{"id":"https://openalex.org/W7225464226","doi":"https://doi.org/10.1002/ijgo.71482","title":"Postpartum uterine artery Pulsatility Index as a predictor of retained products of conception \u2013 A prospective blinded study","display_name":"Postpartum uterine artery Pulsatility Index as a predictor of retained products of conception \u2013 A prospective blinded study","publication_year":2026,"publication_date":"2026-11-07","ids":{"openalex":"https://openalex.org/W7225464226","doi":"https://doi.org/10.1002/ijgo.71482","pmid":"https://pubmed.ncbi.nlm.nih.gov/42998013"},"language":"en","primary_location":{"id":"doi:10.1002/ijgo.71482","doi":"https://doi.org/10.1002/ijgo.71482","is_oa":true,"landing_page_url":"https://doi.org/10.1002/ijgo.71482","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ijgo.71482","source":{"id":"https://openalex.org/S4210216427","display_name":"International Journal of Gynecology & Obstetrics","issn_l":"0020-6695","issn":["0020-6695","0020-7292","1879-3479"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Gynecology &amp; Obstetrics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ijgo.71482","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161219485","display_name":"Hila A. Bason Elkabaz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I124227911","display_name":"Ben-Gurion University of the Negev","ror":"https://ror.org/05tkyf982","country_code":"IL","type":"education","lineage":["https://openalex.org/I124227911"]}],"countries":["IL"],"is_corresponding":false,"raw_author_name":"Hila A. Bason Elkabaz","raw_affiliation_strings":["Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","institution_ids":[]},{"raw_affiliation_string":"Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel","institution_ids":["https://openalex.org/I124227911"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161169413","display_name":"Nir Nathan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I124227911","display_name":"Ben-Gurion University of the Negev","ror":"https://ror.org/05tkyf982","country_code":"IL","type":"education","lineage":["https://openalex.org/I124227911"]}],"countries":["IL"],"is_corresponding":false,"raw_author_name":"Nir Nathan","raw_affiliation_strings":["Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","institution_ids":[]},{"raw_affiliation_string":"Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel","institution_ids":["https://openalex.org/I124227911"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161143605","display_name":"Naama Simon","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I124227911","display_name":"Ben-Gurion University of the Negev","ror":"https://ror.org/05tkyf982","country_code":"IL","type":"education","lineage":["https://openalex.org/I124227911"]}],"countries":["IL"],"is_corresponding":false,"raw_author_name":"Naama Simon","raw_affiliation_strings":["Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","institution_ids":[]},{"raw_affiliation_string":"Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel","institution_ids":["https://openalex.org/I124227911"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047996586","display_name":"Irad Burshtein","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I124227911","display_name":"Ben-Gurion University of the Negev","ror":"https://ror.org/05tkyf982","country_code":"IL","type":"education","lineage":["https://openalex.org/I124227911"]}],"countries":["IL"],"is_corresponding":false,"raw_author_name":"Irad Burshtein","raw_affiliation_strings":["Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","institution_ids":[]},{"raw_affiliation_string":"Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel","institution_ids":["https://openalex.org/I124227911"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011691567","display_name":"Oshri Barel","orcid":"https://orcid.org/0000-0003-3535-5314","observed_orcids":["https://orcid.org/0000-0003-3535-5314"]},"institutions":[{"id":"https://openalex.org/I124227911","display_name":"Ben-Gurion University of the Negev","ror":"https://ror.org/05tkyf982","country_code":"IL","type":"education","lineage":["https://openalex.org/I124227911"]}],"countries":["IL"],"is_corresponding":false,"raw_author_name":"Oshri Barel","raw_affiliation_strings":["Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","institution_ids":[]},{"raw_affiliation_string":"Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel","institution_ids":["https://openalex.org/I124227911"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111592856","display_name":"Moty Pansky","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I124227911","display_name":"Ben-Gurion University of the