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International Journal of Tropical Medicine

ISSN: Online 1818-779X
ISSN: Print 1816-3319
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Prospective Study of Uterine Artery Pulsatility Index in Three Trimesters of Pregnancy and its Correlation with Maternal Characteristics and Medical History

Khushboo Goswami, Chetan Mehta, Harikrushna Patel and Kunal Vadwala
Page: 108-112 | Received 17 Jun 2023, Published online: 15 Jul 2023

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https://doi.org/10.36478/10.59218/makijtm.2023.108.112

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Abstract

Pre‐eclampsia (PE) stands as a significant contributor to maternal and perinatal morbidity and mortality, exerting its impact on approximately 2‐3% of all pregnancies. Numerous studies utilizing uterine artery (UtA) Doppler ultrasonography have documented that in pregnancies progressing towards PE, particularly those necessitating preterm delivery, there is a notable elevation in the pulsatility index (PI) during the successive trimesters of gestation. To evaluate usefulness and correlation of uterine artery Pulsatility index with maternal characteristic and medical history and to determine the usefulness of this parameter in early diagnosis of pregnancy outcome. Study was conducted on pregnant females coming for antenatal ultrasound at Radiology department. The study comprised 155 women with pregnancy between January 2022 and November 2022 at antenatal setup of our hospital between 11‐14 weeks screening with a followup scan at 20‐24 weeks and 32‐34 weeks of gestation in the second and third trimesters who had high PI values with diastolic notch. The waveform from uterine artery is characterized by systolic peak, early diastolic notch which disappears after 22‐24 weeks of gestation normally . PI values were calculated. The data was analysed with standard statistical test. The UtA‐PI value in 1st, 2nd and 3rd trimesters of pregnancy was right (1.1‐1.9) and left (0.9‐1.5), right (1.0‐1.8) and left (0.9‐1.4), right (0.7‐1.7) and left (0.7‐1.3). The UtA‐PI value was found higher among patients with pre‐eclampsia and eclampsia, previous history of pre‐eclampsia, poor foetal outcome and low birth weight baby compared to patients with good outcome. Measurement of the UtAPI in all the three trimester of pregnancy may be a useful technique for the screening of preeclampsia and eclampsia.

How to cite this article:

Khushboo Goswami, Chetan Mehta, Harikrushna Patel and Kunal Vadwala. Prospective Study of Uterine Artery Pulsatility Index in Three Trimesters of Pregnancy and its Correlation with Maternal Characteristics and Medical History.
DOI: https://doi.org/10.36478/10.59218/makijtm.2023.108.112
URL: https://www.makhillpublications.co/view-article/1816-3319/10.59218/makijtm.2023.108.112