OP09.03: First and second trimester uterine artery Doppler study in high-risk women for preeclampsia

2011 ◽  
Vol 38 (S1) ◽  
pp. 81-81
Author(s):  
I. Herraiz ◽  
J. M. Puente ◽  
D. Escribano ◽  
E. Gomez Montes ◽  
I. Camaño ◽  
...  
Keyword(s):  
High Risk ◽  
Uterine Artery ◽  
Second Trimester ◽  
Uterine Artery Doppler ◽  
High Risk Women ◽  
Doppler Study

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.

Determinants of adverse perinatal outcome in high-risk women with abnormal uterine artery Doppler images

2008 ◽  
Vol 198 (3) ◽  
pp. 330.e1-330.e7 ◽  
Author(s):  
Meghana Toal ◽  
Sarah Keating ◽  
Geoff Machin ◽  
Jodie Dodd ◽  
S. Lee Adamson ◽  
...  
Keyword(s):  
High Risk ◽  
Perinatal Outcome ◽  
Uterine Artery ◽  
Uterine Artery Doppler ◽  
High Risk Women ◽  
Adverse Perinatal Outcome

Second-trimester uterine artery Doppler, PlGF, sFlt-1, sEndoglin, and lipid-related markers for predicting preeclampsia in a high-risk population

2013 ◽  
Vol 33 (11) ◽  
pp. 1070-1074 ◽  
Author(s):  
Caroline Diguisto ◽  
Amélie Le Gouge ◽  
Eric Piver ◽  
Bruno Giraudeau ◽  
Franck Perrotin
Keyword(s):  
High Risk ◽  
Uterine Artery ◽  
High Risk Population ◽  
Second Trimester ◽  
Risk Population ◽  
Uterine Artery Doppler

P8 Mid-trimester uterine artery Doppler screening in prediction of preeclampsia in high risk women

2010 ◽  
Vol 1 ◽  
pp. S44
Author(s):  
Densak Pongrojpaw ◽  
Charintip Somprasit ◽  
Athita Chanthasenanont ◽  
Tongta Nanthakomon
Keyword(s):  
High Risk ◽  
Uterine Artery ◽  
Uterine Artery Doppler ◽  
High Risk Women

CORRELATION OF ABNORMAL UTERINE ARTERY DOPPLER IN THE SECOND TRIMESTER OF PREGNANCY WITH MATERNAL AND FETAL OUTCOME.

2021 ◽  
pp. 18-19
Author(s):  
Sangeetha Menon ◽  
Jyotsna Nalinan
Keyword(s):  
High Risk ◽  
Uterine Artery ◽  
Subsequent Development ◽  
High Risk Population ◽  
Age Group ◽  
Second Trimester ◽  
Risk Population ◽  
Uterine Artery Doppler ◽  
Increased Risk ◽  
Doppler Indices

Introduction: Maternal – fetal circulation can be studied non-invasively by using doppler which can be used as a screening tool for fetal and maternal disease. Morphological changes in the uterine vasculature can be demonstrated by colour and pulsed doppler studies. The majority of the studies on uterine artery doppler have focused on a high risk population. The effectiveness of the uterine artery doppler to predict pre eclampsia or FGR in a low risk population has been shown to have a low to moderate predictive value1. Also the criteria for normal and abnormal uterine artery doppler continue to vary with no well accepted denition. Aim: To nd out the correlation between abnormal uterine artery doppler in the second trimester of pregnancy between 18-22 weeks, with the subsequent development of pre eclampsia and FGR. Materials and methods: This is a prospective cohort study carried out in the Department of Obstetrics and Gynecology for a period of one year. Antenatal patients in the age group of 18-35 years, between 18-22 weeks of gestation, who were included in the study underwent a uterine artery doppler. They were followed up until delivery. SPSS software was used to analyze the data. Results: 193 Obstetric patients in the age group 18-35 years were evaluated with uterine artery doppler. 77.7% had normal doppler indices. In the abnormal doppler group, 81.4% were in the high risk category and 48.8% of those with abnormal dopplers developed pre eclampsia and 34.9% with abnormal dopplers developed FGR. Conclusion: Patients with abnormal uterine artery doppler indices in the second trimester of pregnancy, had an 18 times increased risk of developing pre eclampsia and a 6 times increased risk of developing FGR when compared to those with normal doppler indices.