Negev","ror":"https://ror.org/05tkyf982","country_code":"IL","type":"education","lineage":["https://openalex.org/I124227911"]}],"countries":["IL"],"is_corresponding":false,"raw_author_name":"Moty Pansky","raw_affiliation_strings":["Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","institution_ids":[]},{"raw_affiliation_string":"Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel","institution_ids":["https://openalex.org/I124227911"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5025820775","display_name":"Eran Barzilay","orcid":"https://orcid.org/0000-0001-5496-4866","observed_orcids":["https://orcid.org/0000-0001-5496-4866"]},"institutions":[{"id":"https://openalex.org/I124227911","display_name":"Ben-Gurion University of the Negev","ror":"https://ror.org/05tkyf982","country_code":"IL","type":"education","lineage":["https://openalex.org/I124227911"]}],"countries":["IL"],"is_corresponding":true,"raw_author_name":"Eran Barzilay","raw_affiliation_strings":["Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"],"raw_orcid":"https://orcid.org/0000-0001-5496-4866","affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology Samson Assuta Ashdod University Hospital  Ashdod Israel","institution_ids":[]},{"raw_affiliation_string":"Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel","institution_ids":["https://openalex.org/I124227911"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5025820775"],"corresponding_institution_ids":["https://openalex.org/I124227911"],"apc_list":{"value":4480,"currency":"USD","value_usd":4480},"apc_paid":{"value":4480,"currency":"USD","value_usd":4480},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.8560000061988831,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.8560000061988831,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.03449999913573265,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.0333000011742115,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/retained-products-of-conception","display_name":"retained products of conception","score":0.9789999723434448},{"id":"https://openalex.org/keywords/uterine-artery-pulsatility-index","display_name":"uterine artery pulsatility index","score":0.9150000214576721},{"id":"https://openalex.org/keywords/postpartum-hemorrhage","display_name":"postpartum hemorrhage","score":0.8069999814033508},{"id":"https://openalex.org/keywords/hysteroscopy","display_name":"hysteroscopy","score":0.7519999742507935}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9514999985694885},{"id":"https://openalex.org/C2781207646","wikidata":"https://www.wikidata.org/wiki/Q707674","display_name":"Uterine artery","level":4,"score":0.8810999989509583},{"id":"https://openalex.org/C2909668165","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Pulsatility index","level":4,"score":0.8669000267982483},{"id":"https://openalex.org/C2775963564","wikidata":"https://www.wikidata.org/wiki/Q597058","display_name":"Hysteroscopy","level":2,"score":0.6786999702453613},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5938000082969666},{"id":"https://openalex.org/C58471807","wikidata":"https://www.wikidata.org/wiki/Q327120","display_name":"Receiver operating characteristic","level":2,"score":0.5081999897956848},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.4952999949455261},{"id":"https://openalex.org/C2780343435","wikidata":"https://www.wikidata.org/wiki/Q7247864","display_name":"Products of conception","level":4,"score":0.4731999933719635},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.4684999883174896},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.45410001277923584},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.3953000009059906},{"id":"https://openalex.org/C2779066055","wikidata":"https://www.wikidata.org/wiki/Q9612","display_name":"Uterus","level":2,"score":0.38609999418258667},{"id":"https://openalex.org/C158846371","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Blood flow","level":2,"score":0.3727000057697296},{"id":"https://openalex.org/C3018745865","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postpartum period","level":3,"score":0.3237000107765198},{"id":"https://openalex.org/C198433322","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value of tests","level":2,"score":0.3203999996185303},{"id":"https://openalex.org/C178853913","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Hemodynamics","level":2,"score":0.30959999561309814},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.3077000081539154},{"id":"https://openalex.org/C76318530","wikidata":"https://www.wikidata.org/wiki/Q16833590","display_name":"Area under the curve","level":2,"score":0.3043000102043152},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.29649999737739563},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2815999984741211},{"id":"https://openalex.org/C142757262","wikidata":"https://www.wikidata.org/wiki/Q76436","display_name":"Doppler