To study women at risk of PIH (Primi & Multi) by colour doppler velocimetry of uterine arteries

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Original Article

Author Details : Anita Inani*, Pratibha Vashisth, Priyanka Rathor

Volume : 6, Issue : 4, Year : 2023

Article Page : 97-100

https://doi.org/10.18231/j.sajhp.2023.022

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Abstract

Background & Methods: The aim of the study is to study women at risk of PIH (Primi & Multi) by Colour Doppler velocimetry of uterine arteries. Pregnant women attending the antenatal clinics, screened for possible participation in the present study after explaining the nature of the study. A patient was diagnosed to have PIH if there was a rise in systolic pressure of at least 30 mmHg or a diastolic of at least 15 mmHg over the previously known blood pressure or an absolute rise in the blood pressure of at least 140/90 mmHg was taken to diagnose women as a case of PIH.
Results: Out of the 100 cases, maximum 35 cases (35%) were low risk primigravidae, followed by cases with history of PIH (15%), obesity (14%), Anemia (10%),Essential hypertension (7%), IUGR (7%),Which constitute 53%. Rest of the cases was family history of hypertension (6%), oligohydromnios (5%) and Twin (1%).Maximum cases i.e. 40% were illiterate, 28% cases were educated up to primary school and only 20% were educated up to middle school and above. Total 60% cases were literate. 77.2% babies were alive, Abortion were 5.3% and 16.76% cases were with poor perinatal outcome. Study shows that 22% cases showed abnormal waveform in colour Doppler, out of which 90.90% developed PIH, while 78% cases were with normal waveform out of which only 10.25% developed PIH later. For prediction of IUGR out of 22% of abnormal waveform 86.36 developed IUGR and out of 78% of normal waveform 20.51% developed IUGR.
Conclusion: We conclude that a women with high risk factor (nulliparity and others) having abnormal uterine artery waveforms between 16-28 weeks of gestation (presence of diastolic notch with/without high resistance) are at higher risk of development of PIH (90.90%) and IUGR (95%). An important aspect is the high negative predictive value for PIH (89.74%) and IUGR (78.66%) which helps to detect those patient who will not develop PIH and IUGR early positive prediction enables, one to take preventive measures early thus improving both maternal and perinatal prognosis.

Keywords: Risk, PIH, Colour Doppler, Uterine arteries

How to cite : Inani A, Vashisth P, Rathor P, To study women at risk of PIH (Primi & Multi) by colour doppler velocimetry of uterine arteries. South Asian J Health Prof 2023;6(4):97-100

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