{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T02:56:57Z","timestamp":1781578617395,"version":"3.54.5"},"reference-count":22,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2014,9,21]],"date-time":"2014-09-21T00:00:00Z","timestamp":1411257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the role of the placental arterial Doppler examination at 23\u201324 gestational weeks for predicting adverse perinatal outcome in high\u2010risk pregnancies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective register study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Sk\u00e5ne University Hospital in Malm\u00f6.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Six hundred and forty\u2010five women with high\u2010risk pregnancies, without fetal malformations or chromosomal abnormalities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Placental (uterine and umbilical artery) Doppler ultrasound examination at 23\u201324 gestational weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Adverse perinatal outcomes including preeclampsia, small\u2010for\u2010gestational age newborns (smaller than 3rd percentile or smaller than the 10th percentile), preterm delivery (&lt;34\u00a0weeks or &lt;37\u00a0weeks of gestation at delivery), cesarean section, admission to the neonatal intensive care unit and intra\u2010uterine fetal death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Abnormal uterine artery Doppler values were detected in 45% of this high\u2010risk group but abnormal umbilical artery Doppler indices were only seen in 3.7%. Adverse perinatal outcome increased significantly with increasing placental vascular impedance (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001). There were seven cases of intrauterine fetal death and in five the uterine artery Doppler values at 23\u201324\u00a0weeks were abnormal. A strong correlation between abnormal uterine artery Doppler and preeclampsia was present, but not with other forms of hypertensive disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Placental Doppler screening at 23\u201324\u00a0weeks can be used in detecting pregnancies at risk of adverse outcome and in selecting cases for more intense surveillance. A surveillance plan is proposed based on Doppler screening at 23\u201324\u00a0weeks of gestation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12488","type":"journal-article","created":{"date-parts":[[2014,8,26]],"date-time":"2014-08-26T09:48:49Z","timestamp":1409046529000},"page":"1276-1281","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Uterine artery Doppler in high\u2010risk pregnancies at 23\u201324 gestational weeks is of value in predicting adverse outcome of pregnancy and selecting cases for more intense surveillance"],"prefix":"10.1111","volume":"93","author":[{"given":"Na","family":"Li","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Shengjing Hospital China Medical University Shenyang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gisela","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology 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