Doppler Ultrasound of the Umbilical Artery: Clinical Application

Detalhes bibliográficos
Autor(a) principal: Rocha,Ana Sá
Data de Publicação: 2022
Outros Autores: Andrade,Ana Rosa Araújo, Moleiro,Maria Lúcia, Guedes-Martins,Luís
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista brasileira de ginecologia e obstetrícia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022000500519
Resumo: 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.
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spelling Doppler Ultrasound of the Umbilical Artery: Clinical Applicationdopplerplacentaumbilical arteryfetal surveillanceplacental insufficiencyAbstract 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.Federação Brasileira das Sociedades de Ginecologia e Obstetrícia2022-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022000500519Revista Brasileira de Ginecologia e Obstetrícia v.44 n.5 2022reponame:Revista brasileira de ginecologia e obstetrícia (Online)instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)instacron:FEBRASGO10.1055/s-0042-1743097info:eu-repo/semantics/openAccessRocha,Ana SáAndrade,Ana Rosa AraújoMoleiro,Maria LúciaGuedes-Martins,Luíseng2022-07-11T00:00:00Zoai:scielo:S0100-72032022000500519Revistahttp://www.scielo.br/rbgohttps://old.scielo.br/oai/scielo-oai.phppublicações@febrasgo.org.br||rbgo@fmrp.usp.br1806-93390100-7203opendoar:2022-07-11T00:00Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)false
dc.title.none.fl_str_mv Doppler Ultrasound of the Umbilical Artery: Clinical Application
title Doppler Ultrasound of the Umbilical Artery: Clinical Application
spellingShingle Doppler Ultrasound of the Umbilical Artery: Clinical Application
Rocha,Ana Sá
doppler
placenta
umbilical artery
fetal surveillance
placental insufficiency
title_short Doppler Ultrasound of the Umbilical Artery: Clinical Application
title_full Doppler Ultrasound of the Umbilical Artery: Clinical Application
title_fullStr Doppler Ultrasound of the Umbilical Artery: Clinical Application
title_full_unstemmed Doppler Ultrasound of the Umbilical Artery: Clinical Application
title_sort Doppler Ultrasound of the Umbilical Artery: Clinical Application
author Rocha,Ana Sá
author_facet Rocha,Ana Sá
Andrade,Ana Rosa Araújo
Moleiro,Maria Lúcia
Guedes-Martins,Luís
author_role author
author2 Andrade,Ana Rosa Araújo
Moleiro,Maria Lúcia
Guedes-Martins,Luís
author2_role author
author
author
dc.contributor.author.fl_str_mv Rocha,Ana Sá
Andrade,Ana Rosa Araújo
Moleiro,Maria Lúcia
Guedes-Martins,Luís
dc.subject.por.fl_str_mv doppler
placenta
umbilical artery
fetal surveillance
placental insufficiency
topic doppler
placenta
umbilical artery
fetal surveillance
placental insufficiency
description 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.
publishDate 2022
dc.date.none.fl_str_mv 2022-05-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022000500519
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022000500519
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1055/s-0042-1743097
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
publisher.none.fl_str_mv Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
dc.source.none.fl_str_mv Revista Brasileira de Ginecologia e Obstetrícia v.44 n.5 2022
reponame:Revista brasileira de ginecologia e obstetrícia (Online)
instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)
instacron:FEBRASGO
instname_str Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)
instacron_str FEBRASGO
institution FEBRASGO
reponame_str Revista brasileira de ginecologia e obstetrícia (Online)
collection Revista brasileira de ginecologia e obstetrícia (Online)
repository.name.fl_str_mv Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)
repository.mail.fl_str_mv publicações@febrasgo.org.br||rbgo@fmrp.usp.br
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