Doppler Ultrasound of the Umbilical Artery: Clinical Application

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.

Prevalencia de restricción de crecimiento intrauterino y factores asociados, Hospital José Carrasco Arteaga, Cuenca, 2015-2019

“…2, pp. 6 -20 abril -junio 2023 www.anatomiadigital.org las participantes consumieron al menos un suplemento nutricional, aunque la información fue limitada debido a que no se cuenta con información pre concepcional(25,26).…”