Abstract
Two-dimensional ultrasonography has become the most common technique for noninvasive investigation of the pelvis of pregnant and nonpregnant women. Continuous and pulsed-wave Doppler ultrasound can add dynamic information about the pelvic circulation which cannot be obtained with imaging alone. The full understanding of Doppler ultrasonography places additional demands on the clinician. In addition to extensive knowledge about both the anatomy and the physiology of the female genital tract, understanding of vascular changes that occur in reproductive life, in pregnancy, or after menopause is now required. The purpose of this chapter is to evaluate the contribution of Doppler ultrasonography to the study of the pelvic circulation during the ovarian and menstrual cycles and in early pregnancy.
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References
Maulik D (1989) Basic principles of Doppler ultrasound as applied in obstetrics. Clin Obstet Gynecol 32: 628–643
Griffin D, Cohen-Overbeek T, Campbell S (1983) Fetal and utero-placental blood flow. Clin Obstet Gynecol 10: 565–602
Mitchell DG (1990) Color Doppler imaging: principles, limitations and artifacts. Radiology 177: 1–10
Kurjak A, Zalud I, Jurkovic D, et al. (1989) Transvaginal color Doppler for the assessment of pelvic circulation. Acta Obstet Gynecol Scand 68: 131–135
Bourne TH, Campbell S, Steer C, et al. (1989) Transvaginal color flow imaging: a possible new screening technique for ovarian cancer. Br Med J 299: 1367–1370
Taylor KJW, Burns PN, Wells PNT, et al. (1985) Ultrasound Doppler flow studies of the ovarian and uterine arteries. Br J Obstet Gynaecol 92: 240–246
Kurjak A, Jurkovic D (1986) New ultrasonic technique for assessing circulation in female pelvis. In: Kurjak A, Kossoff G (eds) Recent advances in ultrasound diagnosis 5. Excerpta Medica, Amsterdam, p 198
Campbell S, Diaz-Recasens J, Griffin DR, et al. (1983) New Doppler technique for assessing utero-placental blood flow. Lancet 1: 675–677
Trudinger B, Giles WB, Cook CM (1983) Uterine artery velocity waveforms in pregnancy. J Ultrasound Med 2: 10–14
Deutinger J, Rudelstrorfer R, Bernaschek G (1988) Vaginosonographic velocimetry of both main uterine arteries by visual vessel recognition and pulsed Doppler method during pregnancy. Am J Obstet Gynecol 159: 1072–1076
Barber RJ, McSweeney MB, Gill RW, et al. (1988) Transvaginal pulsed Doppler ultrasound assessment of blood flow to the corpus luteum in IVF patients following embryo transfer. Br J Obstet Gynaecol 95: 1226–1230
Goswamy RK, Steptoe PC (1988) Doppler ultrasound studies of the uterine artery in spontaneous ovarian cycles. Hum Reprod 3: 721–726
Sterzik K, Hutter W, Grab D (1989) Doppler sonographic findings and their correlation with implantation in an in vitro fertilization program. Fertil Steril 52: 825–828
Deutinger J, Reinthaller A, Bernaschek G (1989) Transvaginal pulsed Doppler measurement of blood flow velocity in the ovarian arteries during cycle stimulation and after follicle puncture. Fertil Steril 51: 466–470
Kurjak A, Jurkovic D, Allirevic Z, et al. (1990) Transvaginal color Doppler imaging. JCU 18: 227–234
Steer CV, Campbell S, Pampiglione JS, et al. (1990) Transvaginal color flow imaging of the uterine arteries during the ovarian and menstrual cycles. Hum Reprod 4: 391–395
Scholtes MCW, Wladimiroff JW, van Rijen HJM, et al. (1989) Uterine and ovarian flow velocity waveforms in the normal menstrual cycle: a transvaginal Doppler study. Fertil Steril 52: 981–985
