Predicting Neonatal Complications in Preeclampsia Pregnant Women by Evaluating the Value of Uterine Artery Doppler Ultrasound Indices

Duman, Berikuly; Abdulhussain Fadhil, Ali; Sajad Kadim, Samah; Abas Hasan, Ayad; Mehdi Mohammed, Naseer; Sattar Qasim, Ebtihal; Muayad Abdullah, Tamara

doi:10.30699/jogcr.8.4.389

Document Type : Original Research Article

Authors

¹ Department of Obstetrics and Ggynecology, Non-profit Joint-Stock Company Semey Medical University, Semey, Republic of the Kazakhstan

² College of Medical Technology, Medical Lab Techniques, Al-Farahidi University, Baghdad, Iraq

³ Medical Laboratories Techniques Department, Al-Mustaqbal University College, Babylon, Iraq

⁴ College of Media, The Islamic University of Najaf, Najaf, Iraq

⁵ Mazaya University College, Nasiriyah, Iraq

⁶ College of Nursing, National University of Science and Technology, Dhi Qar, Iraq

⁷ Department of Radiology and Sonar Techniques, AlNoor University College, Nineveh, Iraq

https://doi.org/10.30699/jogcr.8.4.389

Abstract

Background & Objective: Preeclampsia is related to numerous maternal and fetal complications, like intrauterine increase restriction, preterm delivery, and a raised danger of baby death. In order to determine the predictive amount of uterine artery Doppler sonography indices for neonatal complications in pregnant patients with preeclampsia, the present study was conducted.
Materials & Methods: In 2020, in Alwiyah Hospital for Obstetrics and Gynecology, Al-Jadiriah Private Hospital, Al-Karama Teaching Hospital, and Yarmouk Teaching Hospital in Baghdad, 87 pregnant women with preeclampsia and 160 healthy pregnant women participated in the present prospective study. The Doppler signal of the uterine arteries was evaluated during a supine abdominal Doppler ultrasound examination between 26 and 36 weeks of pregnancy. The survey form was updated with information about the birth of the children following the termination of the pregnancy. The data were evaluated using SPSS software (version 19) and independent t, Mann-Whitney, and chi-square tests.
Results: The mean uterine artery pulsatility index of mothers with preeclampsia had the greatest sensitivity, specificity, and positive predictive amount of predicting a baby's low birth weight at 54.8%, 87.3%, and 91.6%, respectively. In addition, the sensitivity, specificity, and positive predictive amount of the mean uterine artery resistance index for predicting a baby's low birth weight were 65.2%, 96.4%, and 95.4%, respectively.
Conclusion: Although uterine artery indices in Doppler ultrasound do not have a high sensitivity for predicting neonatal complications, abnormal indices can predict low birth weight with high confidence.

Highlights

✅ Although uterine artery indices in Doppler ultrasound do not have a high sensitivity for predicting neonatal complications, abnormal indices can predict low birth weight with high confidence.

Keywords

Main Subjects

Obstetrics and Gynecology

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Journal of Obstetrics, Gynecology and Cancer Research

Predicting Neonatal Complications in Preeclampsia Pregnant Women by Evaluating the Value of Uterine Artery Doppler Ultrasound Indices

References

References

Volume 8, Issue 4 - Serial Number 33
July and August 2023
Pages 389-395

Predicting Neonatal Complications in Preeclampsia Pregnant Women by Evaluating the Value of Uterine Artery Doppler Ultrasound Indices

References

References

Volume 8, Issue 4 - Serial Number 33July and August 2023Pages 389-395

Volume 8, Issue 4 - Serial Number 33
July and August 2023
Pages 389-395