Impact of Marginal and Velamentous Cord Insertion on Uterine Artery Doppler Indices, Fetal Growth, and Preeclampsia

2021 ◽  
Author(s):  
Ioannis Tsakiridis ◽  
Themistoklis Dagklis ◽  
Apostolos Athanasiadis ◽  
Konstantinos Dinas ◽  
Alexandros Sotiriadis
Keyword(s):  
Fetal Growth ◽  
Uterine Artery ◽  
Uterine Artery Doppler ◽  
Doppler Indices ◽  
Velamentous Cord Insertion

The effect of placental laterality at 20–24 gestational weeks on uterine artery doppler indices, fetal growth and preeclampsia

2020 ◽  
pp. 1-6
Author(s):  
Themistoklis Dagklis ◽  
Ioannis Tsakiridis ◽  
Apostolos Zavlanos ◽  
Apostolos Athanasiadis ◽  
Konstantinos Dinas ◽  
...  
Keyword(s):  
Fetal Growth ◽  
Uterine Artery ◽  
Uterine Artery Doppler ◽  
Doppler Indices

scholarly journals Association between reduced fetal movements at term and abnormal uterine artery Doppler indices

2014 ◽  
Vol 43 (5) ◽  
pp. 548-552 ◽  
Author(s):  
G. Pagani ◽  
F. D'Antonio ◽  
A. Khalil ◽  
R. Akolekar ◽  
A. Papageorghiou ◽  
...  
Keyword(s):  
Uterine Artery ◽  
Uterine Artery Doppler ◽  
Reduced Fetal Movements ◽  
Fetal Movements ◽  
Doppler Indices

scholarly journals UTERINE ARTERY DOPPLER INDICES AS PREDICTIVE MEASURES FOR THE PRE-ECLAMPSIA AND INTRAUTERINE GROWTH RESTRICTION

2020 ◽  
Vol 2020 (1) ◽  
Author(s):  
MN Rashid ◽  
M Kari ◽  
R Rashid ◽  
MA Rana ◽  
A Amjad ◽  
...  
Keyword(s):  
Intrauterine Growth Restriction ◽  
Uterine Artery ◽  
Growth Restriction ◽  
Cross Sectional Survey ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Uterine Artery Doppler ◽  
Intrauterine Growth ◽  
Pregnant Females ◽  
Doppler Indices

Preeclampsia and Intrauterine growth restriction (IUGR) remains as the important causes for the neonatal and maternal complications leading to even death in some cases. Uterine artery Doppler USG can be done transvaginally or trans abdominal and performed in the 1st or 2nd trimester of the pregnancy to detect these complications Doppler waveform suggested the high vascular resistance to blood flow. In our present study, we conclude uterine artery Doppler indices as prognostic procedure for the preeclampsia and intrauterine growth restriction. A cross-sectional survey design with convenient sampling technique was used. Mixture of standardized and self-modified structured questionnaire was undertaken to determine the indices of pre eclampsia and IUGR by uterine artery. The data was collected from Bahria International Hospital, Lahore during the period of 9 months. This study was included 162 pregnant females with identification of the main uterine artery on a longitudinal scan lateral to the uterus.  Initial diastolic notch of right and left side of the uterine artery waveforms was recorded. At every antenatal checkup, urine was tested for protein and blood pressure readings were taken to identify preeclampsia. Further analysis was done dividing patients as normotensive and those patients developing hypertension after 30 weeks of gestation. After delivery neonates observed for IUGR by head circumference and body weight. The study was concluded that from the total sample size of 162 pregnant females who undergoes uterine artery Doppler, 34% females shows diastolic notch and almost all of these later diagnosed with preeclampsia and 19.8% deliver babies with IUGR. So, based on the study, we have concluded that uterine artery Doppler is helpful to provide diagnosis of preeclampsia and IUGR in early pregnancy.

The use of uterine artery doppler indices for prediction of pre-eclampsia in Port-Harcourt, Nigeria

2019 ◽  
Vol 26 (4) ◽  
pp. 223
Author(s):  
EmechetaGabriel Okwudire ◽  
OmololaMojisola Atalabi ◽  
UgonnaMicheal Ezenwugo
Keyword(s):  
Uterine Artery ◽  
Uterine Artery Doppler ◽  
Port Harcourt ◽  
Doppler Indices

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.

Third trimester uterine artery Doppler indices as predictors of preeclampsia and neonatal small for gestational age

2019 ◽  
Vol 33 (20) ◽  
pp. 3484-3489
Author(s):  
Sarah G. Običan ◽  
Linda Odibo ◽  
Methodius G. Tuuli ◽  
Alejandro Rodriguez ◽  
Anthony O. Odibo
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Uterine Artery ◽  
Third Trimester ◽  
Uterine Artery Doppler ◽  
Doppler Indices

scholarly journals Role of second trimester uterine artery doppler for the prediction of preeclampsia in high risk pregnancy

2019 ◽  
Vol 8 (3) ◽  
pp. 906
Author(s):  
Madhuri Thakur ◽  
Reeti Mehra
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Uterine Artery ◽  
High Risk Pregnancy ◽  
Second Trimester ◽  
Uterine Artery Doppler ◽  
Risk Pregnancy ◽  
Doppler Study ◽  
Doppler Indices

Background: The uterine artery Doppler has potentials for screening for complications of impaired placentation. The purpose of study was to assess the role of uterine artery color Doppler waveform analysis in second trimester for the prediction of preeclampsia in a high-risk pregnancy between 18-24 weeks of gestation.Methods: 100 women with moderate or high-risk factors for developing preeclampsia reporting to Obstetrics and Gynaecology department of Government Medical College and Hospital, Sector 32, Chandigarh were enrolled for present study. Transabdominal uterine artery doppler measurements was done at 18-24weeks of gestation in these patients. Doppler . The Doppler indices generated automatically from the machine , the Pulsatility Index (PI), Resistance Index (RI) , presence or absence of diastolic notch and S/D Ratio were recorded, and average was calculated.Results: Out of 100 patients there were 46 primigravidas with no additional risk factors, 22 pateints with two or more risk factors and there were no patients who had three or more risk factors in present study population. Preeclampsia is seen more commonly in primigravida and primigravida is considered as moderate risk factor for preeclampsia. It was found that an elevated second trimester uterine artery RI was significantly associated with developing preeclampsia later in pregnancy. The sensitivity and specificity of uterine artery Doppler velocimetry were found to be 84% and 55% respectively. Receiver operator characteristics (ROC) curves were created to demonstrate the prognostic value of RI and PI of uterine artery doppler indices at 18-24 weeks of gestation for the development preeclampsia. In addition, there were statistically significant positive correlations between mean RI of uterine artery doppler study and patients who developed preeclampsia. With a sensitivity of 84.21% it could identify 31% of the cases of preeclampsia at a false positive rate of 44.4%.Conclusions: Uterine artery doppler study can be used as a predictor of moderate strength for preeclampsia.

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