Insulin resistance and uterine artery Doppler as predictors of pregnancy induced hypertension
El Makawy, A., El Kafrawy, M., Abd El Hakeem, S. (2021). Insulin resistance and uterine artery Doppler as predictors of pregnancy induced hypertension. EKB Journal Management System, 2(2), 133-141. doi: 10.21608/jram.2020.40646.1079
Al Shaimaa El Makawy; Mona A El Kafrawy; Samia F Abd El Hakeem. "Insulin resistance and uterine artery Doppler as predictors of pregnancy induced hypertension". EKB Journal Management System, 2, 2, 2021, 133-141. doi: 10.21608/jram.2020.40646.1079
El Makawy, A., El Kafrawy, M., Abd El Hakeem, S. (2021). 'Insulin resistance and uterine artery Doppler as predictors of pregnancy induced hypertension', EKB Journal Management System, 2(2), pp. 133-141. doi: 10.21608/jram.2020.40646.1079
El Makawy, A., El Kafrawy, M., Abd El Hakeem, S. Insulin resistance and uterine artery Doppler as predictors of pregnancy induced hypertension. EKB Journal Management System, 2021; 2(2): 133-141. doi: 10.21608/jram.2020.40646.1079

Insulin resistance and uterine artery Doppler as predictors of pregnancy induced hypertension

Journal of Recent Advances in Medicine
Article 1, Volume 2, Issue 2, July 2021, Page 133-141  XML PDF (962.61 K)
Document Type: Original Article
DOI: 10.21608/jram.2020.40646.1079
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Authors
Al Shaimaa El Makawy email 1; Mona A El Kafrawy2; Samia F Abd El Hakeem2
1Obstetrics and Gynecology Department, Motobas Central Hospital, Kafer El-Sheikh, Egypt.
2Obstetrics and Gynecology Department, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt.
Abstract
ABSTRACT
Background: In second trimester, pregnant women with pregnancy induced hypertension (PIH) have different indices of uterine artery doppler and different value of insulin resistance (IR) than normal pregnant women.
Objective: To ascertain the role of uterine artery doppler ultrasound and insulin resistance ratio in prediction of PIH
Methodology: The present cohort study was done on 211 women during pregnancy in the period between 18-28wk, and the pregnant were followed until delivery. They were coming for antenatal care in the obstetric outpatient clinic at Al-Zahra University Hospital from January 2016 to December 2018.
Results: In the current study, the mean age, body mass index (BMI), gestational age, systolic blood pressure (SBP) and diastolic blood pressure (DBP) among the studied group were 30.24 years, 25.08 kg/m2, 22.40 wks,106.7mmHg, 69.12mmHg, respectively. 9.5% of the studied group were hypertensive, 5.7% mild PIH and 3.4% severe PIH. There were statistically significant differences of uterine artery Doppler indices between normotensive and PIH groups and between IR and PIH groups. Cutoff value of IR as a predictor for PIH patients is 1.2 with 70% sensitivity and 70% specificity in the current study. Also, among the severe hypertensive patients 42.8% had a diastolic notch, 28.5% had a reversed diastolic flow and 28.5% had an absent diastolic flow.
Conclusion: IR was a good predictor for PIH. There was a statistically significant difference between IR and PIH groups. Abnormal uterine artery doppler had a higher rate of detection of maternal and fetal complications. Uterine artery doppler is a good diagnostic test for development of preeclampsia.
Keywords
Pregnancy Induced Hypertension; uterine artery Doppler; insulin resistance
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