Increasing trends of pregnancy induced hypertension -Need for uterine artery doppler as a predictor
Journal Title: Medpulse International Journal of Gynaecology - Year 2019, Vol 10, Issue 2
Abstract
Background: Pregnancy induced hypertension is one of the most common complication in pregnancy and it affects up to 10 - 12% of pregnancies across the globe. Objective: To study the role of uterine artery doppler in early 2nd trimester in prediction of pregnancy induced hypertension. Methods: A prospective case control study was done in 150 antenatal women during a period of one year in Obstetrics department. Blood and urine investigations were done at their first visit, uterine artery doppler changes if any were recorded in these women during early 2nd trimester and followed up till delivery. Results: This study showed primigravida and age group around 25 to 30 years having a greater incidence of uterine artery notching and risk of developing hypertension. This study has sensitivity of 83.7%, specificity of 84.9%, positive predictive value 64.5% and negative predictive value of 94%. Conclusion: Our study shows presence of bilateral uterine artery notching having high sensitivity and specificity in predicting pregnancy induced hypertension. Thus, uterine artery doppler at early second trimester can consider to be best noninvasive screening test available in prediction of pregnancy induced hypertension and should be advised routinely in early 2nd trimester irrespective of risk factors for a timely intervention and a better outcome.
Authors and Affiliations
Naimisha Movva, M Vijayasree
Keywords
Related Articles
- EP ID EP615054
- DOI 10.26611/101210214
- Views 175
- Downloads 0
Etiology and management of intrauterine fetal death
Aim: To study the aetiology and management of intrauterine fetal death. Methods: This was a prospective study carried out in MKCG medical college and hospital over a duration of 21months. Results: There were 721 cases of...
Comparative study between Pap smear and VIA in screening of cancer cervix in rural population
Background: Carcinoma cervix is the second most common cancer among women in India. There is a significant reduction in carcinoma cervix incidence and mortality with implementation of intensive screening programs. Aims a...
Evaluation of maternal and perinatal morbidity and mortality in previous caesarean section cases
Background: According to World Health Organization “There is a story behind every maternal death and lifethreatening complication. Aims and Objectives: To Evaluate maternal and perinatal morbidity and mortality in previo...
Study of types and complications of abdominal hysterectomy at a tertiary care hospital
Background: The risks and complications depend upon the type of hysterectomy performed, the individual woman's health status, and the surgeon's expertise and experience. Aim: To study the types and complications of abdom...
Sonographic evaluation of biparietal diameter and abdominal circumference at term for estimation of foetal birth weight
Background: Predicting the foetal birth weight is paramount in obstetric care. Making appropriate management decisions requires appraisal of foetal birth weight. Ultrasound is an accurate and useful modality fir the asse...