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 specicity 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.
BACKGROUND In paediatric group patients, management of Epiphora is a stepwise process starting with probing at the age of 9-12 months and it results in high cure rates. For persistent watering and discharge following repeated probing, more invasive procedures like Balloon Dacryocystoplasty or external and endonasal Dacryocystorhinostomy are required in older children. Our study was designed to evaluate the indications, intra operative events and surgical outcomes of external dacryocystorhinostomy in children. Design-A descriptive study was carried out in the Department of Paediatric Ophthalmology at Sarojini Devi Eye Hospital including children undergoing external Dacryocystorhinostomy in the year 2017 with a minimum Post Op follow up of six months. MATERIALS AND METHODS The children aged between 7-14 years attending the OPD of Paediatric Ophthalmology were recruited for study numbering 50. The data collected regarding age, sex of the patients, side of the obstruction, indication for surgery, intra operative events, follow up period, post-operative complications and post-operative results. In our study, follow up period was at least 6 months. Data of the 50 patients are statistically analysed and presented. RESULTS In our study, the mean followup period was 8.78 months and age of the patients ranges from 7 years to 14 years with a mean of 8.71 years. The complication rate is low as successful outcomes seen in 47 cases (94%) against failed patency in two cases (4%) and in 2% cases there is partial patency resulting in occasional watering. Incidence in males was slightly higher (60%) than in females (40%). CONCLUSION External DCR is a cost effective and efficient surgical treatment for Congenital NLDO or acquired lacrimal obstruction causing epiphora in children.
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