Should Bilateral Uterine Artery Notching Be Used in the Risk Assessment for Preeclampsia, Small-for-Gestational-Age, and Gestational Hypertension?

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dc.contributor.authorEspinoza, Jimmy
dc.contributor.authorKusanovic, Juan Pedro
dc.contributor.authorBahado Singh, Ray
dc.contributor.authorGervasi, Maria Teresa
dc.contributor.authorRomero, Roberto
dc.contributor.authorLee, Wesley
dc.contributor.authorVaisbuch, Edi
dc.contributor.authorMazaki Tovi, Shali
dc.contributor.authorMittal, Pooja
dc.contributor.authorGotsch, Francesca
dc.contributor.authorErez, Offer
dc.contributor.authorGomez, Ricardo
dc.contributor.authorYeo, Lami
dc.contributor.authorHassan, Sonia S.
dc.date.accessioned2024-01-10T14:21:39Z
dc.date.available2024-01-10T14:21:39Z
dc.date.issued2010
dc.description.abstractObjective. The purpose of this study was to determine the value of bilateral uterine artery notching in the second trimester in the risk assessment for preeclampsia, gestational hypertension, and small-for-gestational-age (SGA) without preeclampsia. Methods. This prospective cohort study included 4190 singleton pregnancies that underwent ultrasound examination between 23 and 25 weeks' gestation. The 95th percentiles of the mean pulsatility index (PI) and resistive index (RI) of both uterine arteries were calculated. Multivariable logistic regression analyses were performed to determine if bilateral uterine artery notching is an independent explanatory variable for the occurrence of preeclampsia, early-onset preeclampsia (<= 34 weeks), late-onset preeclampsia (>34 weeks), gestational hypertension, and delivery of an SGA neonate without preeclampsia, while controlling for confounding factors. Results. (1) The prevalence of preeclampsia, early-onset preeclampsia, late-onset preeclampsia, SGA, and gestational hypertension were 3.4%, 0.5%, 2.9%, 10%, and 7.9%, respectively; (2) 7.2% of the study population had bilateral uterine artery notching; and (3) bilateral uterine artery notching was an independent explanatory variable for the development of preeclampsia (odds ratio [OR] 2.1; 95% confidence interval [CI], 1.28-3.36), early-onset preeclampsia (OR, 4.47; 95% CI, 1.50-13.35), and gestational hypertension (OR, 1.50; 95% CI, 1.02-2.26), but not for late-onset preeclampsia or SGA. Conclusions. Bilateral uterine notching between 23 and 25 weeks' gestation is an independent risk factor for the development of early-onset preeclampsia and gestational hypertension. Thus, bilateral uterine artery notching should be considered in the assessment of risk for the development of these pregnancy complications.
dc.description.funderEunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, US Department of Health and Human Services
dc.description.funderEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT
dc.description.funderEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT
dc.format.extent13 páginas
dc.fuente.origenWOS
dc.identifier.doi10.7863/jum.2010.29.7.1103
dc.identifier.eissn1550-9613
dc.identifier.issn0278-4297
dc.identifier.pubmedidMEDLINE:20587434
dc.identifier.urihttps://doi.org/10.7863/jum.2010.29.7.1103
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79740
dc.identifier.wosidWOS:000279480400011
dc.information.autorucMedicina;Gómez R;S/I;80926
dc.issue.numero7
dc.language.isoen
dc.nota.accesoSin adjunto
dc.pagina.final1115
dc.pagina.inicio1103
dc.publisherWILEY
dc.revistaJOURNAL OF ULTRASOUND IN MEDICINE
dc.rightsregistro bibliográfico
dc.subjectearly-onset preeclampsia
dc.subjectprediction
dc.subjectpregnancy
dc.subjectpulsatility index
dc.subjectsmall-for-gestational-age
dc.subjectuterine artery Doppler velocimetry
dc.subjectuteroplacental ischemia
dc.subjectVELOCITY WAVE-FORMS
dc.subjectFETAL GROWTH RESTRICTION
dc.subjectDOPPLER VELOCIMETRY
dc.subjectBIRTH-WEIGHT
dc.subjectTROPHOBLAST DEPORTATION
dc.subjectDIASTOLIC NOTCH
dc.subject2ND TRIMESTER
dc.subjectMATERNAL SMOKING
dc.subjectPREGNANT-WOMEN
dc.subjectPREDICTION
dc.subject.ods05 Gender Equality
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa05 Igualdad de género
dc.subject.odspa03 Salud y bienestar
dc.titleShould Bilateral Uterine Artery Notching Be Used in the Risk Assessment for Preeclampsia, Small-for-Gestational-Age, and Gestational Hypertension?
dc.typeartículo
dc.volumen29
sipa.codpersvinculados80926
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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