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RESEARCH PRODUCT

First-trimester reversed end-diastolic flow in the umbilical artery is not always an ominous sign

L. P. RossalVicente SerraJosé BellverAntonio PellicerJosé RemohíC. Lara

subject

Pregnancymedicine.medical_specialtyRadiological and Ultrasound Technologybusiness.industryObstetrics and GynecologyUmbilical arteryGeneral Medicinemedicine.diseaseSurgeryFirst trimesterReproductive MedicineGrowth restrictionGestational Weeksmedicine.arteryMedicineRadiology Nuclear Medicine and imagingFetal DemisebusinessDiastolic flowSign (mathematics)

description

We report five cases of first-trimester reversed end-diastolic flow in the umbilical artery. Diagnoses were performed between 8 and 12 gestational weeks. All but one case appeared as a transient early finding. Second-trimester fetal demise occurred in two cases. One case delivered at 32 weeks with severe growth restriction but recovered well. The other two cases had a good pregnancy outcome. Our experience suggests that this early Doppler finding is not always an ominous sign.

https://doi.org/10.1002/uog.922