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Journal Information

Online ISSN
1305-3124

Established
1993

Editors-in-Chief
​Cihat Şen, ​Nicola Volpe

Editors
Daniel Rolnik, Mar Gil, Murat Yayla, Oluş Api

Statistics Editor
Resul Arısoy

Double notches: association of uterine artery notch forms with fetal outcome and severity of preeclampsia

İbrahim Polat, Ali Gedikbasi, Huseyin Kiyak, Bekir Gulac, Alev Atis, Gokhan Goynumer, Oznur Dundar, Cemal Ark

Article info

Double notches: association of uterine artery notch forms with fetal outcome and severity of preeclampsia. Perinatal Journal 2014;22(3):SE23 DOI: 10.2399/prn.14.S001084

Author(s) Information

İbrahim Polat1,
Ali Gedikbasi1,
Huseyin Kiyak1,
Bekir Gulac1,
Alev Atis1,
Gokhan Goynumer2,
Oznur Dundar1,
Cemal Ark1

  1. İstanbul Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi- İstanbul TR
  2. İstanbul Medeniyet Üniversitesi, Göztepe Eğitim ve Araştırma Hastanesi- İstanbul TR
Correspondence

Ali Gedikbasi, İstanbul Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi- İstanbul TR,

Publication History
Conflicts of Interest

No conflicts declared.

Objective
To assess uterine artery Doppler waveforms and notches performed in the third trimester as a predictor of adverse outcomes.
Methods 
Of 490 pre-eclampsia patients between 24 and 34 weeks gestation, 166 were diagnosed with mild pre-eclampsia and 324 were diagnosed with severe pre-eclampsia. Patients with complete fetal data were divided into four groups as patients with no notch (n:53), a unilateral notch (n:78), bilateral notches (n:219) and double notches (n:39).
Results 
Bilateral and double notches were predictive for prematurity, lower 1st minute Apgar scores, higher need for neonatalntensive care unit admission, and perinatal mortality (Table 1 and 2).
Conclusion 
Double notches represent progressive deterioration in the uterine artery and are predictive of adverse fetal outcomes.
Keywords

Pre-eclampsia, double notches, fetal outcome

File/Dsecription
Figure 1
Typical pattern of “double notches”: systolic notches are marked with white-blue and early diastolic notches with black-blue arrows.
Table 1
Fetal outcome related with uterine artery waveform (n: 380)
Table 2
Dunn’s multiple comparison test for uterine artery between groups Group 1: Patients without notch; Group 2: Patients with unilateral notch; Group 3: Patients with bilateral notches; Group 4: Patients with double notches