Title: Prediction of pre-eclampsia and low birth weight for gestation by uterine artery blood flow velocity waveforms analysis.

POPLINE Document Number: 277021

Author(s):

Ramy AR
El-Guindy AE
El-Magd KA
Abdel-Hafez SM
El-Kabarity H

Source citation:

Egyptian Society of Obstetrics and Gynecology, 1999 Jan-Mar;25(1-3):185-194.

Abstract:

Objective: To evaluate the predictive value of Doppler ultrasound studies of the uterine arteries in pregnancy, in identifying pregnant women at risk of subsequently developing pre-eclampsia, or the delivery of a small for gestational age infant. Design: Prospective cohort study. Population: 53 women with singleton pregnancy at high risk for developing pre-eclampsia. Methods: Measurements included S/D ratio, resistance index and timed averaged mean velocity starting at 24 weeks gestation and monthly thereafter. Main outcome measures: Pre-eclampsia and birth weight. Results: 25 women developed pre- eclampsia. There was no significant relation for resistance index between both groups. The S/D ratio showed just a significant relation at 28 weeks gestation, and tendency to significance at 36 weeks gestation between the two groups. There was a limited significant relation for A. vel at 32 weeks gestation (P<0.05). There was no significant relation regarding birth weight, Apgar score at one hand and five minutes between both groups. Conclusion: Uterine artery Doppler velocimetry waveform analysis does not qualify as a reliable screening test for pre-eclampsia or low birth weight for gestation. Measurement of S/D ratio at 28 weeks might improve the predictive value of the test. (author's)

Keywords:

Egypt
Research Report
Clinical Research
Prospective Studies
Cohort Analysis
Women in Development
Pregnant Women
High Risk Women
Time Factors
Preeclampsia
Uterus
Low Birth Weight
Ultrasonics
Africa, Northern
Africa
Developing Countries
Research Methodology
Studies
Economic Development
Economic Factors
Population Characteristics
Demographic Factors
Population
Reproduction
Population Dynamics
Pregnancy Complications
Diseases
Genitalia, Female
Genitalia
Urogenital System
Physiology
Biology
Birth Weight
Body Weight
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