Uterine artery flow notching

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Uterine artery flow notching refers to phenomenon observed in uterine arterial Doppler ultrasound assessment.

Pathology

Associations

The presence of notching after 22 weeks is associated with ~~several~~ several other conditions including adverse pregnancy outcomes. These include

Radiographic features

Doppler ultrasound

While notching can be either systolic or diastolic, it is typically seen as a trough like notch between the systolic and diastolic phases.

Significance

The presence of a notching in late in pregnancy is an indicator of increased uterine vascular resistance and impaired uterine circulation ². Bilateral notching is more concerning. Unilateral notching of the uterine artery on the ipsilateral side of the placenta, if the placenta is along one lateral wall (right or left) carries the same significance as bilateral notching. The presence of an early diastolic notch can however be a normal finding in a non-pregnant uterus and even in a pregnant gravid uterus at least up to 16 weeks.

-<p><strong><a href="/articles/uterine-artery" title="Uterine artery">Uterine artery</a> flow notching</strong> refers to phenomenon observed in <a href="/articles/uterine-arterial-doppler-ultrasound-assessment" title="uterine arterial Doppler ultrasound assessment">uterine arterial Doppler ultrasound assessment</a>.</p><h4>Pathology</h4><h5>Associations</h5><p>The presence of notching after 22 weeks is associated with several other conditions including adverse pregnancy outcomes. These include</p><ul><li><a href="/articles/pregnancy-induced-hypertension-pih" title="pregnancy induced hypertension (PIH)">pregnancy induced hypertension (PIH)</a></li><li><a href="/articles/pre-eclampsia" title="pre eclampsia">pre eclampsia</a></li><li><a href="/articles/placental-abruption" title="Placental abruption">placental abruption</a></li><li><a href="/articles/intra-uterine-growth-restriction-2" title="Intrauterine growth restriction (IUGR)">intra-uterine growth restriction (IUGR)</a></li><li><a href="/articles/altered-alpha-fetoprotein-levels" title="Raised alpha fetoprotein">increased maternal serum alpha feto protein (MSAFP)</a></li></ul><h4>Radiographic features</h4><h5>Doppler ultrasound</h5><p>While notching can be either systolic or diastolic, it is typically seen as a trough like notch between the systolic and diastolic phases.</p><h4>Significance</h4><p>The presence of a notching in late in pregnancy is an indicator of increased uterine vascular resistance and impaired uterine circulation <sup>2</sup>. Bilateral notching is more concerning. Unilateral notching of the uterine artery on the ipsilateral side of the placenta if the placenta is along one lateral wall (right or left) carries the same significance as bilateral notching. The presence of an early diastolic notch can however be a normal finding in a non-pregnant uterus and even in a pregnant gravid uterus at least up to 16 weeks.</p>
+<p><strong><a href="/articles/uterine-artery">Uterine artery</a> flow notching</strong> refers to phenomenon observed in <a href="/articles/uterine-arterial-doppler-ultrasound-assessment">uterine arterial Doppler ultrasound assessment</a>.</p><h4>Pathology</h4><h5>Associations</h5><p>The presence of notching after 22 weeks is associated with several other conditions including adverse pregnancy outcomes. These include</p><ul>
+<li><a href="/articles/pregnancy-induced-hypertension-pih">pregnancy induced hypertension (PIH)</a></li>
+<li><a href="/articles/pre-eclampsia">pre eclampsia</a></li>
+<li><a href="/articles/placental-abruption">placental abruption</a></li>
+<li><a href="/articles/intrauterine-growth-restriction">intra-uterine growth restriction (IUGR)</a></li>
+<li><a href="/articles/afp-elevation">increased maternal serum alpha feto protein (MSAFP)</a></li>
+</ul><h4>Radiographic features</h4><h5>Doppler ultrasound</h5><p>While notching can be either systolic or diastolic, it is typically seen as a trough like notch between the systolic and diastolic phases.</p><h4>Significance</h4><p>The presence of a notching in late in pregnancy is an indicator of increased uterine vascular resistance and impaired uterine circulation <sup>2</sup>. Bilateral notching is more concerning. Unilateral notching of the uterine artery on the ipsilateral side of the placenta, if the placenta is along one lateral wall (right or left) carries the same significance as bilateral notching. The presence of an early diastolic notch can however be a normal finding in a non-pregnant uterus and even in a pregnant gravid uterus at least up to 16 weeks.</p>