Uterine Artery Doppler Ultrasound Interpretation / Doppler Ultrasound in Fetal Growth Assessment
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- Опубліковано 3 жов 2024
- Uterine Artery Doppler is a specific ultrasound which measures the velocity of blood flow in the uterine artery, which is the major blood supply to the uterus arising from the anterior division of internal iliac artery.
The indications of Uterine artery Doppler include previous history of preeclampsia, previous child with intrauterine growth retardation, unexplained high maternal serum Alpha Fetoprotein level, high maternal HCG level.
During systole, the blood flow is very fast and this depends upon the contractile ability of a woman’s heart. During Diastole, the flow pattern depends upon the terminal vessels vascular resistance mainly the spiral arteries.
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Greetings from India 🇮🇳
You are an amazing orator.
Very nice video ❤❤
Hi mam, I am currently 32 weeks pregnant. At 29 weeks 6 days scan
Right uterine pi = 1.21, ri = 0.65, s/d = 2.84
PSV 106.4 cms/sec
EDV 37.5 cms/sec
Left uterine pi = 1.94, ri = 0.78, s/d = 4.51,
PSV 68.1 cms/ sec
EDV 15.1 cms/ sec
Mean PI = 1.575
MCA pi = 1.81, ri = 0.83 and s/d = 5.85, PSV = 67.9 cms/sec, EDV = 11.6 cms/sec (19 centiles)
Umbilical artery pi = 0.94, ri = 0.62 and
s/d = 2.66 (37 centiles)
PSV = 40.9 cms/sec, EDV = 15.4 cms/sec
CPR = 1.926
EFW is 1223 +- 122.3 gms.
Doc said fetal has anemic.
Apart from this, there is any problem with Mean IP.
After that, scan 31 weeks 2 days
Umbilical artery PI =0.90
MCA PI = 2.36
MCA PSV = 66.14 cm/sec and doc said all parameters are below the 10th centiles for gestation s/o symmetrical IUGR
EFW is 1399 gms
Pls reply me mam. Where is problem? and how much risk?
Ma'am bladder should be half full while doing doppler study
Ma'am os there any graph on umb artery pi and ri , s/ d ratio with imterpretation for that particular GA so that it is easy for sonographers.
Hi mam, I am currently 32 weeks pregnant. At 29 weeks 6 days scan
MCA pi = 1.81, ri = 0.83 and s/d = 5.85, PSV = 67.9 cms/sec, EDV = 11.6 cms/sec (19 centiles)
Umbilical artery pi = 0.94, ri = 0.62 and
s/d = 2.66 (37 centiles)
PSV = 40.9 cms/sec, EDV = 15.4 cms/sec
CPR = 1.926
EFW is 1223 +- 122.3 gms.
Doc said fetal has anemic.
After that, scan 31 weeks 2 days
Umbilical artery PI =0.90
MCA PI = 2.36
MCA PSV = 66.14 cm/sec and doc said all parameters are below the 10th centiles for gestation s/o symmetrical IUGR
EFW is 1399 gms
So what does it mean? Does it mean any complications in pregnancy?
Mere bhi 36 weeks mai 1842 gram h baby weight or color doppler mai right uterine 82.0 26.0 0.68 3.15 1.38 aaya h apka baby thik h normal h sb mujhe to bhut tens horha h pls reply zarur krna 😢
How I can decrease pi value for egg transfer
Hi mam INCREASE in PI AND RI values F uterine artery means boy or girl
My Pi for right is 2.50 ,RI is 0.84 and left is 1.05 ,RI is 0.59 and in comment diastolic nit h in right uterine artery please reply is it safe i am 12 week pregnant
In my NT scan, left uterine PI increased 1.58. is it risky? Please help
Whey they mention F Utraien artery in scan reports plg give reply mam
Mam i have right utrine artery PI =2.24 and left utrine artery is PI=2.18 Means - 2.21( increased) at 12 week 1 day....is it a sign of complications mam? Dr. Suggested me ecosprin 150 mg
Baby ok vaa
Seme repor
Hi Mam, I am 12th week pregnant..I have done NT scan today and left uterine artery shows increased resistance to flow . Left uterine -2.46 and Mean PI - 2.035 ..Can I travel by train with this value ?
