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WITHDRAWN: Routine Doppler ultrasound in pregnancy.

L Bricker¹, J P Neilson

¹Liverpool Women's NHS Foundation Trust, Crown Street, Liverpool, UK, L8 7SS. leanne.bricker@lwh.nhs.uk

The Cochrane Database of Systematic Reviews

|July 20, 2007

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Routine Doppler ultrasound in low-risk pregnancies does not improve outcomes for mothers or babies. Further research is needed to assess potential harms and long-term effects.

Area of Science:

Obstetrics and Gynecology
Medical Imaging
Fetal Medicine

Background:

Doppler ultrasound of umbilical artery waveforms aids in identifying compromised fetuses in high-risk pregnancies.
Routine antenatal care aims to identify at-risk fetuses for timely clinical interventions to reduce perinatal morbidity and mortality.

Purpose of the Study:

To evaluate the impact of routine Doppler ultrasound on obstetric practices and pregnancy outcomes in unselected and low-risk pregnancies.

Main Methods:

A systematic review of controlled trials was conducted using the Cochrane Pregnancy and Childbirth Group Specialised Register and the Cochrane Controlled Trials Register.
Five trials involving 14,338 women were included, with generally good methodological quality.

Main Results:

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Routine Doppler ultrasound in low-risk or unselected populations did not increase antenatal, obstetric, or neonatal interventions.
No significant differences were observed in perinatal mortality or other short-term clinical outcomes.
Evidence is lacking on long-term outcomes (e.g., neurodevelopment) and maternal psychological effects. Some studies suggested potential harm, warranting further safety evaluation.

Conclusions:

Current evidence indicates routine Doppler ultrasound offers no benefit to mothers or babies in low-risk or unselected pregnancies.
Future research should investigate small changes in perinatal outcomes, maternal psychological effects, long-term neurodevelopmental outcomes, and safety concerns.