Diagnostic Value of Color Doppler Sonography and Its Correlation with Perinatal Outcome in Severe Pre-eclampsia Patients
Keywords:
Color Doppler sonography, Pre-eclampsia, Perinatal outcomeAbstract
Background: One of the most frequent pregnancy problems that raises mother and fetal mortality and morbidity is preeclampsia. In patients with preeclampsia, Doppler ultrasonography can be a helpful tool to evaluate fetal outcome. This study aimed to ascertain the perinatal outcome based on Doppler alterations observed in the middle cerebral artery, uterine, and umbilical.
Objectives: Assessment of the diagnostic value of color Doppler sonography and its correlation with perinatal outcome in severe pre-eclampsia patients.
Methods: This prospective study was conducted in the Department of Obstetrics and Gynaecology, Dhaka Medical College Hospital (DMCH), Dhaka, from 22 December 2023 to 21 June 2024, a period of six months.
where 50 patients were studied, aged between 16 and 35 years, selected by a convenient sampling method, whose color doppler sonography was done between 29 and 40 weeks of gestation.
Results: In this study, 50 patients with severe pre-eclampsia who were admitted to DMCH were assessed using color Doppler to measure the blood flow indices (S/D, PI, Rl) of the middle cerebral artery, umbilical artery, and uterine artery. The majority of these patients had abnormal blood flow, with 70%, 68%, and 62% of them having adverse perinatal outcomes, and 15 (30%) of those patients had normal outcomes. The relationship was statistically examined, and the results showed a favorable association between the perinatal outcome and the color Doppler findings of the uterine, umbilical, and middle cerebral artery blood flow indices.
Conclusion: Our study's findings suggest that pregnant individuals with pre-eclampsia who have aberrant blood vessel Doppler indices will have poor perinatal outcomes. As a result, Doppler ultrasonography can be used to monitor and treat the patients appropriately.
Mediscope 2026;13(2): 118-123
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Copyright (c) 2026 Ayesha Siddiqua, Anzuman Ara, Gayetri Rani, Kaberi Guha, Shirin Akter Jahan, Hosne Ara, Rawshan Ara
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