Accuracy of Uterine Artery Doppler in Second Trimester in Determining Pre-Eclampsia | [Journal of Rawalpindi Medical College • 2018]

Author(s):

1. Amna Khalid: Department of Radiology, Fauji Foundation Hospital, Rawlpindi, Pakistan.

2. Misbah Durrani: Department of Radiology, Benazir Bhutto Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan.

3. Khola Riaz: Department of Radiology, Benazir Bhutto Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan.

4. Muhammad Waqas: Department of Plastic Surgery, Yusra Medical and Dental College, Pakistan.

5. Fazal Husain Shah: Brig Memorial Trust Hospital, Darya Khan Road, Bhakkar, Pakistan.

6. Lubna Farooq: Department of Radiology, Benazir Bhutto Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan

Abstract:

Background:To determine the accuracy of uterine artery doppler in second trimester (18-24 weeks) in determining preeclampsia. Methods: In this descriptive study a total of 89 women with singleton pregnancy attending routine second trimester anomaly scan were included. Uterine artery doppler sonography was conducted in the women coming for routine anomaly scan. Flow velocity waveforms of right and left uterine artery were imaged with the patient in the semi recumbent position and uterine artery was identified in the longitudinal scan, lateral to uterus. Resistive index, pulsatility index and presence and absence of early diastolic notch and its depth in terms of notch index were calculated. Results: Uterine artery doppler finding in second trimester in determining preeclampsia showed abnormal findings in 41.57% women in which 24.32% had type I (Resistive index >0.58), 45.95% (17/37) type II (Mild notching of uterine artery at beginning of diastole) and 29.73% had type III [(Severe notching + abnormal Resistive index (>0.58)]. After the follow-up of each patient we found that pre-eclampsia was developed in 28.09% (25/89) cases. The accuracy, sensitivity, specificity, positive and negative predictive values of uterine artery doppler were 75.28%, 80%, 73.44%, 54.05% and 90.38% respectively Conclusion: By detecting abnormal uterine artery Doppler indices (high RI) between 18-24 weeks of pregnancy can identify those women who are at risk for development of preeclampsia.

Page(s): 187-190

DOI: DOI not available

Published: Journal: Journal of Rawalpindi Medical College, Volume: 22, Issue: 3, Year: 2018

Keywords:

resistive index , preeclampsia , Uterine artery Doppler , Second trimester , Pulsatility index

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views