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The Journal of Obstetrics and Gynecology of India

Published in:

01-06-2012 | Original Article

Prediction of Preeclampsia by Midtrimester Uterine Artery Doppler Velocimetry in High-Risk and Low-Risk Women

Authors: Sanjoy Kumar Bhattacharyya, Sarmila Kundu, Sankar Prasad Kabiraj

Published in: The Journal of Obstetrics and Gynecology of India | Issue 3/2012

Abstract

Objective

To observe the role of uterine artery Doppler flow velocimetry at midtrimester in prediction of preeclampsia.

Method

179 women carrying <16 weeks of pregnancy, with singleton fetus and without any fetal anomaly were recruited and were divided in high-risk and low-risk group. Doppler velocimetry of uterine artery was done at 24–26 weeks. Any notch in uterine artery, unilateral or bilateral, or RI > 0.6, was considered abnormal. Women were followed up and development of preeclampsia noted.

Result

Sensitivity and specificity of abnormal uterine artery Doppler study for prediction of preeclampsia were 73.33 and 86.48 % in high-risk and 57.14 and 95.83 % in low-risk group, respectively. Relative risk with 95 % confidence interval was 5.427 (2.272–12.958) in high-risk and 13.65 (5.669–32.865) in low-risk women.

Conclusion

Doppler velocimetry of uterine artery at 24 weeks can be used as a reliable screening test for prediction of preeclampsia in both high-risk and low-risk women.

Zimmermann P, Eirio V, Koskinen J, et al. Doppler assessment of the uterine and uteroplacental circulation in the second trimester in pregnancies at high risk for pre-eclampsia and/intrauterine growth retardation: comparison and correlation between different Doppler parameters. Ultrasound Obstet Gynecol. 1997;9:330–8.PubMedCrossRef

Chung JE, Cho JS, Han SS, et al. Uterine artery Doppler velocimetry in the prediction of adverse obstetric outcome in unexplained MSAFP elevation. Yonsei Med J. 2000;41:17–21.PubMed

Konchak PS, Bernstein IM, Capeless EL. Uterine artery Doppler velocimetry in the detection of adverse obstetric outcomes in women with unexplained elevated maternal serum alpha-fetoprotein levels. Am J Obstet Gynecol. 1995;173:1115–9.PubMedCrossRef

Coleman MAG, Mc Cowan LME, North RA. Mid trimester uterine artery Doppler screening as a predictor of adverse pregnancy outcome in high risk women. Ultrasound Obstet Gynecol. 2000;15:7–12.PubMedCrossRef

Schwarze A, Nelles I, Krapp M, et al. Doppler ultrasound of the uterine artery in the prediction of severe complications during low risk pregnancies. Arch Gynecol Obstet. 2005;271:46–52.PubMedCrossRef

Title: Prediction of Preeclampsia by Midtrimester Uterine Artery Doppler Velocimetry in High-Risk and Low-Risk Women
Authors: Sanjoy Kumar Bhattacharyya
Sarmila Kundu
Sankar Prasad Kabiraj
Publication date: 01-06-2012
Publisher: Springer-Verlag
Published in: The Journal of Obstetrics and Gynecology of India / Issue 3/2012
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI: https://doi.org/10.1007/s13224-012-0219-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Prediction of Preeclampsia by Midtrimester Uterine Artery Doppler Velocimetry in High-Risk and Low-Risk Women

Abstract

Objective

Method

Result

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objective

Method

Result

Conclusion

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