OP01.08: Predictive value for adverse perinatal outcome of uterine artery Doppler at onset of pre-eclampsia compared with classical fetal Doppler indices in early vs. late pre-eclampsia

2007 ◽  
Vol 30 (4) ◽  
pp. 458-458
Author(s):  
E. Meler ◽  
M. Comas ◽  
O. Gómez ◽  
F. Crispi ◽  
F. Figueras ◽  
...  
Keyword(s):  
Predictive Value ◽  
Perinatal Outcome ◽  
Uterine Artery ◽  
Uterine Artery Doppler ◽  
Adverse Perinatal Outcome ◽  
Fetal Doppler ◽  
Doppler Indices

scholarly journals Significance of obstetric Doppler studies in prediction of perinatal outcome in pregnancy induced hypertension

2017 ◽  
Vol 6 (6) ◽  
pp. 2354 ◽  
Author(s):  
Pradip R. Gaikwad ◽  
Manisha R. Gandhewar ◽  
Nity Rose ◽  
Vidyadhar Suryakar
Keyword(s):  
Diagnostic Accuracy ◽  
Doppler Ultrasound ◽  
Predictive Value ◽  
Perinatal Outcome ◽  
Uterine Artery ◽  
Pregnancy Induced Hypertension ◽  
Doppler Studies ◽  
Uterine Artery Doppler ◽  
Adverse Perinatal Outcome ◽  
Induced Hypertension

Background: Pregnancy induced hypertension (PIH) is associated with adverse perinatal outcome. Multi vessel color Doppler studies are useful in these cases for timely intervention. The aim of present study was to know the significance of umbilical, middle cerebral and uterine artery Doppler studies in PIH and to analyse its role in predicting perinatal outcome.Methods: This was a prospective study of 106 singleton pregnancies in the third trimester with PIH. The results of last Doppler ultrasound within one week of delivery were used for analysis. Adverse perinatal outcome was studied in the form of emergency cesarean section for fetal distress, meconium stained amniotic fluid, Apgar at 5 min <7, NICU admission and perinatal mortality (stillbirths and neonatal death). Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and diagnostic accuracy of various Doppler parameters were calculated after comparing with standard.Results: In the present study specificity and diagnostic accuracy of all Doppler ultrasound parameters was high in predicting adverse perinatal outcome. Cerebroplacental ratio showed highest specificity (98.55%), PPV (94.44%) and diagnostic accuracy (80.19%) in predicting adverse perinatal outcome and it is better than MCA PI and UA PI alone. Uterine artery Doppler evaluation also gives additional information in predicting adverse perinatal outcome.Conclusions: Amongst various Doppler parameters cerebroplacental index (MCA/UA PI) is best predictor of adverse perinatal outcome.

scholarly journals Role of obstetric colour doppler studies in predicting perinatal outcome in pregnancy induced hypertension

2020 ◽  
Vol 9 (3) ◽  
pp. 1073
Author(s):  
Ritu Mishra ◽  
Aditya P. Misra
Keyword(s):  
Perinatal Outcome ◽  
Uterine Artery ◽  
Ductus Venosus ◽  
Pregnancy Induced Hypertension ◽  
Doppler Studies ◽  
Colour Doppler ◽  
Uterine Artery Doppler ◽  
Induced Hypertension ◽  
Improve Pregnancy Outcome ◽  
Doppler Indices

Background: Pregnancy induced hypertension (PIH) is associated with adverse perinatal outcome. Multi vessel colour Doppler studies are useful in these cases for timely intervention. The aim of present study was to know the significance of umbilical, middle cerebral and uterine artery Doppler in PIH and to analyse their role in predicting perinatal outcome.Methods: This is a study of 150 pregnant women with pregnancy induced hypertension (PIH). These patients were evaluated with colour Doppler and were followed subsequently for any adverse perinatal outcome.Results: Out of 150 cases 70% of cases were found in 20-30 years age group. 98 cases had abnormal uterine artery Doppler indices accounting for 65.3%, while 52 cases had a normal Doppler index accounting for 34.3%. Out of 150 cases, 94 (64.6%) cases had abnormal middle cerebral artery. In our study 53 cases had abnormal umbilical artery Doppler indices accounting for 35.4%, while 97 cases had a normal Doppler index accounting for 64.6%. Out of 150 cases in our study 27 cases had Reversal of a wave in ductus venosus waveform that is in 18%. In this study total 5 cases (35.7%) of perinatal mortality were seen.Conclusions: The knowledge of various doppler parameters may help to improve pregnancy outcome and identification of PIH at earliest gestation age as compared to other antepartum test modalities.

Determinants of adverse perinatal outcome in high-risk women with abnormal uterine artery Doppler images

2008 ◽  
Vol 198 (3) ◽  
pp. 330.e1-330.e7 ◽  
Author(s):  
Meghana Toal ◽  
Sarah Keating ◽  
Geoff Machin ◽  
Jodie Dodd ◽  
S. Lee Adamson ◽  
...  
Keyword(s):  
High Risk ◽  
Perinatal Outcome ◽  
Uterine Artery ◽  
Uterine Artery Doppler ◽  
High Risk Women ◽  
Adverse Perinatal Outcome

scholarly journals Predictive Value of Middle Cerebral Artery to Uterine Artery Pulsatility Index Ratio in Hypertensive Disorders of Pregnancy

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Prashanth Adiga ◽  
Indumathi Kantharaja ◽  
Shripad Hebbar ◽  
Lavanya Rai ◽  
Shyamala Guruvare ◽  
...  
Keyword(s):  
Middle Cerebral Artery ◽  
Negative Predictive Value ◽  
Predictive Value ◽  
Perinatal Outcome ◽  
Pulsatility Index ◽  
Uterine Artery ◽  
Perinatal Outcomes ◽  
Hypertensive Disorders Of Pregnancy ◽  
Adverse Perinatal Outcome ◽  
Hypertensive Disorders

Aims and Objectives. (i) To determine the predictive value of cerebrouterine (CU) ratio (middle cerebral artery to uterine artery pulsatility index, MCA/UT PI) in assessing perinatal outcome among hypertensive disorders of pregnancy. (ii) To compare between CU ratio and CP ratio (MCA/Umbilical artery PI) as a predictor of adverse perinatal outcome.Methods. A prospective observational study was done in a tertiary medical college hospital, from September 2012 to August 2013. One hundred singleton pregnancies complicated by hypertension peculiar to pregnancy were enrolled. Both CU and CP ratios were estimated. The perinatal outcomes were studied.Results. Both cerebrouterine and cerebroplacental ratios had a better negative predictive value in predicting adverse perinatal outcome. However, both CU and CP ratios when applied together were able to predict adverse outcomes better than individual ratios. The sensitivity, specificity, positive predictive value, and the negative predictive values for an adverse neonatal outcome with CU ratio were 61.3%, 70.3%, 56%, and 78.9%, respectively, compared to 42%, 57.5%, 62%, and 76% as with CP ratio.Conclusion.Cerebrouterine ratio and cerebroplacental ratio were complementary to each other in predicting the adverse perinatal outcomes. Individually, both ratios were reassuring for favorable perinatal outcome with high negative predictive value.

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