Mam UAD ..N and R1 is 0.5 and s/d is 2.7 in 31 week is it right for my baby
Mam uterine artery present in females only aaaa mam
Hi sir,please reply
In my 12 weeks 3 days scan my right and utrine artery pi is 1.18 and 2.0 and RI is 0.62 and 0.79.Mean pi is 1.6..Is it normal
Hi, can fibroids cause high PI?
Although limited studies are available to check the effect of uterine fibroid on pulsatility index but few studies show that pulsatility index increase in such cases due to impedance in blood flow in uterine artery.
Hi please may i ask your advice? My pi seems to be high. It was 1.38 at 34 weeks, then 1.4 at 34+6. Next day at 35 it was 1.5. I was admitted and next day it came down to 1.2 and fetal movement returned to normal. I'm having doppler, fluid and heart trace 2x a week with a view to induce at 37 weeks. If the pi continues to rise, is this ok as long as no notches or reversed end diastolic flow happens? Or will they bring baby sooner if i go tomorrow or Monday and it's still high? Many thanks
The main role of Uterine artery is at 21- 28 weeks of gestation when is helps in assessing and predicting certain fetal complications mentioned in this vide.
Now as you are at 34 plus weeks of gestation, so in your case fisrt of all serial growth scans will tell us whether your baby developed IUGR or not. Moreover, your baseline investigations and BP record along with protein in urine test will help in detecting pre-eclampsia.
In order to plan delivery, the UMBLICAL Artery Doppler indices and waveforms (normal, absent or reversed) will tell when the baby should be delivered.
Watch this video for Umbilical Artery Doppler
ua-cam.com/video/mBr5e5r1_DE/v-deo.html
Hindi chanel pe upload kare Mam.
Hello Madam, my mean uterine PI is very low at 18 weeks , it is 0.68. There is no interpretation given for very low PI. Will it mean any complication? Kindly help
The mean UtA-PI values should be below 1.84 , 1.07 and 0.78 in the first, second and third trimesters of pregnancy, respectively.
Low PI means low resistance to blood flow.
So 0.68 i satisfactory.
Thank you ma'am@@AAUN
Mam mere color doppler 36 weeks mai hua h mera right uterine mai high resistance flow likha h left wala normal h baby weight bhi kam h kya kru ab mujhe 38 weeks hogye 😢pls reply zarur krna 🙏
Hi , how are you and your baby now?
What is the mean or percentile and mean PI in Doppler study
At 20 weeks scan mean pi = 1.25 (66 percentile) is it normal?
Hey how are you and your baby
Hello madam. My obgyn says right and left are turtuous uterine artery. And both have small diameter. What should i do? Im 23 weeks now
The arteries of parous women assume a much more convoluted and tortuous course.
Parity means number of pregnancies.
With each pregnancy the tortuosity of uterine artery increase.
So no need to get worried about it.
Tell me S/D ratio and Pulsatility index. Those are important to know.
@@AAUN thank you madam, but he dont tell about PI. But I have protein c deficiency. Makes me quite worries about it, madam
@@twinklestarforu
I hope it will be normal but next time if you visit your obstetrician or radiologist ask about that values as well.
For Protein C deficiency , Injection Clexane throughout pregnancy and stopping before delivery is found to be quite benificial and helps prevent different complication.
@@AAUN heparin injection 3times a week. May be will increase as per today. Because the tortuosity and APTT result today. Thank madam for replied me
Hi mam... in 12 week scan...mean uterine pi 2.3
Is it too high
Infact due to inadequate placentation in the first trimester the resistance to blood flow is high in placenta .
Thats why ideally the doppler is done at 20-24 weeks bcoz by that time the trophoblastic invasion is almost complete.
Somes tudies show that PI of more than 2.35 at 11 -14 weeks is predictive of FGR or pre-eclampsia.
But I would recommend you to repeat your Uterine Artery Doppler at 222 weeks and tell me about PI at that time.
@@AAUN thanks a lot sir... actually I had history of IUGR pregnancy... taking heparin.. ecosprin...yoga will help??
@@shreebhumi
Yes, dear Heparin and Aspirin have been found to have beneficial effects in ensuring the placental circulation.
Although limited studies are available about Yoga but if done carefully it can be useful as well.
