第一个和第二个三个月子宫动脉多普勒和高血压障碍在双胞胎怀孕
Stephanie Springer1, Teresa Anzböck2, Katharina Worda1
1Department of Obstetrics and Gynecology, Medical University of Vienna, 1090 Vienna, Austria.
Journal of clinical medicine
|August 14, 2025
概括
在双胞胎怀孕中进行的子宫动脉多普勒研究可以预测子宫前. 在怀孕早期和中期测量平均子宫动脉脉动指数 (UTPI) 可以更好地早期检测出孕前和不良结果.
科学领域:
- 产科和妇科 产科和妇科
- 产妇胎儿医学 产妇胎儿医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 双胞胎怀孕有更高的孕前和不良产科结果的风险.
- 子宫动脉多普勒研究用于评估胎盘功能和预测妊娠并发症.
研究的目的:
- 调查子宫动脉多普勒研究在预测子宫前和双胞胎怀孕中不良结果方面的有效性.
- 为风险评估确定平均子宫动脉脉动指数 (UTPI) 的最佳切断值.
主要方法:
- 554个双胞胎怀孕的回顾性队列研究.
- 平均UTPI测量在11-14周和19-23周怀孕.
- UTPI值与妊娠前和不良产科结果发生的相关性.
主要成果:
- 孕前发生在9.2%的女性中;早期孕前发生在2.2%的女性中,晚期孕前发生在7.0%的女性中.
- 在26.5%的女性中,发生了不良妊娠结果.
- 在11-14周和19-23周的升高UTPI显著预测了孕前,早期孕前和不良结果.
结论:
- 结合11-14周和19-23周的UTPI测量,采用两阶段查方法,可以在双胞胎怀孕中预测早期孕前的最佳预测.
- 在双胞胎怀孕中,UTPI测量是评估双胞胎怀孕风险的宝贵工具.
- 早期识别高风险怀孕可以及时进行干预,并改善孕产妇和胎儿的结果.
相关概念视频
Assessing Blood pressure using a doppler ultrasound
1.6K
To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
1.6K
Fetal Circulation
1.4K
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
1.4K
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
35
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
35
Development of Blood Vessels
779
The development of the vascular system in a fetus is a complex and intricate process that begins as early as 15 to 16 days post-conception. This process starts outside the embryo, specifically in the mesoderm of the yolk sac, chorion, and connecting stalk. Approximately two days later, the formation of blood vessels occurs within the embryo itself.
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...
779
Teratogenicity
2.8K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.8K
Assessment of blood pressure in brachial artery(two-step method)
905
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
905


