101. Uterine Radial Artery Resistance Index Predicts Reproductive Outcome in Women with Recurrent Pregnancy Losses and Thrombophilia
- Author
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J. L. Ruan, H. Ahmed, Joanne Kwak-Kim, N. Chigirin, S. H. Bao, Ming Zhang, S. T. Frempong, and V. Hoch
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Abortion, Habitual ,Article Subject ,lcsh:Medicine ,Abortion ,Thrombophilia ,General Biochemistry, Genetics and Molecular Biology ,Miscarriage ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,Medicine ,Positive Pregnancy Test ,Humans ,Retrospective Studies ,Ultrasonography, Doppler, Duplex ,030219 obstetrics & reproductive medicine ,General Immunology and Microbiology ,Aspirin ,business.industry ,Obstetrics ,Pregnancy Complications, Hematologic ,lcsh:R ,Anticoagulants ,Retrospective cohort study ,General Medicine ,Heparin, Low-Molecular-Weight ,medicine.disease ,Uterine Artery ,030104 developmental biology ,Gestation ,Female ,Vascular Resistance ,business ,Live birth ,Live Birth ,Research Article - Abstract
Uterine radial artery resistance index (URa-RI) by Doppler ultrasound may reflect the changes in the uteroplacental circulation and be associated with adverse events in early pregnancy. Recurrent pregnancy losses (RPL) are associated with thrombophilia, and anticoagulation treatment with low molecular weight heparin improves pregnancy outcome in women with RPL and thrombophilia. A retrospective cohort study was conducted in 139 pregnant women with 3 or more RPL and thrombophilia. The relationship between pregnancy outcome and dynamic changes of URa-RI was analyzed in 116 women who delivered a liveborn infant and 23 who miscarried the index pregnancy. Patients were on preconception low molecular weight heparin, low-dose aspirin (81mg per day), and prednisone treatment. URa-RI was measured during periovulation time, at the time of positive pregnancy test, and then repeated every two weeks until 32-week gestation or the time of miscarriage. The URa-RI at 8-week gestation was significantly higher in women who miscarried the index pregnancy than those who delivered alive born infant (0.51±0.08 vs. 0.42±0.03, P
- Published
- 2019