scholarly journals Levonorgestrel Intrauterine System Effects versus Copper Intrauterine Device on Changing Of Menstruation and Uterine Artery Doppler

2020 ◽  
Keyword(s):  
Uterine Artery ◽  
Intrauterine Device ◽  
Hormonal Contraceptive ◽  
University Hospitals ◽  
Uterine Artery Doppler ◽  
Uterine Arteries ◽  
Group A ◽  
Irregular Bleeding ◽  
Doppler Indices ◽  
Copper Intrauterine Device

Background: The most effective methods for birth control are the long-acting reversible contraceptives LARCs include Paragard IUD in silver, Mirena IUD in hormonal (progesterone) and hormonal contraceptive implant. The intrauterine levonorgestrel-releasing system (LNG-IUS) and the intrauterine copper unit (Cu-IUD) influenced changing of menstruation and uterine artery Doppler indices Aim of the work: Comparison of the effects of copper intrauterine device (Cu-IUD) and an intrauterine levonorgestrel releasing system (LNG-IUS) on changing of menstruation and Doppler indices of uterine arteries. Methods: This was RCT was completed between February 2017 to January 2020 at the Obstetrics and Gynecology department, Tanta University hospitals. There were two group first group A :LNG-IUS (N=200) and second group B CuIUD (N=200), they were randomly assigned to 400 multiparous women preferring intrauterine contraception., the UA pulsatility index (PI) and the resistant index (RI) were determined at the beginning, and the associations with irregular bleeding were evaluated three and six months after insertion. Results: In group A: LNG-IUS, some women registered irregular bleeding (28 percent) than in the Cu-IUD group (52 percent) at the beginning of the study (P<0.001). There was bleeding irregularity (73 percent) in the group (A): LNG-IUS and severe menstrual bleeding (68 percent) in the Cu-IUD group. The uterine artery PI was associated with bleeding irregularity at value of 1.40, with a curve area (AUC) of 0.91, 90 percent sensitivity, and 100 percent specificity. Uterine artery RI was associated with 0.65 with 0.22 AUC bleeding irregularity, 95 percent sensitivity and accuracy 100 percent. Conclusion: LNG - IUS related irregular bleeding was linked to changes in the blood flow of uterine arteries that were not evident among Cu - IUD users.

scholarly journals Notching and Pulsatility Index of the Uterine Arteries and Preeclampsia in Twin Pregnancies

2020 ◽  
Vol 9 (8) ◽  
pp. 2653
Author(s):  
Stephanie Springer ◽  
Mariella Polterauer ◽  
Maria Stammler-Safar ◽  
Harald Zeisler ◽  
Heinz Leipold ◽  
...  
Keyword(s):  
Pregnancy Outcomes ◽  
Pulsatility Index ◽  
Uterine Artery ◽  
Uterine Artery Doppler ◽  
Uterine Arteries ◽  
Increased Risk ◽  
Adverse Pregnancy ◽  
Doppler Indices ◽  
Twin Pregnancies ◽  
Risk Of Preeclampsia

Increased uterine artery Doppler indices have been shown to be associated with preeclampsia and adverse pregnancy outcomes in singleton and twin pregnancies. At 20–22 weeks of gestation, we assessed the use of notching, the highest, lowest, and mean pulsatility index (PI), and the combination of notching and PI of the uterine arteries to screen for preeclampsia. This was done in a cohort of 380 twin pregnancies. The results showed that the combination of notching and the highest PI above the 95th centile of the uterine arteries gives the best screening characteristics for preeclampsia in twin pregnancies. We calculated sensitivities for preeclampsia for notching, highest PI, and the combination of notching and the highest PI of 50%, 45% and 91%, with specificities of 96%, 96% and 93%, respectively. The present findings demonstrate that notching, increased highest PI, and the combination of notching and the highest PI of the uterine arteries is associated with an increased risk of preeclampsia in twin pregnancies. We observed the highest sensitivity and specificity by using the combination of notching and the highest PI of the uterine arteries.

scholarly journals Association between reduced fetal movements at term and abnormal uterine artery Doppler indices

