{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T18:25:33Z","timestamp":1757701533629,"version":"3.37.3"},"reference-count":12,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2017,5,15]],"date-time":"2017-05-15T00:00:00Z","timestamp":1494806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine whether color Doppler sonography increases the detection of pregnancies at risk for adverse outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants admitted to labor and delivery with the anticipation of a vaginal delivery underwent measurements of amniotic fluid volume (AFV) using amniotic fluid index (AFI) and single deepest pocket (SDP) techniques by grayscale followed by color Doppler sonography. Oligohydramnios was defined as an AFI of less than 5\u2009cm or an SDP of less than 2\u2009cm. Intrapartum and perinatal outcomes were compared between participants with a diagnosis of a low AFV by grayscale and color Doppler sonography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over 42 months, 428 women were enrolled in the study. Color Doppler sonography resulted in lower AFV estimates (mean\u2009\u00b1\u2009SD by the AFI, 10.7\u2009\u00b1\u20093.7\u2009cm by grayscale sonography and 8.6\u2009\u00b1\u20093.6cm by color Doppler sonography; <jats:italic>P<\/jats:italic>\u2009&lt; .0001). For the SDP, the mean AFVs were 4.6\u2009\u00b1\u20092.0\u2009cm by grayscale sonography and 3.4\u2009\u00b1\u20091.4\u2009cm by color Doppler sonography (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001). The level of agreement between grayscale and color Doppler sonography in estimating the AFV was fair, with \u03ba\u2009=\u20090.32 for the AFI and 0.28 for the SDP. Outcome measures of AFVs classified as low based on color Doppler sonography (normal by grayscale sonography) and those classified as low by grayscale sonography (low by color Doppler sonography) were compared. There was no difference in composite perinatal complications, mode of delivery, or composite neonatal complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The use of color Doppler sonography leads to the overdiagnosis of low AFVs and does not appear to increase the detection of pregnancies destined for adverse intrapartum or perinatal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.14223","type":"journal-article","created":{"date-parts":[[2017,5,15]],"date-time":"2017-05-15T07:12:44Z","timestamp":1494832364000},"page":"1875-1881","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Addition of Color Doppler Sonography for Detection of Amniotic Fluid Disturbances and Its Implications on Perinatal Outcomes"],"prefix":"10.1002","volume":"36","author":[{"given":"Imelda N.","family":"Odibo","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Arkansas for Medical Sciences Little Rock Arkansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brianna S.","family":"Whittemore","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Arkansas for Medical Sciences Little Rock Arkansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dawn S.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Arkansas for Medical Sciences Little Rock Arkansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela M.","family":"Simmons","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Arkansas for Medical Sciences Little Rock Arkansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Songthip T.","family":"Ounpraseuth","sequence":"additional","affiliation":[{"name":"Department of Biostatistics University of Arkansas for Medical Sciences Little Rock Arkansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6823-7635","authenticated-orcid":false,"given":"Everett F.","family":"Magann","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Arkansas for Medical Sciences Little Rock Arkansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,15]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(80)90289-6"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(80)90457-3"},{"key":"e_1_2_6_4_1","first-page":"353","article-title":"The four\u2010quadrant assessment of amniotic fluid volume: an adjunct to antepartum fetal heart rate testing","volume":"70","author":"Rutherford SE","year":"1987","journal-title":"Obstet 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