Volume 16, Issue 2 (2-2018)                   IJRM 2018, 16(2): 109-114 | Back to browse issues page

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Sharma N, Jayashree K, Nadhamuni K. Maternal history and uterine artery wave form in the prediction of early-onset and late-onset preeclampsia: A cohort study. IJRM. 2018; 16 (2) :109-114
URL: http://journals.ssu.ac.ir/ijrmnew/article-1-972-en.html
1- Department of Obstetrics and Gynaecology, Saveetha Medical College, Chennai, India , drbonuramkumar@yahoo.co.in
2- Department of Obstetrics and Gynaecology, Saveetha Medical College, Chennai, India.
3- Department of Radiology, Saveetha Medical College, Chennai, India
Abstract:   (422 Views)
Background: Pregnancy induced hypertension (PIH) is a significant cause of maternal morbidity and mortality. Pregnancy-induced-hypertension can be prevented by identification of prenatal and antenatal factors. The uterine artery Doppler waveform transforms into a high flow with low resistance at 22-24 wk.
Objective: To study the maternal risk factors and uterine artery Doppler waveform in singleton mid-trimester pregnancy and predict the occurrence of pregnancy-induced hypertension.
Materials and Methods: This is a cohort study comprising of Doppler ultrasound examination of the uterine arteries at 20-23 wk gestation in 697 women with singleton pregnancies attending a routine target scan. The pregnant women were followed up. PIH was recorded in 57 (8.18%) of all pregnancies.
Results: Maternal age >34 yr, primiparity, the presence of chronic hypertension was also associated with increased risk of PIH. High pulsatility index (>95th percentile) as compared to low pulsatility index was a good tool for the detection of PIH (sensitivity 91.23% and specificity 99.06%, p<0.05). Presence of high pulsatility was a significant risk factor for early-onset PIH as compared to late-onset PIH.
Conclusion: Uterine artery Doppler can be safely performed at the time of routine target anomaly scan in the second trimester. It is simple, economical, feasible and with good detection rates.
Full-Text [PDF 444 kb]   (170 Downloads) |   |   Full-Text (HTML)  (30 Views)  
Type of Study: Original Article |
Received: 2018/03/5 | Accepted: 2018/03/5 | Published: 2018/03/5

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