Uterine Artery Notching on Color Doppler Ultrasound and Roll over Test in Prediction of Pregnancy Induced Hypertension

Sharma, Sujata; Singh, Simar Rajan; Gujral, Uma; Oberoi, Upasana; Kaur, Rajwinder

doi:10.1007/s13224-011-0110-z

Cited by 9 publications

(8 citation statements)

References 8 publications

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“…The priori risk in pregnant women, which is based on individual relevant factors, is race‐specific and should be adjusted accordingly . However, the available data are limited on Asian race.…”

Section: Introductionmentioning

confidence: 99%

Risk factors and potential protective factors of pregnancy‐induced hypertension in China: A cross‐sectional study

Zhuang

Gao

Liu

et al. 2019

J of Clinical Hypertension

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A cross‐sectional study was conducted to the reported factors and assesses possible protective factors for pregnancy‐induced hypertension (PIH) in China. The data of pregnant women who delivered between October 2016 and September 2017 were collected from a birth registry. The primary outcome was the occurrence of PIH. Secondary outcomes were delivery before 34 gestational weeks and other adverse obstetric outcomes of PIH. Among the 99 535 women enrolled, 5731 women (5.8%) developed PIH. BMI had a positive correlation with the primary and two secondary outcomes (adjusted OR = 2.05, 2.56, 1.87, respectively, for overweight; adjusted OR = 4.44, 3.90, and 2.63, respectively, for obesity). Otherwise, calcium supplementation during pregnancy was a potential protective factor for those outcomes (adjusted OR = 0.87, 0.14, and 0.44, respectively). These results provide a basis for PIH prevention strategy in the Chinese public health sector. Calcium supplementation and lowering the BMI might have the potential benefit on reducing the prevalence of PIH in selected women.

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Section: Introductionmentioning

confidence: 99%

Risk factors and potential protective factors of pregnancy‐induced hypertension in China: A cross‐sectional study

Zhuang

Gao

Liu

et al. 2019

J of Clinical Hypertension

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“…[14] Thus it may be said that Doppler study for fetal surveillance in pregnancy-induced hypertension is a very useful device in reduction of perinatal morbidity and mortality by timely intervention. [15][16][17][18] Strengths of the study: The present study was conducted in a developing country with high incidence of maternal morbidity and mortality. Early detection of abnormal Doppler studies yielded better results in maternal of fetal outcomes as proper intervention in patient care was adopted.…”

Section: Discussionmentioning

confidence: 99%

A prospective study of doppler velocimetry in pregnancy-induced hypertension in a rural population of a developing country

Hazra¹,

Dash²,

Chaudhuri³

et al. 2013

J Basic Clin Reprod Sci

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Background: Pregnancy-induced hypertension (PIH) remains a great challenge to obstetricians. Doppler velocimetry can detect fetal compromise much before other antepartum tests. Aim: The aim of this study is to detect the changes of uterine artery, umbilical artery and middle cerebral artery in PIH by Doppler velocimetry. Subjects and Methods: This prospective study was conducted on hundred subjects with PIH. Doppler studies were carried, and parameters recorded in uterine, umbilical and middle cerebral artery (MCA) were Systolic/Diastolic ratio, Resistance Index, Cerebro-Placental Index (CPI). Fetal outcomes were monitored. Statistical analysis was performed using Epi Info TM software (Version 3.5.1, CDC, Atlanta). Test for significance was done with student's t-test and Chi-square where applicable. A P-value of<0.05 was considered as significant. Results: Among the 100 subjects, 76 (76%) of fetuses had abnormal and 24% normal umbilical artery Doppler velocimetry; 62% had abnormal and 38% normal MCA Doppler velocimetry; 64% fetuses had abnormal and 36% normal CPI. In 95% of subjects having abnormal umbilical Doppler studies, caesarean section had to be done for acute fetal distress. Incidence of caesarean section was 61% in abnormal MCA group and 63% in abnormal CPI group. Among 14 patients who had abnormal uterine artery Doppler, four developed pre-eclampsia, 2 IUGR. In patients with notches in uterine artery Doppler, 38% developed pre-eclampsia, 38% had IUGR, 13% babies were still born and 25% of newborns required NICU admission. In umbilical artery Doppler, when S/D ratio was abnormal, 60% developed pre-eclampsia, 40% had IUGR and 40% of newborns had to be admitted in NICU. Conclusion: Doppler study for fetal surveillance in pregnancy-induced hypertension is a very useful device and abnormal umbilical artery and uterine artery velocimetry seems to have worse pregnancy outcomes in the present study. Notch as a single parameter is the best indicator with highest sensitivity and positive predicative values. However, combination of parameters is the best indicator.

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“…Disappearance of notch will happen first in the uterine artery, which is directly under the placenta. In a study by Sharma S et.al, the sensitivity of uterine artery diastolic notch was found to be 15.63% [10] . In present study, the sensitivity of diastolicnotch in PIH is 32%.…”

Section: Uterine Arterymentioning

confidence: 97%

Colour Doppler study of Fetomaternal and uteroplacental circulation in pregnancy induced hypertension and/or oligohydramnios

Modi¹,

Gaur²

2021

Int. J. Radiol. Diagn. Imaging

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To study the fetoplacental and uteroplacental circulation by evaluating uterine artery, umbilical artery and fetal MCA using color Doppler in hypertensive disorders of pregnancy and oligohydramnios in second and third trimester with comparing different parameters. Methodology: Total 62 antenatal patients in their second or third trimester, who were clinically diagnosed as having pregnancy-induced hypertension or oligohydramnios by department of obstetrics had been recruited. Color Doppler study of umbilical artery, uterine artery and fetal MCA was performed with measurement of umbilical artery PI and SV/DV ratio, MCA PI and SV/DV ratio, uterine artery RI and SV/DV ratio and CPR.At last, color Doppler prediction was correlated with fetal outcome. Results: Out of 62 patients, 27 had PIH, 14 had associated oligohydramnios with PIH and 21 had oligohydramnios. 56% patients with PIH and 47% patients with oligohydramnios had adverse fetal outcome. The percentages of abnormal parameters of uterine artery, umbilical artery and MCA in PIH patients were 61%, 46% and 51% respectively. The sensitivity and specificity for detecting fetal distress was 70% and 81%, 70% and 87% and 67% and 86% for uterine artery, umbilical artery and fetal MCA respectively. CPR was 100% sensitive and 92.3% specific in detecting severe fetal distress. Conclusion: Chances of fetal compromise inutero are high in PIH patients, also significant number of oligohydramnios patients show adverse fetal outcome. Color Doppler study of fetoplacental and uteroplacental circulation proved a useful and noninvasive technique in determining hypoxic fetus and planning timely management of delivery before severe hypoxic injury to fetus occurs. Uterine artery and umbilical artery are more sensitive followed by MCA in diagnosing fetal distress.

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Uterine Artery Notching on Color Doppler Ultrasound and Roll over Test in Prediction of Pregnancy Induced Hypertension

Cited by 9 publications

References 8 publications

Risk factors and potential protective factors of pregnancy‐induced hypertension in China: A cross‐sectional study

Risk factors and potential protective factors of pregnancy‐induced hypertension in China: A cross‐sectional study

A prospective study of doppler velocimetry in pregnancy-induced hypertension in a rural population of a developing country

Colour Doppler study of Fetomaternal and uteroplacental circulation in pregnancy induced hypertension and/or oligohydramnios

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