PMID- 1695525 OWN - NLM STAT- MEDLINE DCOM- 19900827 LR - 20190719 IS - 0306-5456 (Print) IS - 0306-5456 (Linking) VI - 97 IP - 5 DP - 1990 May TI - Uterine artery Doppler in the investigation of pregnancies with raised maternal serum alpha-fetoprotein. PG - 431-5 AB - Uterine artery flow velocity waveforms (FVW) were obtained prospectively by continuous wave Doppler at 18-22 weeks gestation from 98 women with an unexplained elevation in maternal serum alpha-fetoprotein (MSAFP). A notch in either the left or right uterine artery FVW was present in 18 pregnancies of which seven resulted in perinatal death and six in the birth of very immature and/or severely growth retarded babies. Conversely, in 66 of 80 pregnancies the absence of a notch was associated with the livebirth of an infant beyond 32 weeks gestation, with a birthweight above the 5th centile. It is suggested that the presence of a notch in the uterine artery FVW is a good predictor of poor perinatal outcome. FAU - Aristidou, A AU - Aristidou A AD - Harris Birthright Research Centre for Fetal Medicine, King's College School of Medicine and Dentistry, London. FAU - Van den Hof, M C AU - Van den Hof MC FAU - Campbell, S AU - Campbell S FAU - Nicolaides, K AU - Nicolaides K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Obstet Gynaecol JT - British journal of obstetrics and gynaecology JID - 7503752 RN - 0 (alpha-Fetoproteins) SB - IM MH - Blood Flow Velocity MH - Female MH - Fetal Death MH - Fetal Growth Retardation/physiopathology MH - Gestational Age MH - Humans MH - Infant, Newborn MH - Pregnancy MH - Pregnancy Complications/*blood/physiopathology MH - Pregnancy Outcome MH - Prospective Studies MH - Ultrasonography MH - Uterus/*blood supply MH - Vascular Resistance/physiology MH - alpha-Fetoproteins/*analysis EDAT- 1990/05/01 00:00 MHDA- 1990/05/01 00:01 CRDT- 1990/05/01 00:00 PHST- 1990/05/01 00:00 [pubmed] PHST- 1990/05/01 00:01 [medline] PHST- 1990/05/01 00:00 [entrez] AID - 10.1111/j.1471-0528.1990.tb01831.x [doi] PST - ppublish SO - Br J Obstet Gynaecol. 1990 May;97(5):431-5. doi: 10.1111/j.1471-0528.1990.tb01831.x.