effect","level":2,"score":0.26930001378059387},{"id":"https://openalex.org/C2780047204","wikidata":"https://www.wikidata.org/wiki/Q675754","display_name":"Laparoscopy","level":2,"score":0.25270000100135803}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1002/ijgo.71482","doi":"https://doi.org/10.1002/ijgo.71482","is_oa":true,"landing_page_url":"https://doi.org/10.1002/ijgo.71482","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ijgo.71482","source":{"id":"https://openalex.org/S4210216427","display_name":"International Journal of Gynecology & Obstetrics","issn_l":"0020-6695","issn":["0020-6695","0020-7292","1879-3479"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Gynecology &amp; Obstetrics","raw_type":"journal-article"},{"id":"pmid:42998013","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42998013","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1002/ijgo.71482","doi":"https://doi.org/10.1002/ijgo.71482","is_oa":true,"landing_page_url":"https://doi.org/10.1002/ijgo.71482","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ijgo.71482","source":{"id":"https://openalex.org/S4210216427","display_name":"International Journal of Gynecology & Obstetrics","issn_l":"0020-6695","issn":["0020-6695","0020-7292","1879-3479"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Gynecology &amp; Obstetrics","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9922999739646912,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225464226.pdf","grobid_xml":"https://content.openalex.org/works/W7225464226.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W1991928529","https://openalex.org/W2041621104","https://openalex.org/W2123460271","https://openalex.org/W2129376438","https://openalex.org/W2130645342","https://openalex.org/W2585382801","https://openalex.org/W2955537178","https://openalex.org/W2977652693","https://openalex.org/W3087168500","https://openalex.org/W3125735113","https://openalex.org/W3128456722","https://openalex.org/W4366256887","https://openalex.org/W4389003113"],"related_works":["https://openalex.org/W4295774139","https://openalex.org/W2883039445","https://openalex.org/W1996584319","https://openalex.org/W2563167269","https://openalex.org/W3214584375","https://openalex.org/W2000352697","https://openalex.org/W2029932656","https://openalex.org/W1574246936","https://openalex.org/W1512416000","https://openalex.org/W2048819686"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Postpartum":[1],"retained":[2],"products":[3],"of":[4,14,25,37,50,137,151,161,165,188],"conception":[5],"(RPOC)":[6],"are":[7],"a":[8,21,48,159],"major":[9],"health":[10],"concern.":[11],"The":[12],"aim":[13],"our":[15,38],"study":[16],"was":[17,90,101,108,147],"to":[18,82],"assess":[19],"whether":[20],"single":[22],"postpartum":[23,32],"measurement":[24],"uterine":[26,63,106,144,154,172],"artery":[27,64,145,173],"blood":[28],"flow":[29],"can":[30],"predict":[31],"RPOC.":[33,152,169,189],"METHODS:":[34],"As":[35],"part":[36],"routine":[39],"practice,":[40],"parturients":[41],"considered":[42],"at":[43,69],"risk":[44],"for":[45],"RPOC":[46,89,100,112],"underwent":[47],"series":[49],"sequential":[51],"ultrasounds":[52],"followed":[53],"by":[54],"hysteroscopy":[55,93],"if":[56],"needed.":[57],"In":[58],"this":[59],"study,":[60],"we":[61],"measured":[62,176],"Pulsatility":[65],"Index":[66],"(PI)":[67],"bilaterally":[68],"day":[70],"1-3":[71],"postpartum.":[72],"Both":[73],"the":[74,77,83,135,148,178,184],"patients":[75],"and":[76,163],"clinical":[78],"team":[79],"were":[80,94],"blinded":[81],"Doppler":[84],"measurements.":[85],"Cases":[86],"in":[87,92,98,167,177],"which":[88,99],"identified":[91],"compared":[95],"with":[96,111],"cases":[97],"ruled":[102],"out.":[103],"RESULTS:":[104],"Minimal":[105,143],"PI":[107,114,146,155],"strongly":[109],"associated":[110],"(median":[113],"0.78":[115],"[interquartile":[116,121],"range":[117,122],"0.69-0.85]":[118],"vs.":[119],"1.19":[120],"0.88-1.4],":[123],"P":[124],"=":[125],"0.004).":[126],"Receiver":[127],"operating":[128],"characteristic":[129],"analysis":[130],"demonstrated":[131],"an":[132],"area":[133],"under":[134],"curve":[136],"0.837":[138],"(95%":[139],"confidence":[140],"interval":[141],"0.731-0.942).":[142],"best":[149,185],"predictor":[150,187],"A":[153],"value":[156],"<0.95":[157],"had":[158],"sensitivity":[160],"100%":[162],"specificity":[164],"68.3%":[166],"predicting":[168],"CONCLUSIONS:":[170],"Low":[171],"PI,":[174],"when":[175],"first":[179],"days":[180],"after":[181],"delivery,":[182],"is":[183],"single-parameter":[186]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-11-08T00:00:00"}