دورية أكاديمية
أعرض في EDS

Umbilical Artery Doppler Indices in Hypertensive Disorders of Pregnancy: Impact on Fetal Outcomes.

التفاصيل البيبلوغرافية
العنوان: Umbilical Artery Doppler Indices in Hypertensive Disorders of Pregnancy: Impact on Fetal Outcomes.
المؤلفون: Mahajan KS; Obstetrics and Gynecology, Symbiosis Medical College for Women, Symbiosis International University, Pune, IND., Dewani D; Obstetrics and Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND., Duragkar S; Obstetrics and Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
المصدر: Cureus [Cureus] 2023 Dec 20; Vol. 15 (12), pp. e50876. Date of Electronic Publication: 2023 Dec 20 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Background Hypertensive disorders of pregnancy (HDP) are associated with increased maternal and fetal risks. Doppler ultrasound indices of the umbilical artery have shown promise in predicting adverse fetal outcomes in HDP patients. This observational study investigated the correlation between abnormal umbilical artery Doppler indices and adverse fetal outcomes in HDP patients. Methodology Over a two-year period from 2020 to 2022, in Acharya Vinoba Bhave Rural Hospital, central India, we enrolled 138 pregnant women with HDP beyond 28 weeks of gestation and singleton pregnancies. Comprehensive clinical assessments, laboratory investigations, and Doppler studies of the umbilical artery were performed. Doppler indices assessed included the systolic/diastolic (S/D) ratio, resistance index (RI), and pulsatility index (PI). Adverse fetal outcomes were defined based on birth weight and neonatal intensive care unit admissions. Chi-square or Fisher's exact test was used for analyzing the relationship between qualitative data, while an independent-sample t-test was employed for quantitative data. Results Abnormal umbilical artery Doppler indices, including an elevated S/D ratio, RI, and PI, demonstrated a positive correlation with adverse fetal outcomes in HDP patients. These findings highlight the significance of umbilical artery Doppler indices as reliable indicators for anticipating adverse fetal outcomes in HDP patients. Conclusions Abnormal Doppler indices in the umbilical artery, including an elevated S/D ratio, RI, and PI, appear to be valuable predictors for adverse fetal outcomes in patients with HDP. Monitoring these indices can aid in risk stratification and improve the management of pregnancies complicated by HDP.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Mahajan et al.)
References: AJR Am J Roentgenol. 2010 Feb;194(2):343-8. (PMID: 20093594)
Cureus. 2021 Oct 19;13(10):e18888. (PMID: 34820216)
Am J Obstet Gynecol. 2002 Jan;186(1):66-71. (PMID: 11810087)
Cardiol Clin. 2021 Feb;39(1):77-90. (PMID: 33222817)
Niger Postgrad Med J. 2019 Apr-Jun;26(2):106-112. (PMID: 31187750)
SAGE Open Med. 2019 Apr 10;7:2050312119843700. (PMID: 31007914)
Indian J Community Med. 2015 Oct-Dec;40(4):273-8. (PMID: 26435602)
Med J Armed Forces India. 2017 Jul;73(3):232-241. (PMID: 28790780)
Am J Obstet Gynecol. 1995 Feb;172(2 Pt 1):642-8. (PMID: 7856699)
Clin Med Insights Reprod Health. 2015 Apr 15;9:1-5. (PMID: 25922590)
J Am Coll Cardiol. 2018 Sep 11;72(11):1252-1263. (PMID: 30190003)
Cureus. 2021 Mar 18;13(3):e13982. (PMID: 33880307)
فهرسة مساهمة: Keywords: adverse fetal outcomes; hypertensive disorders of pregnancy (hdp); pulsatility index (pi); resistance index (ri); systolic/diastolic (s/d) ratio; umbilical artery doppler
تواريخ الأحداث: Date Created: 20240122 Latest Revision: 20240123
رمز التحديث: 20240123
مُعرف محوري في PubMed: PMC10799235
DOI: 10.7759/cureus.50876
PMID: 38249223
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.50876