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High Uterine artery index pulsatility (PI) is associated with small for gestationnal age but also with stillbirth and distress during labor.
measures of Uterine artery PI is made with transabdominal color flow during labor. The right and left uterine arteries are visualized at the crossover wth the external iliac arteries. PI is measured and the mean PI of the two vessels is calculated and expressed as multiple of the median (MoM).The outcomes stillbirth, distress and vaginal or cesarean delivery, apgar sore <7 at 5 minutes, birth weight and maternal outcomes: preeclampsia, hemorrhage and other complications are noted.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| normal PI | Active Comparator | Uterine artery PI expresserd in MoM is <95e percentile |
|
| pathological PI | Active Comparator | Uterine artery PI expressed in Multiple of Mediane (MoM) is >=95e percentile |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| normal PI | Radiation | measurement of the PI in the uterine artery for pregnant women during labor, expressed in MoM |
|
| Measure | Description | Time Frame |
|---|---|---|
| right uterine artery pulsatility index measurement | 15 minutes | |
| left uterine artery pulsatility index measurement | 15 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| maternal outcome | number of patients with hemorrhage, preeclampsie, adversal outcomes | 2 days |
| small for gestationnal age (SGA) | number of neonatal SGA |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| AMIRA AYACHI, Ph D | Contact | 53660148 | 00216 | benmrad.amira@yahoo.fr |
| Name | Affiliation | Role |
|---|---|---|
| AMIRA AYACHI, Ph D | University Tunis El Manar | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Bougatfa | Recruiting | Bizerte | 7000 | Tunisia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25970847 | Background | Valino N, Giunta G, Gallo DM, Akolekar R, Nicolaides KH. Uterine artery pulsatility index at 30-34 weeks' gestation in the prediction of adverse perinatal outcome. Ultrasound Obstet Gynecol. 2016 Mar;47(3):308-15. doi: 10.1002/uog.14898. Epub 2016 Feb 1. |
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| ID | Term |
|---|---|
| D007744 | Obstetric Labor Complications |
| D050497 | Stillbirth |
| D006470 | Hemorrhage |
| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D005313 | Fetal Death |
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| pathological PI | Radiation | measurement of the PI in the uterine artery for pregnant women during labor, expressed in MoM |
|
| 1 day |
| Apgar Score<7 | number of birth with Apgar score <7 | 1 day |
| distress | number of cesarean section for distress | 1 day |
| D003643 | Death |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |