First- and second-trimester uterine artery pulsatility index as a combination factor in predictive diagnosis of pregnancy-induced hypertension.

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Tytuł:: First- and second-trimester uterine artery pulsatility index as a combination factor in predictive diagnosis of pregnancy-induced hypertension.
Autorzy:: Dash SS; Department of Obstetrics and Gynecology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Jena P; Department of Obstetrics and Gynecology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Khuntia S; Department of Obstetrics and Gynecology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.; MM Medicare Hospital, Cuttack, Odisha, India.
Pathak M; Research & Development Department, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Rath SK; Department of Obstetrics and Gynecology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Źródło:: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2021 Sep; Vol. 154 (3), pp. 431-435. Date of Electronic Publication: 2021 Mar 02.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: 2017- : Malden, MA : Wiley
Original Publication: [New York, NY] Hoeber Medical Division, Harper & Row, [c1969-
MeSH Terms:: Hypertension, Pregnancy-Induced*
Pre-Eclampsia*
Female ; Humans ; Pregnancy ; Pregnancy Trimester, First ; Pregnancy Trimester, Second ; Prospective Studies ; Ultrasonography, Prenatal ; Uterine Artery/diagnostic imaging
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Contributed Indexing:: Keywords: hypertensive disorder of pregnancy; pre-eclampsia; pregnancy-induced hypertension; pulsatility index; uterine artery pulsatility index
Entry Date(s):: Date Created: 20201216 Date Completed: 20210819 Latest Revision: 20210819
Update Code:: 20240105
DOI:: 10.1002/ijgo.13545
PMID:: 33326607
: Czasopismo naukowe

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Objective: Hypertensive disorder of pregnancy is a major cause of fetal and maternal morbidity and mortality. The current approach for pregnancy-induced hypertension (PIH) screening is complex and expensive. The present prospective cohort study assesses the advantage of combining first- and second-trimester uterine artery pulsatility index (UAPI) for predictive diagnosis of PIH.
Methods: A total of 151 prenatal cases in their first trimester were studied and followed up till delivery. The mean UAPI was calculated for the first and second trimesters during the nuchal translucency and anomaly scans. Receiver operating characteristic analysis was used to calculate the cut-off of UAPI for first-trimester, second-trimester, and both trimesters combined.
Results: Twenty-seven (17.9%) pregnant women developed PIH. Mean ± SD UAPI values for first and second trimesters were 1.92 ± 0.60 and 1.23 ± 0.36, respectively. The cut-offs for abnormal UAPI were ≥2.51, ≥1.32, and ≥1.91 for first trimester, second trimester, and both trimesters combined, respectively. The sensitivity and specificity of UAPI in predictive diagnosis of PIH were 82% and 95% for first trimester, 93% and 85% for the second trimester, and 93% and 98% for both trimesters combined.
Conclusion: Combining UAPI of first and second trimesters improves the predictive diagnosis of PIH, which can be carried out during the nuchal translucency and anomaly scans without imparting extra cost to the patient.
(© 2021 International Federation of Gynecology and Obstetrics.)

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