Color Doppler imaging was employed to assess the uteroplacental circul
ation in abnormal first-trimester gestations. Included in the study we
re 40 blighted ova, 35 missed abortions, 10 trophoblastic diseases, an
d 3 ectopic gestations. Normal gestations served as a control group. F
low was detected more frequently in the blighted ova than in the misse
d abortions. Flow was detected in all cases of trophoblastic disease a
nd ectopic gestations. Resistance to flow was significantly lower in t
he trophoblastic group as compared to the other groups. (C) 1993 John
Wiley & Sons, Inc.