Sonographic evaluation of maternal uterine artery from 11 - 30 weeks 6 days of gestational age in a Nigerian population: A predictive index for pre-eclampsia and intrauterine growth restriction

被引:0
作者
Bakre, A. F. K. [1 ]
Morhe, E. S. K. [2 ]
Ofori, E. K. [1 ]
Donkor, E. [1 ]
Okeji, M. C. [3 ]
Kwadjo, S. [1 ]
Cornelius, I. V. [4 ]
Musa, H. M. [5 ]
Yakubu, C. [6 ]
Ogolodom, M. P. [7 ]
机构
[1] Dept Med Imaging & Allied Sci Ho, Ho, Ghana
[2] Univ Hlth & Allied Sci Ho, Sch Med, Ho, Ghana
[3] Univ Nigeria, Dept Radiog & Radiol Sci, Enugu Campus, Nsukka, Nigeria
[4] Univ Calabar, Fac Allied Med Sci, Dept Radiog & Radiol Sci, Coll Med Sci, Calabar, Nigeria
[5] Esteem Diagnost Med Serv Ltd, Lagos, Nigeria
[6] Lagos Univ Teaching Hosp, Idi Araba LUTH, Lagos, Nigeria
[7] Rivers State Univ, Fac Basic Med Sci, Dept Radiog, Port Harcourt, Nigeria
关键词
Doppler indices; Ultrasound; Pre-eclampsia; Intrauterine growth restriction; Pregnancy outcome; PULSATILITY INDEX; DOPPLER;
D O I
10.1016/j.radi.2023.08.009
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Introduction: Uterine artery (UtA) Doppler sonography is a potential screening tool for pregnancy complications in placental insufficiency. Evaluation of the maternal and fetal vessels in pregnancy ensures accurate identification and prediction of pregnancy complications, such as preeclampsia (PE) and intrauterine growth restrictions (IUGR). The study aims to establish local reference values for UtA in a Nigerian population. Methods: This prospective longitudinal study was conducted among 230 pregnant women. All participants had their left (Lt) and right (RT) UtAs evaluated with a Doppler ultrasound from 11 to 30 weeks 6 days of gestational age. Peak systolic velocity (PSV), End diastolic Velocity (EDV), Systolic/Diastolic ratio (S/D), Pulsatility Index (PI), and Resistivity Index (RI) were measured and documented. Results: The mean values of UtA at 11-30 weeks 6 days of GA ranged as follows: 0.79-0.53 (RI), 1.83 -0.79 (PI), 5.16-2.23 (S/D), 96.37-98.00 (PSV) & 26.07-44.14 (EDV). While the mean values of the Rt. & Lt. UtA 's ranged as follows: 0.79-0.50 (RI. Rt), 0.78-0.56 (RI. Lt), 2.05-0.80 (PI. Rt), 1.61-0.78 (PI. Lt), 6.03-2.13 (S/D. Rt), 4.29-2.33 (S/D. Lt), 89.79-99.23 (PSV. Rt), 102.76-96.71 (PSV. Lt) & 23.31-45.25 (EDV. Rt), 28.83-43.02 (EDV. Lt) respectively. Conclusion: UtA Doppler reference range was established in the study population. These reference ranges will be of clinical value in daily obstetric practice. Implication for practice: Obstetricians and sonographers will apply these values for early prediction of pregnancies at risk of complications in the locality. (c) 2023 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:1035 / 1040
页数:6
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