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Uterine artery Doppler indices throughout gestation in women with and without previous Cesarean deliveries: a prospective longitudinal case–control study

To determine whether a history of previous Cesarean delivery (CD) impacts uterine artery (UtA) Doppler indices throughout pregnancy. Women with and without CD (NCD) were prospectively enrolled for sequential assessments of the UtA mean/median pulsatility index (UtA-PI), resistance index (UtA-RI), an...

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Autores principales: Yapan, Piengbulan, Tachawatcharapunya, Suphaphon, Surasereewong, Supitchaya, Thongkloung, Piyatida, Pooliam, Julaporn, Poon, Liona C., Wataganara, Tuangsit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9719472/
https://www.ncbi.nlm.nih.gov/pubmed/36463315
http://dx.doi.org/10.1038/s41598-022-25232-z
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author Yapan, Piengbulan
Tachawatcharapunya, Suphaphon
Surasereewong, Supitchaya
Thongkloung, Piyatida
Pooliam, Julaporn
Poon, Liona C.
Wataganara, Tuangsit
author_facet Yapan, Piengbulan
Tachawatcharapunya, Suphaphon
Surasereewong, Supitchaya
Thongkloung, Piyatida
Pooliam, Julaporn
Poon, Liona C.
Wataganara, Tuangsit
author_sort Yapan, Piengbulan
collection PubMed
description To determine whether a history of previous Cesarean delivery (CD) impacts uterine artery (UtA) Doppler indices throughout pregnancy. Women with and without CD (NCD) were prospectively enrolled for sequential assessments of the UtA mean/median pulsatility index (UtA-PI), resistance index (UtA-RI), and systolic/diastolic ratio (UtA-S/D) at 11–13 + 6, 14–19 + 6, 30–34 + 6, and 35–37 + 6 weeks’ gestation. Data from 269/269, 246/257, 237/254, and 219/242 CD/NCD participants from each gestational period were available for analysis. Multiples of the median (MoMs) of UtA Doppler indices showed biphasic temporal (Δ) pattern; with an initial dropping until the second trimester, then a subsequent elevation until late in pregnancy (p < 0.05). The measurements and Δs of the UtA indices between CD and NCD were not different (p > 0.05). Mixed-effects modelling ruled out effects from nulliparity (n = 0 and 167 for CD and NCD, respectively) (p > 0.05). History of CD neither influenced the measurements nor the temporal changes of the UtA Doppler indices throughout pregnancy. The biphasic Δs of UtA Doppler indices added to the longitudinal data pool, and may aid in future development of a more personalized prediction using sequential/contingent methodologies, which may reduce the false results from the current cross-sectional screening.
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spelling pubmed-97194722022-12-05 Uterine artery Doppler indices throughout gestation in women with and without previous Cesarean deliveries: a prospective longitudinal case–control study Yapan, Piengbulan Tachawatcharapunya, Suphaphon Surasereewong, Supitchaya Thongkloung, Piyatida Pooliam, Julaporn Poon, Liona C. Wataganara, Tuangsit Sci Rep Article To determine whether a history of previous Cesarean delivery (CD) impacts uterine artery (UtA) Doppler indices throughout pregnancy. Women with and without CD (NCD) were prospectively enrolled for sequential assessments of the UtA mean/median pulsatility index (UtA-PI), resistance index (UtA-RI), and systolic/diastolic ratio (UtA-S/D) at 11–13 + 6, 14–19 + 6, 30–34 + 6, and 35–37 + 6 weeks’ gestation. Data from 269/269, 246/257, 237/254, and 219/242 CD/NCD participants from each gestational period were available for analysis. Multiples of the median (MoMs) of UtA Doppler indices showed biphasic temporal (Δ) pattern; with an initial dropping until the second trimester, then a subsequent elevation until late in pregnancy (p < 0.05). The measurements and Δs of the UtA indices between CD and NCD were not different (p > 0.05). Mixed-effects modelling ruled out effects from nulliparity (n = 0 and 167 for CD and NCD, respectively) (p > 0.05). History of CD neither influenced the measurements nor the temporal changes of the UtA Doppler indices throughout pregnancy. The biphasic Δs of UtA Doppler indices added to the longitudinal data pool, and may aid in future development of a more personalized prediction using sequential/contingent methodologies, which may reduce the false results from the current cross-sectional screening. Nature Publishing Group UK 2022-12-03 /pmc/articles/PMC9719472/ /pubmed/36463315 http://dx.doi.org/10.1038/s41598-022-25232-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Yapan, Piengbulan
Tachawatcharapunya, Suphaphon
Surasereewong, Supitchaya
Thongkloung, Piyatida
Pooliam, Julaporn
Poon, Liona C.
Wataganara, Tuangsit
Uterine artery Doppler indices throughout gestation in women with and without previous Cesarean deliveries: a prospective longitudinal case–control study
title Uterine artery Doppler indices throughout gestation in women with and without previous Cesarean deliveries: a prospective longitudinal case–control study
title_full Uterine artery Doppler indices throughout gestation in women with and without previous Cesarean deliveries: a prospective longitudinal case–control study
title_fullStr Uterine artery Doppler indices throughout gestation in women with and without previous Cesarean deliveries: a prospective longitudinal case–control study
title_full_unstemmed Uterine artery Doppler indices throughout gestation in women with and without previous Cesarean deliveries: a prospective longitudinal case–control study
title_short Uterine artery Doppler indices throughout gestation in women with and without previous Cesarean deliveries: a prospective longitudinal case–control study
title_sort uterine artery doppler indices throughout gestation in women with and without previous cesarean deliveries: a prospective longitudinal case–control study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9719472/
https://www.ncbi.nlm.nih.gov/pubmed/36463315
http://dx.doi.org/10.1038/s41598-022-25232-z
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