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Gynecologic ultrasonography or gynecologic sonography refers to the application of medical ultrasonography to the female pelvic organs (specifically the uterus, the ovaries, and the fallopian tubes) as well as the bladder, the adnexa, and the recto-uterine pouch. The procedure may lead to other medically relevant findings in the pelvis.This ...
Poon was the first researcher to have developed an effective first trimester prediction model based on a combination of maternal factors, blood pressure, uterine artery Doppler, serum pregnancy-associated plasma protein-A and placental growth factor for early-onset preeclampsia, achieving a detection rate of 90%, at 5% false-positive rate.
Uterine artery can arise from the first branch of inferior gluteal artery. It can also arise as the 2nd or 3rd branch from the inferior gluteal artery. On the other hand, uterine artery can be first branch from internal iliac artery before the superior and inferior gluteal arteries branching off from the main arterial trunk.
The pelvic exam during pregnancy is similar to the exam for non-pregnant women; however, more attention is given to the uterus and cervix. The size of the uterus is assessed at the initial visit, and the growth of the uterus is assessed at subsequent visits. In the first trimester the uterine size can be assessed on bimanual examination.
Applying spectral Doppler to the renal artery and selected interlobular arteries, peak systolic velocities, resistive index, and acceleration curves can be estimated (Figure 4) (e.g., peak systolic velocity of the renal artery above 180 cm/s is a predictor of renal artery stenosis of more than 60%, and a resistive index, which is a calculated ...
An important risk factor for placenta accreta is placenta previa in the presence of a uterine scar. Placenta previa is an independent risk factor for placenta accreta. Additional reported risk factors for placenta accreta include maternal age and multiparity, other prior uterine surgery, prior uterine curettage, uterine irradiation, endometrial ablation, Asherman syndrome, uterine leiomyomata ...
There may occasionally be normal Doppler flow because of the ovary's dual blood supply from both the ovarian arteries and uterine arteries. [citation needed] Other ultrasonographic features include: [8] Enlarged hypoechogenic or hyperechogenic ovary; Peripherally displaced ovarian follicles; Free pelvic fluid. This may be seen in more than 80% ...
Post-placental hypoxia is associated with mechanical obstructions of the umbilical cords, reduced uterine artery flow, progressive fetal cardiac failure, and genetic anomalies. [ 12 ] [ 14 ] The perinatal brain injury occurring as a result of birth asphyxia, manifesting within 48 hours of birth, is a form of hypoxic ischemic encephalopathy .