scholarly journals Prediction of adverse pregnancy outcomes using uterine artery Doppler imaging at 22-24 weeks of pregnancy: A North Indian experience

2016 ◽  
Vol 13 (2) ◽  
pp. 80-84 ◽  
Author(s):  
Deepti Verma ◽  
Sangeeta Gupta
2015 ◽  
Vol 34 (7) ◽  
pp. 1265-1269 ◽  
Author(s):  
Ebony B. Carter ◽  
Katherine Goetzinger ◽  
Methodius G. Tuuli ◽  
Linda Odibo ◽  
Alison G. Cahill ◽  
...  

2013 ◽  
Vol 32 (12) ◽  
pp. 2107-2113 ◽  
Author(s):  
Polina Shwarzman ◽  
Adi Y. Waintraub ◽  
Michael Frieger ◽  
Asher Bashiri ◽  
Moshe Mazor ◽  
...  

2015 ◽  
Vol 35 (3) ◽  
pp. 294-298 ◽  
Author(s):  
Walter Ventura ◽  
Catalina De Paco Matallana ◽  
Maria Teresa Prieto-Sanchez ◽  
María Isabel Macizo ◽  
Miriam Pertegal ◽  
...  

2017 ◽  
Vol 216 (1) ◽  
pp. S414-S415
Author(s):  
Sedigheh Hantoushzadeh ◽  
Shirin Torabi ◽  
Mahdi Sheikh ◽  
Farzaneh Fattahi Masrour ◽  
Zhoobin H. Bateni ◽  
...  

Author(s):  
Bindu S.

Background: Pregnancies are complicated by hypertensive disorders of about 5-10% and hemorrhage, sepsis, and fetal growth restriction constitute a triad contributing to maternal morbidity and mortality. Hypertensive disorders in pregnancy vary from mildly elevated blood pressure to severe hypertension with multi-organ dysfunction. The study aims to evaluate the first-trimester uterine artery Doppler in the prediction of the development of adverse pregnancy outcomes.Methods: This prospective longitudinal observational was done in Dharmapuri Medical College and Hospital were selected for this study. Totally 150 pregnant women were included in the study. 75 were controls and 75 cases. The study period was from June 2018 to February 2019. Evaluating the optimal definition of abnormal first trimester.Results: Previous obstetric history in the study population. In the study group 3% of bad obstetric history (BOH) present. In the case group, 5% has BOH due to 2 neonatal death and 2 term intrauterine device (IUD), uterine artery Doppler parameters to predict adverse pregnancy outcomes, and association of gestational hypertension in the study groups. In the control group, 1%, and the case group 5% of them had gestational hypertension. Out of 4, 3 had an average uterine artery Doppler more than 2.3 (maximum of 2.7) and 1 had single uterine artery Doppler abnormality.Conclusions: The study showed that first-trimester uterine artery Doppler with single and average uterine artery pulsatility index (PI) >95th centile (2.3) has a better screening value in my population. The overall performance of the first-trimester uterine artery Doppler in the prediction of adverse pregnancy outcomes is valuable.


Author(s):  
Jacqueline A. Jayson ◽  
Kavita Mandrelle ◽  
Tapasya Dhar ◽  
Subhash Singla

Background: Uterine artery Doppler waveform has been extensively studied as a predictive marker for the later development of preeclampsia and fetal growth restriction. Therefore, uterine artery doppler has emerged as a good test for the prediction of preeclampsia, being simple to perform, reproducible and non-invasive. The present study was done to evaluate the first trimester uterine artery Doppler in the prediction of adverse pregnancy outcome.Methods: This was a prospective cohort study for all pregnant women attending antenatal clinic during 11-14 weeks of gestation at Christian medical college and hospital, Ludhiana, during a period of 18 months. Study population of (n~270) was taken. A pre-designed case record was filled at the time of registration. After taking informed consent, these women underwent ultrasound for uterine artery Doppler pulsatility index along with nuchal translucency & nasal bone scan by transabdominal ultrasound. Patients were followed up throughout the gestation to find out the development of any adverse pregnancy outcomes (early onset preeclampsia, early onset fetal growth restriction, late onset preeclampsia, late onset fetal growth restriction, oligohydramnios, placental abruption and stillbirth).Results: In our study, about 75% of antenatal women were found to have normal first trimester uterine artery pulsatility index and the rest 25% had abnormal pulsatility index. About 40% of women with abnormal dopplers developed complications associated to hypertensive disorders and adverse pregnancy outcomes, while 60% went on to have a normal pregnancy. It was observed that 13.2% developed gestational hypertension, 10.29% developed pulmonary embolism, 1.47% developed eclampsia, 22.05% developed oligohydramnios, 42.64% developed fetal growth restriction, 4.41 % developed placental abruption and 5.88% delivered stillbirth neonates.Conclusions: As hypertensive disorders of pregnancy pose a great risk of maternal and fetal morbidity and mortality, an evolution of Doppler studies have proven to be beneficial. Doppler ultrasound was found to be a valuable modality in the evaluation of fetal and placental circulation as well as in the prediction of pregnancy outcomes. According to the receiver operating characteristic curve obtained in our study, sensitivity and specificity of first trimester uterine artery pulsatility index was predictive for pregnancy complications and adverse outcomes.


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