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Value of doppler ultrasonography in predicting fetal well-being in pregnant women with preecclampsia
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Abstract
Background:.Study on the value of some ultrasound explorations in predicting fetal well-beingin pregnant women with
preeclampsia and to compare the effectiveness of different Doppler indices in predicting fetal well-being in pregnant women with preeclampsia.
Methods: Study on153 patients with pre-eclampsia at Obs. & Gyn. Department - Hue Central Hospital were taken by an prospective cohort study from 12/2012 to 2/2016,.
Results: Cut-off value of UTA RI for IUGR and fetal distress prediction at gestational age of 34-37 weeks was 0.6. The UTA S/D
ratio cut-off value of 2.6 for fetal distress prediction at gestational age of 34-37 weeks had the sensitivity of 100% and specificity of 60%. Fetal distress prediction using UMA RI at gestational age of 34-37 weeks with cut-off value of 0.64 had the sensitivity of 90.9%, at gestational age above 37 weeks with cut-off value of 9.75 had the sensitivity of 100%. Cut-off values for UMA RI for IUGR prediction at gestational age of 34-37 weeks was 0.74 and at gestational age above 37 weeks was 0.76.
Conclusion:The study found the cut-off values of PI, RI, S/D ratios of the UTA, UMA andMCA to predict fetal distress, IUGR in
preeclampsia to help clinicians determine the most appropriate management to reduce perinatal morbidity and mortality rates.The study also compared the effectiveness of different Doppler indices in
predicting fetal well-being.
Article Details
Keywords
Doppler ultrosound, uterine Doppler, fetal distress, preeclampsia, IUGR
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