Collins WP, Jurkovic D, Bourne TH, et al. (1991) Ovarian morphology, endocrine function and intra-follicular blood flow during the peri-ovulatory period. Hum Reprod 6: 319–324
Goswamy RK, Williams G, Steptoe PC (1988) Decreased uterine perfusion — A cause of infertility. Hum Reprod 3: 955–959
Bourne TH, Jurkovic D, Waterstone J, et al. (1991) Intrafollicular blood flow during human ovulation. Ultrasound Obstet Gynecol 1: 63–69
Ramsey EM, Donner NW (1980) Placental vasculature and circulation. Thieme, Stuttgart
McAnulty JH, Metcalfe J, Veland K (1982) Cardiovascular disease. In: Burrow GN, Ferris TF (eds) Medical complications during pregnancy. Saunders, Philadelphia, p 145
Bernaschek G, Deutinger J, Kratochwil A (1990) Normal early pregnancy. In: Endosonography in obstetrics and gynecology. Springer, Berlin Heidelberg New York, p 41
Schats R, Jansen CAM, Wladimiroff JW (1990) Embryonic heart activity: appearance and development in early human pregnancy. Br J Obstet Gynaecol 97: 989–994
Van Heeswijk M, Nijhuis JG, Hollanders HMG (1990) Fetal heart rate in early pregnancy. Early Hum Dev 22: 151–156
Wladimiroff JW, Huisman TWA, Stewart PA (1991) Fetal and umbilical flow velocity waveforms between 10–16 weeks’ gestation: A preliminary study. Obstet Gynecol 78: 812–814
Fisk MN, MacLachlan N, Ellis C, et al. (1988) Absent end-diastolic flow in first trimester umbilical artery. Lancet 2: 1256–1257
Jauniaux E, Jurkovic D, Campbell S (1991) In vivo investigations of anatomy and physiology of early human placental circulations. Ultrasound Obstet Gynecol 1: 435–445
Jauniaux E, Jurkovic D, Campbell S (1992) Doppler ultrasound features of the developing placental circulations: Correlation with anatomic findings. Am J Obstet Gynecol 166: 435–445
Jauniaux E, Jurkovic D, Campbell S, et al. (1991) Investigation of placental circulations by color Doppler ultrasound. Am J Obstet Gynecol 164: 486–488
Schulmann H, Fleischer A, Farmakides G, et al. (1986) Development of uterine artery compliance in pregnancy as detected by Doppler ultrasound. Am J Obstet Gynecol 155: 1031–1036
Thaler I, Manor D, Itskovitz J, et al. (1990) Changes in uterine blood flow during human pregnancy. Am J Obstet Gynecol 162: 121–125
Jurkovic D, Jauniaux E, Kurjak A, et al. (1991) Transvaginal color Doppler assessment of the uteroplacental circulation in early pregnancy. Obstet Gynecol 77: 365–369
Jauniaux E, Jurkovic D, Kurjak A, et al. (1990) Assessment of placental development and function. In: Kurjak A (ed) Transvaginal color Doppler. Parthenon, Carnforth, pp 53–65
Jurkovic D, Bourne TH, Jauniaux E, et al. (1992) Doppler study of blood flow in ectopic pregnancies. Fertil Steril 58: 1005–1013
Duck FA, Starritt HC, Haar GR, et al. (1989) Surface heating of diagnostic ultrasound transducers. Br J Radiol 62: 1005–1013
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© 1992 Springer-Verlag Berlin Heidelberg
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Jurkovic, D., Jauniaux, E., Campbell, S. (1992). Doppler Ultrasound Investigations of Pelvic Circulation During the Menstrual Cycle and Early Pregnancy. In: Barnea, E.R., Hustin, J., Jauniaux, E. (eds) The First Twelve Weeks of Gestation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84385-3_5
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DOI: https://doi.org/10.1007/978-3-642-84385-3_5
Publisher Name: Springer, Berlin, Heidelberg
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