Duplex color doppler study of uterine artery in early diagnosis of preeclampsia

Uterine diastolic notch and preeclamsia

Authors

  • Sohely Sultana Department of Radiology & Imaging, Apollo Hospitals Dhaka, Dhaka, Bangladesh https://orcid.org/0000-0002-0876-297X
  • Tarana Yasmin Department of Radiology & Imaging, Enam Medical College & Hospital, Dhaka, Bangladesh
  • Md Nazir Uddin Mollah Department of Oncology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Shyamal Kumar Roy Department of Radiology & Imaging, Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh
  • Mohammad Sazzad Hossain Department of Radiology & Imaging, Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh
  • Abdullah Al-Amin Department of Radiology & Imaging, Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bmrcb.v45i1.41806

Keywords:

Duplex color doppler, Uterine artery, Preeclampsia, Pregnant women

Abstract

Background: Preeclampsia is remained a major cause of maternal and perinatal morbidity and mortality, despite recent advances in antenatal care. Hypertension in pregnancy is responsible for 18% of foetal (>19 weeks of gestation) and infant mortality and 46% of infants born small for gestational age. Early screening for preeclampsia may allow vigilant antenatal surveillance and appropriate timing of foetal delivery in order to avoid serious sequelae. Doppler ultrasound has important screening and diagnostic capabilities for screening preeclampsia.

Objectives: The study was aimed to assess the doppler wave form in subjects with preeclampsia. Furthermore, to observe PSV, EDV, RI, PI in different groups of study subjects from 24th to 37th weeks.

Methods: This cross sectional study was carried out to observe doppler wave form in subjects with preeclampsia enrolling 40 subjects, in the Department of Radiology and Imaging, Dhaka Medical College Hospital, Dhaka, over a period of six months from 20th May 2012. Forty normal pregnancies were also included for comparison.

Results: Majority (35% in normal and 37.5% in preeclampsia) of the respondents were found in the age group of 21-30 years. Unpaired t-test revealed no significant difference between mean age between two groups. Among normal group, mean±SD PSV, EDV, PI and RI were 43.94±15.41 cm/sec and 15.51 (±4.93) cm/sec, 1.12±0.0846 and 0.571 (±0.058) respectively. Mean PSV, EDV, PI and RI were 83.19±18.44 cm/sec, 11.86±5.19 cm/sec, 2.497±0.369 and 0.8255±0.087 in preeclampsia group. There was statistically significant (By unpaired t-test) difference in mean doppler indices between these two groups. It was observed that early diastolic notch was found in 90% subjects with preeclampsia. Early diastolic notch was observed in doppler wave form in 5% subject with normal pregnancy. Chi-square test showed that there was statistically significant difference in presence of early diastolic notch between normal subjects and subjects with preeclampsia.

Conclusion: It may be concluded that doppler indices with presence of early diastolic notch are reliable indicators for early detection of preeclampsia.

Bangladesh Med Res Counc Bull 2019; 45: 34-40

Downloads

Download data is not yet available.
Abstract
64
PDF
51 ONLINE VIEW
0

Downloads

Published

2019-06-15

How to Cite

Sultana, S., Yasmin, T., Mollah, M. N. U., Roy, S. K., Hossain, M. S., & Al-Amin, A. (2019). Duplex color doppler study of uterine artery in early diagnosis of preeclampsia: Uterine diastolic notch and preeclamsia. Bangladesh Medical Research Council Bulletin, 45(1), 34–40. https://doi.org/10.3329/bmrcb.v45i1.41806

Issue

Vol. 45 No. 1 (2019)

Section

Research Papers

License

Authors who publish with this journal agree to the following terms.

Authors retain copyright and grant the journal right of first publication.

Creative Commons Licence
Articles in the Bangladesh Medical Research Council Bulletin are licensed under a Creative Commons Attribution 4.0 International License (CC-BY) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).