The Uterine Artery Doppler's Diagnostic Accuracy in the Second Trimester for Preeclampsia Screening.

Autor: Arjmand, Ayesha, Umer, Ayesha, Imran, Sajida, Ghafoor, Razia, Ubaid, Fouzia, Butt, Khola
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Zdroj: Pakistan Journal of Medical Research; Jul-Sep2024, Vol. 63 Issue 3, p135-139, 5p
Abstrakt: Background: Hypertension during pregnancy occurs in 7-10% of pregnancies. It is divided into 3 types: Chronic hypertension, pregnancy-induced hypertension, and pre-eclampsia. It is a multisystem syndrome usually recognized by new-onset hypertension with proteinuria appearing in 2nd half of pregnancy. The incidence of preeclampsia is 5 to 7% of all pregnancies. Objective: To determine the diagnostic accuracy of uterine artery doppler (UAD) for preeclampsia screening in the second trimester. Study type, settings & duration: A cross-sectional and observational study was conducted at Hameed Latif Hospital, Lahore from January to June 2023. Methodology: The non-probability purposive sampling technique was used in this study. Patients were into two groups; group A: pre-eclampsia (n=40) and group B: non-pre-eclampsia (n=85). The sample size of 125 was calculated by G-Power software. Data was collected through pre-structured proforma and entered in SPSS version 25.0. Results: The 28 (70%) patients had positive UAD. They developed pre-eclampsia and 12 (30%) patients had negative but also developed pre-eclampsia (group A). In comparison, 15 (17.6%) patients had positive UAD but had not developed pre-eclampsia and 70 (82.4%) patients had negative UAD and had not developed preeclampsia. UAD and pre-eclampsia had a significant association with the p-value of 0.00*. Pre-eclampsia screening had a 15.5% margin of error, a 25% anticipated proportion of pre-eclampsia, a 75% UAD sensitivity, and an 86% specificity. Conclusion: Doppler USG is accurate enough that in the future we can rely on this tool for the prediction of PE in primigravidas. So, to detect preeclampsia early and prevent perinatal morbidity and mortality, 2nd trimester UAD should be incorporated routinely. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index