PMID- 30393867
OWN - NLM
STAT- MEDLINE
DCOM- 20191114
LR  - 20191114
IS  - 1097-0096 (Electronic)
IS  - 0091-2751 (Linking)
VI  - 47
IP  - 2
DP  - 2019 Feb
TI  - Impact of bladder filling on uterine artery Doppler variables in the first 
      trimester of pregnancy.
PG  - 83-87
LID - 10.1002/jcu.22649 [doi]
AB  - OBJECTIVE: Uterine artery (UtA) Doppler examination is used in the first 
      trimester to assess the risk of developing preeclampsia, with a standardized 
      technique. However, the impact of bladder filling on UtA circulatory impedance in 
      pregnancy has not been previously studied. This study aimed to examine the effect 
      of bladder distension on UtA-pulsatility index (PI) and peak systolic velocity 
      (PSV) in the first trimester of pregnancy. METHODS: The authors conducted a 
      prospective repeated-measure study on pregnant women presenting for 
      first-trimester screening for preeclampsia. Right and left UtA Doppler 
      velocimetry was first measured with a full bladder. Bladder volume was recorded. 
      After the patients had voided their bladder, a repeat Doppler measurement was 
      performed. The UtA PI and PSV were recorded on each side. The Wilcoxon 
      signed-rank test was used to compare UtA variables before and after bladder 
      voiding. RESULTS: The authors enrolled 45 patients. Mean gestational age at exam 
      was 12.1 weeks. When women were studied with full bladder, median UtA-PI was 1.73 
      (inter-quartile range, [IQR] 1.49, 2.28) on the right and 1.71 (1.46, 2.11) on 
      the left side. After bladder voiding, values were 1.83 (IQR 1.58, 2.20) and 1.78 
      (1.40, 2.18). The difference was not statistically significant (P = .26 and 
      0.80). Similarly, no difference was found in UtA-PSV before and after bladder 
      voiding on either side (P = .22 and .70). CONCLUSION: In the first-trimester of 
      pregnancy, bladder distension does not significantly modify uterine artery 
      Doppler variables.
CI  - (c) 2018 Wiley Periodicals, Inc.
FAU - Seravalli, Viola
AU  - Seravalli V
AUID- ORCID: 0000-0001-8706-3925
AD  - Department of Health Sciences, University of Florence, Florence, Italy.
FAU - Masini, Giulia
AU  - Masini G
AUID- ORCID: 0000-0001-9938-9869
AD  - Department of Neuroscience, Psychology, Drug Research, and Child Health, 
      University of Florence, Florence, Italy.
FAU - Morelli, Chiara
AU  - Morelli C
AD  - Department of Clinical and Experimental Biomedical Sciences, University of 
      Florence, Florence, Italy.
FAU - Di Tommaso, Mariarosaria
AU  - Di Tommaso M
AD  - Department of Health Sciences, University of Florence, Florence, Italy.
FAU - Pasquini, Lucia
AU  - Pasquini L
AUID- ORCID: 0000-0002-6733-7658
AD  - Fetal Medicine Unit, Department of Obstetrics & Gynecology, Careggi University 
      Hospital, Florence, Italy.
FAU - Petraglia, Felice
AU  - Petraglia F
AD  - Department of Clinical and Experimental Biomedical Sciences, University of 
      Florence, Florence, Italy.
LA  - eng
PT  - Journal Article
DEP - 20181104
PL  - United States
TA  - J Clin Ultrasound
JT  - Journal of clinical ultrasound : JCU
JID - 0401663
SB  - IM
MH  - Adult
MH  - Female
MH  - Humans
MH  - Pre-Eclampsia/diagnosis
MH  - Pregnancy
MH  - Pregnancy Trimester, First
MH  - Prospective Studies
MH  - Ultrasonography, Doppler/*methods
MH  - Ultrasonography, Prenatal/*methods
MH  - Urinary Bladder/anatomy & histology/diagnostic imaging
MH  - Uterine Artery/anatomy & histology/*diagnostic imaging
OTO - NOTNLM
OT  - Doppler
OT  - pregnancy
OT  - ultrasonography
OT  - urinary bladder
OT  - uterine artery
EDAT- 2018/11/06 06:00
MHDA- 2019/11/15 06:00
CRDT- 2018/11/06 06:00
PHST- 2018/06/17 00:00 [received]
PHST- 2018/08/11 00:00 [revised]
PHST- 2018/09/18 00:00 [accepted]
PHST- 2018/11/06 06:00 [pubmed]
PHST- 2019/11/15 06:00 [medline]
PHST- 2018/11/06 06:00 [entrez]
AID - 10.1002/jcu.22649 [doi]
PST - ppublish
SO  - J Clin Ultrasound. 2019 Feb;47(2):83-87. doi: 10.1002/jcu.22649. Epub 2018 Nov 4.