Second-trimester Uterine Artery Doppler Pulsatility Index in Singleton Pregnant Women with and without Risk of Pre-eclampsia

IF 0.3 Q4 OBSTETRICS & GYNECOLOGY Current Women s Health Reviews Pub Date : 2023-08-23 DOI:10.2174/1573404820666230823153426
K. Shojaei, Shima Elahian, N. Saadati, R. Jafari, M. M. Gharibvand, M. Seyedtabib, Shooka Mohammadi
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Abstract

Preeclampsia (PE) is gestational hypertension and one of the most serious disorders in pregnant women. This study aimed to compare second-trimester uterine artery Doppler pulsatility index (UA-PI) in singleton pregnant women with and without risk of PE. A case-control study was carried out among 200 singleton pregnant women in the second trimester of pregnancy, who were referred to Imam Hospital in Ahvaz (Iran). The data were recorded on their demographic, obstetric, clinical characteristics, and Doppler indices. The average UA-PI value was considered as the mean PI between the right and left arteries. Women who were categorized into Groups 1 and 2 had a moderate-high and low risk of PE, respectively. The mean UA-PI, right UA-PI, left UA-PI, systolic and diastolic blood pressures (BP), age, body mass index (BMI), and abdominal circumference (AC) of women in Group 1 were significantly higher than those in Group 2 (p<0.05). Furthermore, Group 1 had a higher frequency of abortions, comorbidities, abnormal UA Doppler results, and nulliparous women than Group 2 (p<0.05). Based on maternal age (<35, ≥35), BMI (<25, ≥25), comorbidities (yes, no), and nulliparity (yes, no) categories, those who were in Group 1 had a significantly higher mean systolic and diastolic BP, UA-PI, right UA-PI, and left UA-PI than their counterparts in Group 2 (P<0.001). This study declared the second-trimester UA-PI had good potential for timely prediction of PE risk in pregnant women.
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有和无先兆子痫风险的单胎妊娠中期子宫动脉多普勒脉搏指数
先兆子痫(PE)是妊娠期高血压,是孕妇最严重的疾病之一。本研究旨在比较有和无PE风险的单胎孕妇妊娠中期子宫动脉多普勒脉搏指数(UA-PI)。对200名妊娠中期的单胎孕妇进行了病例对照研究,这些孕妇被转诊到阿瓦士(伊朗)的伊玛目医院。记录患者的人口学、产科、临床特征和多普勒指数。平均UA-PI值作为左右动脉之间的平均PI值。被分为第一组和第二组的女性分别有中高和低的PE风险。1组妇女的平均UA-PI、右UA-PI、左UA-PI、收缩压、舒张压、年龄、体重指数(BMI)、腹围(AC)均显著高于2组(p<0.05)。此外,1组流产、合并症、UA多普勒异常、无产妇女的发生率均高于2组(p<0.05)。根据产妇年龄(<35、≥35)、BMI(<25、≥25)、合并症(有、无)和无产(有、无)分类,1组患者的平均收缩压和舒张压、UA-PI、右侧UA-PI和左侧UA-PI明显高于2组(P<0.001)。本研究表明,妊娠中期UA-PI在及时预测孕妇PE风险方面具有良好的潜力。
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来源期刊
Current Women s Health Reviews
Current Women s Health Reviews OBSTETRICS & GYNECOLOGY-
CiteScore
0.70
自引率
25.00%
发文量
67
期刊介绍: Current Women"s Health Reviews publishes frontier reviews on all the latest advances on obstetrics and gynecology. The journal"s aim is to publish the highest quality review articles dedicated to research in the field. The journal is essential reading for all clinicians and researchers in the fields of obstetrics and gynecology.
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