Uterine Artery Notching on Color Doppler Ultrasound and Roll over Test in Prediction of Pregnancy Induced Hypertension

Background: Pregnancy induced hypertension (PIH) is associated with adverse perinatal outcome. Multi vessel color Doppler studies are useful in these cases for timely intervention. The aim of present study was to know the significance of umbilical, middle cerebral and uterine artery Doppler studies in PIH and to analyse its role in predicting perinatal outcome.Methods: This was a prospective study of 106 singleton pregnancies in the third trimester with PIH. The results of last Doppler ultrasound within one week of delivery were used for analysis. Adverse perinatal outcome was studied in the form of emergency cesarean section for fetal distress, meconium stained amniotic fluid, Apgar at 5 min <7, NICU admission and perinatal mortality (stillbirths and neonatal death). Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and diagnostic accuracy of various Doppler parameters were calculated after comparing with standard.Results: In the present study specificity and diagnostic accuracy of all Doppler ultrasound parameters was high in predicting adverse perinatal outcome. Cerebroplacental ratio showed highest specificity (98.55%), PPV (94.44%) and diagnostic accuracy (80.19%) in predicting adverse perinatal outcome and it is better than MCA PI and UA PI alone. Uterine artery Doppler evaluation also gives additional information in predicting adverse perinatal outcome.Conclusions: Amongst various Doppler parameters cerebroplacental index (MCA/UA PI) is best predictor of adverse perinatal outcome.

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436: Prediction of oxidative stress-related pregnancy outcomes with the combination of maternal serum asymmetric dimethylarginine and the presence of uterine artery notch on color doppler ultrasound

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2007.10.455 ◽

2007 ◽

Vol 197 (6) ◽

pp. S129

Author(s):

Young Ju Kim ◽

Young-Mo Ahn ◽

Hwa-Young Lee ◽

Kyung A. Lee ◽

Jung Ja Ahn

Keyword(s):

Oxidative Stress ◽

Doppler Ultrasound ◽

Pregnancy Outcomes ◽

Uterine Artery ◽

Asymmetric Dimethylarginine ◽

Color Doppler ◽

Color Doppler Ultrasound ◽

Maternal Serum

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A study on blood flow in uterine artery, umbilical artery and middle cerebral artery using Doppler ultrasound in a group of patients with pregnancy induced hypertension

International Journal of Radiology and Diagnostic Imaging ◽

10.33545/26644436.2021.v4.i2a.192 ◽

2021 ◽

Vol 4 (2) ◽

pp. 05-07

Author(s):

Dr. Revanesh Navlaspur ◽

Dr. Narendra GS

Keyword(s):

Blood Flow ◽

Middle Cerebral Artery ◽

Doppler Ultrasound ◽

Cerebral Artery ◽

Uterine Artery ◽

Umbilical Artery ◽

Pregnancy Induced Hypertension ◽

Induced Hypertension

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The prediction of pregnancy induced hypertension from umbilical and uterine Doppler flow study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20190292 ◽

2019 ◽

Vol 8 (2) ◽

pp. 608

Author(s):

Vijay N. Gadhavi ◽

Mansi K. Gadhavi ◽

Manish Pandya

Keyword(s):

Uterine Artery ◽

Umbilical Artery ◽

Color Doppler ◽

Hypertensive Disorder ◽

Pregnancy Induced Hypertension ◽

Mortality And Morbidity ◽

Diastolic Flow ◽

Induced Hypertension ◽

Artery Flow ◽

Flow Velocities

Background: Hypertensive disorder along with hemorrhage and infection contribute greatly to maternal mortality and morbidity. Pregnancy induced hypertension remains among the most significant and intriguing unsolved problems in obstetrics.Methods: In this prospective analytical study investigations and color doppler findings 0f umbilical artery PI, RI and end diastolic flow in same, uterine PI, RI and persistent diastolic notch in uterine artery recorded. Total 100 Cases of PIH between 20-36 weeks of gestation in 2 years with B.P ≥ 140/90 mm hg and protienuria ≥ 1+ were observed.Results: In this study, out of 100 cases, there were 58 cases of mild PIH (58%) and 42 cases of severe PIH (42%). Umbilical artery PI was elevated in 43(43.0%) patients and was normal in 57(57.0%) patients. Umbilical artery RI was more than and equal to 0.7 in 77 patients (77%) and was below of 0.7 in 23 (23%) pa-tients.9(9.0%) fetuses showed absence and 14 (14.0%) fetus had reversal and 46 (46.0%) had reduced end diastolic umbilical artery flow with total 69 out of 100 fetuses having abnormal waveforms.65 (65%) mothers had an elevated uterine artery PI and 35(35%) patients had normal uterine artery PI. in observation 69 (69%) patients were having RI more than 0.6, while 31 (31%) were having less than 0.6 out of 100 patients. In this study, 65 (65.0%) women were having persistent diastolic notch.Conclusions: This study was to evaluate arterial flow velocities as a predictor of impending pregnancy induced hypertension with raised RI and PI along with umbilical ab-sent or reverse end diastolic flow velocities and elevated RI and PI in the presence of a diastolic notch are considered as abnormal uterine doppler findings doppler finding with unfavorable outcome.

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