@@AAUN thanks a lot Sir
Baby boy Fetal have in uterine artery pls reply
4:54 PERSISTENCE OF NOTCH IN SECOND TRIMESTER
CAn dopler ultrasound on 32cweeks and 34 weeks scan detect fetus kidneys , brain defects or they just measuremnts other aspects
Hlo Mam, i am 23 weeks pregnant. and my right uterine artery shows pi 1.3 with early diastolic notch.. and the left uterine artery normal color doppler.. what can i do to normalize this PI value.. and i am taking ecosprin 150mg daily.. plz advice me mam..
The normal pulsatility index at this gestational age is about 1.07 +- 0.38.
High pusatility index and persistent of notch at this satge index increased risk of developing certain conditions like pre eclampsia, fetal growth restriction, stillbirth.
So in order to avoid complications in pregnancy, you need regular antenatal visits with regular record of BP along with urine test for proteinuria. Moreover, your essential tests are needed to be done and regular growth scans of the baby will give us an idea about biometry and liquor volume. In short as your pregnancy is at high risk so as compared to other patients, we need vigilant monitoring.
Please anyone help me
Baby boy fetal have in uterine artery pls reply
Good question.
Actually, the uterine artery doppler ultrasound measures the mother uterine artery blood flow velocity (not the fetus) And by assessing the maternal uterine artery blood flow pattern we identify the risk of developing growth restriction and other abnormalities in the fetus.
So it doesn't matter whether the fetus is male or female.
@@AAUN thank you so mich for ur reply why im asking this question I'm 22 week pregnant my baby scan report mention that body parts of pic ex brain nose heart also right uterine artery And left uterine artery that's why I'm asking mam
@@AAUN mam but my scan report baby brain heart nose And also right uterine artery left uterine artery mention that's why I'm asking that is baby body part know so I'm asking that question reply me
@@balajibala7536
If radiologist has specifically mentioned that he/she is commenting on fetal uterine arteries, then that is just because he/she was intending to check blood flow of each and every individual blood vessel flow pattern of fetus.
But in order to assess and predict the risk of developing fetal complications, the maternal uterine arteries parameters are analyzed. Your scan must have comment on maternal uterine arteries as well. If not, then you need to repeat your doppler scan.
@@AAUN thank you for ur reply
Is 0.65 range is normal r not
Depends on what week of pregnancy it is and whether you're talking about the PI or the RI value among others
Hello madam..my NT scan report shows right uterine pi is 2.4 and left uterine pi is 2.4 but mean is not mentioned...is that too high..or any complications will come ... please help me with your answer please
First tell me the gestational age in weeks as uterine artery PI varies with gestation.
The PI of 2.4 is quite high at every gestation.
The mean UtA-PI values are about 1.84 , 1.07 and 0.78 in the first, second and third trimesters of pregnancy, respectively.
For management you need serial growth scan and assessment of risk factors causing increased PI in uterine artery doppler by an obstetrician who would take appropriate history and examine you and baby thoroughly and plan management accordingly.
@@AAUN 12 weeks gestation madam
@@cheeky7675
As placentation is not compele till 18th weeks so at 12 weeks the uterine artery doppler is not reliable.
Repeat it at 18th weeks , then it will be managed acoordingly.
Hopefully it will be normal on 18th weeks.
Thanks alot madam
@@cheeky7675
You are most welcome dear..
Hi ma’am
I’m currently 12 weeks . Right uterine pi is 3.27 , left is 1.71 and the mean pi is 2.5 . What are the complications and how can I rectify it ?
As the placentation is not complete before 18 weeks , so I would advice you to repaet this doppler at 18- 20 weeks and then we will plan accordingly.
The complication which is expected in case of derrnged doppler is fetal growth resriction and pre-eclampsia but again I would say repeat it at 18- 20 weeks . Most of the people get normal doppler latter on when the placenta completes its trophoblastic invasion process.
Hi...Have you done the test again
Mam what about uapi 1.3 ?? At 14 weeks??
Hi, did you do the test again? Is the pi normal?
Rt uterine artery RI 0.93 and PI 2.78
Lt uterine artery RI 0.77 and PI 1.72
Is there any complications? Please reply me
It doesn't look abnormal for a 35 week or below pregnancy but how many weeks are you?