Intraplacental Villous Artery Doppler can Improve the Ability to Predict Placenta-Mediated Disease.

Autor: Tudor A; University of Medicine and Pharmacy of Craiova, Romania., Novac L; University of Medicine and Pharmacy of Craiova, Romania., Camen IV; University of Medicine and Pharmacy of Craiova, Romania.; 'Filantropia' Hospital, Craiova, Romania., Manolea MM; University of Medicine and Pharmacy of Craiova, Romania.; 'Filantropia' Hospital, Craiova, Romania., Vrabie SC; University of Medicine and Pharmacy of Craiova, Romania., Sandulescu MS; University of Medicine and Pharmacy of Craiova, Romania.; 'Filantropia' Hospital, Craiova, Romania., Șerbănescu MS; University of Medicine and Pharmacy of Craiova, Romania.; 'Filantropia' Hospital, Craiova, Romania., Boldeanu MV; University of Medicine and Pharmacy of Craiova, Romania., Neamțu SD; University of Medicine and Pharmacy of Craiova, Romania.; 'Filantropia' Hospital, Craiova, Romania., Istrate Ofițeru AM; University of Medicine and Pharmacy of Craiova, Romania., Dijmarescu AL; University of Medicine and Pharmacy of Craiova, Romania.; 'Filantropia' Hospital, Craiova, Romania., Novac MB; University of Medicine and Pharmacy of Craiova, Romania.; 'Filantropia' Hospital, Craiova, Romania.
Jazyk: angličtina
Zdroj: Current health sciences journal [Curr Health Sci J] 2023 Jan-Mar; Vol. 49 (1), pp. 96-101. Date of Electronic Publication: 2023 Mar 31.
DOI: 10.12865/CHSJ.49.01.96
Abstrakt: Objective: Evaluation of Intraplacental Villous Artery Doppler (IPVA) as a predictive factor compared to umbilical artery (UA) Doppler in placenta-mediated disease (PMD).
Methods: This prospective study included a group of 106 pregnant women, of which 76 patients constituted the PMD group: preeclampsia (PE) and small for gestational age (SGA), and 30 pregnant women constituted the control group. IPVA and UA Doppler evaluation was performed in 2 pregnancy periods: 20.0-23.6 weeks, and 28.0-32.6 weeks of gestation.
Results: From the study of maternal characteristics and risk factors for the presented pathology, we found that no studied risk factor was statistically involved in the evolution toward PMD during pregnancy. In the control group, we noticed a decrease in IPVA PI and RI, along with an increase in gestational age, while in the PMD group, these indices increased. Both in the 2nd and the 3rd trimester, we had a significant statistical difference between the two groups (p<0.001). Regarding the degree of prediction of the changes that occurred at this level, we found a good statistical correlation. A higher degree of positive predictability is noted, for IPVA-PI, but also for UA-PI, but with better sensitivity (72.27%) for UA PI in the 2nd trimester.
Conclusions: We can conclude that both Doppler measurements, IPVA and UA can be used to evaluate and detect pregnancy complications that belong to PMD, preeclampsia, and/or fetal growth restriction.
Competing Interests: None to declare
(Copyright © 2023, Medical University Publishing House Craiova.)
Databáze: MEDLINE
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