Uterine artery Doppler and placental volume in the first trimester in the prediction of pregnancy complications

Schuchter, K.; Metzenbauer, M.; Hafner, E.; Philipp, K

doi:10.1046/j.0960-7692.2001.00596.x

Cited by 91 publications

(66 citation statements)

References 7 publications

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“…(19,20) similarly our study demonstrated three and a half and three-fold increase in risk in developing preeclampsia and IUGR. Our study has results which are comparable with one of the largest study of Martin et al 14 It has been studied that placental ischemia and infarcts, which is a result of defective placentation is the basis behind severe form of early onset preeclampsia or IUGR.…”

Section: Discussionsupporting

confidence: 77%

Role of Uterine Artery Doppler as a Predictor of Preeclampsia

Shanbag¹,

Deshmukh²,

Shelar³

2016

jemds

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AIMTo study the role of uterine artery Doppler at 11 to 14 weeks as a predictor of preeclampsia. SETTINGS AND DESIGNThis study has been conducted at Chhatrapati Pramila Raje Hospital and RCSM Government Medical College, Kolhapur, Maharashtra, which is a tertiary care centre. Duration of the study conducted was one year. Pregnant women attending antenatal OPD's who were willing to participate in the study were included. METHODSThis is a prospective study. Total 250 antenatal patients were included. These patients were offered ultrasound examination at 11 to 14 weeks of gestational period. Left and right uterine artery was examined by colour and pulsed Doppler. Mean Pulsatility Index and presence of diastolic notch if any was noted. These patients were followed for occurrence of preeclampsia or any other complication. Pregnancy outcome in both the group was studied. Risk ratio was calculated. STATISTICAL ANALYSISPearson's Chi Square test or Fisher's exact test is used to study categoric variables and unpaired 't' test is used for studying continuous variables. Thus normal and abnormal Doppler results with incidences of preeclampsia and its complications were studied. Abnormal results in terms of more than 95 th percentile of pulsatility in sex and presence of bilateral uterine notch noted. Risk ratio were calculated. RESULTIn 96% of the patients, satisfactory uterine artery Doppler waveform was noted. All the patients were followed till date of delivery to study pregnancy outcome and occurrence of preeclampsia or related complications if any; 95 th centile of mean pulsatility index obtained was 2.35 which is constant with gestational age. Patients with abnormal uterine artery Doppler at 11-14 weeks had more incidences of preeclampsia (RR-3.5), intrauterine growth restriction (RR-3) and related complications (RR-5.8) than patients with normal Doppler. CONCLUSIONOur study noted that the patients with preeclampsia and associated complications had uterine artery Doppler changes in ultrasound study done at 11 to 14 weeks. So we conclude that the Doppler study done at earlier gestational age is useful in predicting preeclampsia in later gestational period. KEYWORDSUterine Artery Doppler Preeclampsia Predictor.HOW TO CITE THIS ARTICLE: Shanbag S, Deshmukh J, Shelar TC. Role of uterine artery doppler as a predictor of preeclampsia.

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Section: Discussionsupporting

confidence: 77%

Role of Uterine Artery Doppler as a Predictor of Preeclampsia

Shanbag¹,

Deshmukh²,

Shelar³

2016

jemds

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“…Many other studies have shown similar results. [15][16][17][18] In the present study, a large proportion of women who were predisposed to developing PE could be predicted. However there is still a lot of scope for increasing the detection of PE.…”

Section: Discussionmentioning

confidence: 86%

Role of Uterine Artery Doppler in 11-14 Weeks Scan as a Predictor of Preeclampsia

Irfan¹,

Fathima²,

Iqbal³

et al. 2017

AIMDR

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Background: Preeclampsia (PE) is a disease in pregnancy involving interplay of multiple genetic, immunologic and environmental factors. The primary pathology of PE is related to abnormal placentation. Uterine artery doppler in the first trimester is a promising screening test for prediction of PE. Objective: To study the role of first trimester uterine artery doppler in prediction of preeclampsia. Methods: A prospective study was carried out to evaluate the role of uterine artery doppler in the 11-14 week scan for prediction of preeclampsia and associated IUGR. A total number of 200 women who met our selection criteria were included in the study. Uterine artery doppler was done as part of the 11-14 weeks scan and mean uterine artery PI was calculated. Results: Among the women in the study, PE was detected in 21 women with incidence of 11 %. The sensitivity, specificity, positive predictive value and negative predictive values of mean uterine artery PI for development of PI were 76%, 86%, 39% and 96% respectively. Conclusions: Early identification of pregnancies at high-risk of early onset PE and undertaking the necessary measures to improve placentation can reduce the burden of the disease by using prophylactic aspirin. Effective screening for early onset PE can be achieved in the firsttrimester of pregnancy with maternal history, uterine artery doppler and biochemical markers. Biochemical screening for preeclampsia needs to become cheaper and easily accessible for better prediction of PE in first trimester.

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“…In our study, 16 cases (16%) had Mean PI ≥ 2.00 (90 th centile) and this group contained 8 cases (36.4%) of those that developed IUGR and Pre-eclampsia similar to the study conducted by Schuchter K et al in which uterine artery PI was ≥90th centile in 38 (10%) pregnancies and this group contained nine (25%) of those that developed complications. 20 Mean UtA PI was significantly higher (p value <0.05) in Pre-eclamptic cases that required delivery before 34 weeks thus, much better at identifying the more severe and clinically most relevant cases of Pre-eclampsia. Papaqeorqhiou AT et al reviewed the previous studies which showed that for a false positive rate of 5%, firsttrimester uterine artery Doppler studies will detect 50-65% of women who will develop severe preeclampsia.…”

Section: Discussionmentioning

confidence: 98%

Colour Doppler study of uterine artery between 10-14 weeks of gestation as a predictor of intra-uterine growth restriction and preeclampsia

Mittal

Pragyashree

Sharma

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Uterine artery Doppler and placental volume in the first trimester in the prediction of pregnancy complications

Abstract: The combination of placental volume measurement and uterine artery Doppler in the first trimester may identify women at risk for subsequent development of pregnancy complications.

Cited by 91 publications

References 7 publications

Role of Uterine Artery Doppler as a Predictor of Preeclampsia

Role of Uterine Artery Doppler as a Predictor of Preeclampsia

Role of Uterine Artery Doppler in 11-14 Weeks Scan as a Predictor of Preeclampsia

Colour Doppler study of uterine artery between 10-14 weeks of gestation as a predictor of intra-uterine growth restriction and preeclampsia

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