Accuracy Of Uterine Artery Doppler In Determining Pre- Eclampsia And Adverse Pregnancy Outcomes In 2nd Trimester

Abstract

Preeclampsia is considered as one of the most important causes of death among pregnant women all around the world. This study aimed to study the predictive value of uterine artery Doppler ultrasonography in the incidence of preeclampsia and the adverse pregnancy outcomes in pregnant women who attended MTH & Mujahid hospital. This study was performed by the prospective cohort method and the statistical population included 40 pregnant women, in their 13-24 weeks of pregnancy, with a singleton pregnancy who referred to the Madina teaching Hospital & Mujahid hospital Faisalabad o during 2021-2022. 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 diastolic notch was considered. Out of 40 cases studied, 19 patients showed abnormal uterine artery Doppler results and among these 19(47.5%) developed preeclampsia, 4(21.0%) had adverse effect on fetus. Therefore, Doppler ultrasonography of the uterine artery has a predictive value in preeclampsia among pregnant women.