Role of uterine artery Doppler in prediction of preeclampsia and associated adverse outcomes between 12-20 weeks in low risk pregnancies

Document Type : Original Article

Authors

Obstetrics and gynecology faculty of medicine Kasr Al Ainy university Cairo Egypt

Abstract

Objectives:

To assess the role of uterine artery Doppler done between 12 – 20 weeks pregnancy in prediction of preeclampsia and associated adverse outcomes.



Material and methods:

The study was designed as prospective observational case control study.100 pregnant patients were selected from the maternity hospital outpatient with Doppler ultrasound done in fetal medicine unit by a consultant, only 92 patients completed their antenatal follow up. The participants then were allocated into two groups, one group with abnormal uterine artery indices (n=6) and the other group with normal uterine artery indices (n=86). The two groups were compared regarding development of preeclampsia, fetal growth restriction, oligohydraminos and NICU admissions.



Results:

Among the 92 patients who completed their follow up period, of the 6 patients with abnormal uterine artery indices 4 developed preeclampsia, two of which had fetal growth restriction. While in the group with normal Doppler indices, no maternal or fetal complications developed.



Conclusion:

Screening with Doppler and especially inclusion of an early diastolic notch is a good predictive test of preeclampsia. The test offers a good sensitivity in the prediction of preeclampsia, it is also a good negative test and thus it can exclude cases that don't need frequent examination. This may allow more appropriate targeting of antenatal care

Keywords

Main Subjects

Evidence Based Women's Health Journal

Articles in Press, Accepted Manuscript
Available Online from 22 April 2024

Files

Share

How to cite

Statistics