Second trimester angiotensing-converting enzyme and uterine artery Doppler as predictors of preeclampsia in a high-risk population

2015 ◽  
Vol 34 (2) ◽  
pp. 171-180 ◽  
Author(s):  
Ana Martínez-Ruiz ◽  
María Desamparados Sarabia-Meseguer ◽  
Juan Antonio Vílchez ◽  
Joaquín Pérez-Fornieles ◽  
Juan Luis Delgado-Marín ◽  
...  
Keyword(s):  
High Risk ◽  
Uterine Artery ◽  
High Risk Population ◽  
Converting Enzyme ◽  
Second Trimester ◽  
Risk Population ◽  
Uterine Artery Doppler

PREDICTION OF PREECLAMPSIA BY UTERINE ARTERY DOPPLER VELOCIMETRY BETWEEN 16-28 WEEKS

2021 ◽  
pp. 56-60
Author(s):  
Ashraf M Ali ◽  
Prameela Prameela ◽  
Aseem Basha ◽  
Sonal Garg
Keyword(s):  
High Risk ◽  
Predictive Value ◽  
Uterine Artery ◽  
Risk Group ◽  
Indirect Evidence ◽  
Low Risk ◽  
Predictive Test ◽  
Doppler Velocimetry ◽  
Uterine Artery Doppler ◽  
Doppler Study

Background: Preeclampsia is a multisystem disorder which affects about 2% of pregnancies and represents a major threat to mother and foetus when it emerges. In some women this condition sets in a subtle way and gradually such women develop severe degree of preeclampsia leading to dreadful complications. Uterine artery doppler velocimetry is a non-invasive method to examine the uteroplacental circulation that provides indirect evidence of blood ow and is proposed a predictive test for preeclampsia. This prospective observational study was performed to assess the usefulness of uterine artery Doppler in predicting preeclampsia. Methods: 50 high risk and 50 low risk singleton pregnancies between 16-28 weeks of gestational age with uterine artery doppler study were followed up till delivery or development of preeclampsia to determine maternal and fetal outcome. Results: Sensitivity and specicity of abnormal uterine artery doppler study for prediction of preeclampsia were 90 % and 70 % in high-risk and 42 % and 90 % in low-risk group, respectively. Positive predictive value and negative predictive value was 92 % and 63 % in high risk group and 42 % and 90 % in low risk group respectively. Conclusions: Mid trimester doppler velocimetry of uterine artery can be used as a reliable screening test for prediction of preeclampsia in both high-risk and low-risk women.

scholarly journals Role of uterine and umbilical artery doppler assessment of the uteroplacental circulation in predicting pre-eclampsia: comparison between different doppler parameters

2017 ◽  
Vol 6 (10) ◽  
pp. 4314
Author(s):  
Vimla Dhakar ◽  
Sabiha Naz
Keyword(s):  
High Risk ◽  
Uterine Artery ◽  
Umbilical Artery ◽  
High Sensitivity ◽  
High Risk Pregnancy ◽  
Trophoblast Invasion ◽  
Uterine Artery Doppler ◽  
Risk Pregnancy ◽  
Doppler Study ◽  
Umbilical Artery Doppler

Background: Hypertensive disorders are the common cause of maternal death which affecting nearly 5-10% of pregnancies all over the world. Pre-eclampsia develop from inadequate trophoblast invasion of the maternal spiral arteries and Doppler values permits non-invasive evaluation of uteroplacental circulation and is of great importance in the management of high risk pregnancies. The aim of the study was to assess the findings of Doppler data in predicting pre-eclampsia and comparison of the efficacy of uterine artery Doppler and umbilical artery Doppler.Methods: The study comprises of 100 women with high risk pregnancy attending antenatal clinic at Geetanjali Medical College and Hospital, Udaipur were subjected to uterine and umbilical artery Doppler Study. Women with high risk pregnancy between 26-32 weeks of gestation were studied with colour Doppler. This was a prospective study over a period of 1 year from 2015-2016.Results: The results of the study revealed that 5 out of 100 participants developed pre-eclampsia. Out of different parameters, notch is the best predictor of pre-eclampsia with high sensitivity and highest PPV for uterine artery Doppler and S/D ratio is considered to be best indicator for umbilical artery Doppler. Regarding efficacy, umbilical artery Doppler is more predictive than uterine Doppler.Conclusions: Doppler study can be used for the prediction of pre-eclampsia to reduce maternal morbidity and mortality.

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