2014 ◽  
Vol 43 (5) ◽  
pp. 548-552 ◽  
Author(s):  
G. Pagani ◽  
F. D'Antonio ◽  
A. Khalil ◽  
R. Akolekar ◽  
A. Papageorghiou ◽  
...  
Keyword(s):  
Uterine Artery ◽  
Uterine Artery Doppler ◽  
Reduced Fetal Movements ◽  
Fetal Movements ◽  
Doppler Indices

Comparison of uterine artery blood flow with levonorgestrel intrauterine system and copper intrauterine device

Contraception ◽  
2011 ◽  
Vol 83 (6) ◽  
pp. 578-581 ◽  
Author(s):  
Berna Haliloglu ◽  
Aygen Celik ◽  
Erdin Ilter ◽  
Serpil Bozkurt ◽  
Umit Ozekici
Keyword(s):  
Blood Flow ◽  
Uterine Artery ◽  
Intrauterine Device ◽  
Artery Blood Flow ◽  
Copper Intrauterine Device

scholarly journals UTERINE ARTERY DOPPLER INDICES AS PREDICTIVE MEASURES FOR THE PRE-ECLAMPSIA AND INTRAUTERINE GROWTH RESTRICTION

2020 ◽  
Vol 2020 (1) ◽  
Author(s):  
MN Rashid ◽  
M Kari ◽  
R Rashid ◽  
MA Rana ◽  
A Amjad ◽  
...  
Keyword(s):  
Intrauterine Growth Restriction ◽  
Uterine Artery ◽  
Growth Restriction ◽  
Cross Sectional Survey ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Uterine Artery Doppler ◽  
Intrauterine Growth ◽  
Pregnant Females ◽  
Doppler Indices

Preeclampsia and Intrauterine growth restriction (IUGR) remains as the important causes for the neonatal and maternal complications leading to even death in some cases. Uterine artery Doppler USG can be done transvaginally or trans abdominal and performed in the 1st or 2nd trimester of the pregnancy to detect these complications Doppler waveform suggested the high vascular resistance to blood flow. In our present study, we conclude uterine artery Doppler indices as prognostic procedure for the preeclampsia and intrauterine growth restriction. A cross-sectional survey design with convenient sampling technique was used. Mixture of standardized and self-modified structured questionnaire was undertaken to determine the indices of pre eclampsia and IUGR by uterine artery. The data was collected from Bahria International Hospital, Lahore during the period of 9 months. This study was included 162 pregnant females with identification of the main uterine artery on a longitudinal scan lateral to the uterus.  Initial diastolic notch of right and left side of the uterine artery waveforms was recorded. At every antenatal checkup, urine was tested for protein and blood pressure readings were taken to identify preeclampsia. Further analysis was done dividing patients as normotensive and those patients developing hypertension after 30 weeks of gestation. After delivery neonates observed for IUGR by head circumference and body weight. The study was concluded that from the total sample size of 162 pregnant females who undergoes uterine artery Doppler, 34% females shows diastolic notch and almost all of these later diagnosed with preeclampsia and 19.8% deliver babies with IUGR. So, based on the study, we have concluded that uterine artery Doppler is helpful to provide diagnosis of preeclampsia and IUGR in early pregnancy.

Effect of the copper-intrauterine device (TCu 380A) on subendometrial microvascularization and uterine artery blood flow

2006 ◽  
Vol 86 (6) ◽  
pp. 1780-1782 ◽  
Author(s):  
Mirela F. Jiménez ◽  
Eduardo P. Passos ◽  
Paulo A.P. Fagundes ◽  
Fernando M. de Freitas ◽  
Elisangela Arbo ◽  
...  
Keyword(s):  
Blood Flow ◽  
Uterine Artery ◽  
Intrauterine Device ◽  
Artery Blood Flow ◽  
Copper Intrauterine Device

The use of uterine artery doppler indices for prediction of pre-eclampsia in Port-Harcourt, Nigeria

2019 ◽  
Vol 26 (4) ◽  
pp. 223
Author(s):  
EmechetaGabriel Okwudire ◽  
OmololaMojisola Atalabi ◽  
UgonnaMicheal Ezenwugo
Keyword(s):  
Uterine Artery ◽  
Uterine Artery Doppler ◽  
Port Harcourt ◽  
Doppler Indices
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