Role of Uterine Artery Doppler in Prediction of Preeclampsia and Associated Adverse Outcomes Between 12-20 Weeks in Low Risk Pregnancies | ||
| Evidence Based Women's Health Journal | ||
| Volume 14, Issue 2, May 2024, Pages 235-243 PDF (578.6 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ebwhj.2024.284223.1320 | ||
| Authors | ||
| Asma Ogila* ; Abdallah Sayed; Manal Hamdy; Hadeer Meshaal; Youssra Lasheen | ||
| 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 | ||
| Doppler; early pregnancy; preeclampsia | ||
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