Early uterine artery Doppler velocimetry and the outcome of pregnancy in women aged 35 years and older

The objective of this paper was to determine whether first‐and second‐trimester uterine artery Doppler velocimetry are associated with pregnancy complications in women of advanced maternal age. A prospective cohort study of 352 women aged 35 years and older was studied. The pulsatility index (PI) values at 12–13 weeks of gestation were significantly associated with development of hypertensive disorders, a small‐for‐gestational‐age infant and gestational diabetes, with a relative risk exceeding 4, 2 and 8, respectively for women with PI values in the highest quartile (> 1.67) of the PI distribution when compared with the lowest quartile of the PI distribution (< 1.24). At 23–27 weeks' gestation, uterine artery PI values were found to be associated with preterm delivery with a gestational age‐adjusted risk of 10.6 for women with PI values in the highest quartile of PI (> 1.24) when compared with PI values in the lowest quartile of the PI distribution (< 1.09). No associations existed between uterine artery PI, antepartum hemorrhage and Cesarean section rate.