assessment in Women with Threatened Abortion, Clinical Medicine Research. Vol. 2, No. 3, 2013, pp. 24-28. doi: 10.11648/j.cmr.20130203.11
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