Uterine Artery Doppler Pulsatility Index in the First Trimester as a Forecaster of Pre-Eclampsia in Primary Gravida

Authors

  • Pareesae Artemis Humayun Combined Military Hospital Multan/ National University of Medical Sciences (NUMS) Pakistan
  • Sadaf Aziz Combined Military Hospital Multan/ National University of Medical Sciences (NUMS) Pakistan
  • Ayesha Arif Combined Military Hospital Murree/ National University of Medical Sciences (NUMS) Pakistan
  • Afeera Afsheen Combined Military Hospital Multan/ National University of Medical Sciences (NUMS) Pakistan
  • Nadia Arif Combined Military Hospital Okara/ National University of Medical Sciences (NUMS) Pakistan
  • Sadiqa Batool Combined Military Hospital Okara/ National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i1.8203

Keywords:

Doppler ultrasound, Pre-eclampsia, Pulsality index

Abstract

Objective: To uncover a correlation between a high uterine artery pulsatility index on Doppler ultrasound and the early onset of pre-eclampsia to reduce maternal and fetal morbidity and mortality.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Gynecology and Obstetrics, Combined Military Hospital, Multan Pakistan, from Jun 2020 to Dec 2021.

Methodology: After Ethical Approval and informed consent, the umbilical artery pulsatility (UAPI) of the patients was measured by a transabdominal scan(TAS) between 75 and 100 days. Raised UAPI was correlated with early onset preeclampsia.

Results: One hundred and sixty pregnant women were included in the study, out of which 34(21.3%) women developed preeclampsia, and 126(78.8%) were normal patients. Maternal weight (p=0.001), maternal BMI (p=0.002), gestational age and weight at delivery (p=0.001), and uterine artery doppler pulsatility index (p=0.001) had statistically significant differences with pre-eclampsia and regular patients among the target population.

Conclusion: First-trimester uterine artery pulsatility index on Doppler ultrasound is a beneficial technique to recognize the women by risk status and target them to prevent pre-eclampsia.

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Published

01-03-2023

Issue

Section

Original Articles

How to Cite

1.
Humayun PA, Aziz S, Arif A, Afsheen A, Arif N, Batool S. Uterine Artery Doppler Pulsatility Index in the First Trimester as a Forecaster of Pre-Eclampsia in Primary Gravida. Pak Armed Forces Med J [Internet]. 2023 Mar. 1 [cited 2024 Jul. 25];73(1):269-72. Available from: https://pafmj.org/PAFMJ/article/view/8203