Doppler of uterine arteries and preeclampsia: Experience at the Hospital of San José

Doppler de arterias uterinas y preeclampsia: Experiencia en el Hospital de San José

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Acuña Osorio, E. M., Suárez Reyes, G., Ciendua, G., González, S., & Forero, A. (2009). Doppler of uterine arteries and preeclampsia: Experience at the Hospital of San José. Journal of Medicine and Surgery Repertoire, 18(3), 175–181. https://doi.org/10.31260/RepertMedCir.v18.n3.2009.550
Published: Sep 1, 2009
Doi
https://doi.org/10.31260/RepertMedCir.v18.n3.2009.550
Issue
Vol. 18 No. 3 (2009): July - September
Section
Research Article
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Edgar Mariano Acuña Osorio
Gina Suárez Reyes
Gustavo Ciendua
Sonia González
Angélica Forero

Abstract

Changes in uteroplacental circulation through the evaluation of uterine arteries with Doppler has aroused the interest of researchers, becoming the method of choice for screening patients at high risk of developing preeclampsia. Objectives: to describe the findings of the DPau in terms of arterial resistance index (IR) and pulsatility index (PI) in the second trimester of pregnancy and its association with PRE-E and / or intrauterine growth restriction in a selected population of the service of gynecology and obstetrics of the Hospital of San José in Bogotá, DC. Colombia. Materials and methods: 109 patients with gestational age from 22 to 25 weeks were attended between March 2004 and December 2007, risk factors for PRE-E were investigated and DPau was practiced. Follow-up was performed in weeks 28, 32 and 36 until information about the delivery was obtained. Results: 43 presented Doppler alteration, 15 (13%) were complicated with PRE-E and 10 (2%) with IUGR. The IR was found to be altered more frequently in PRE-E and the IP in IUGR. The history of PRE-E (60%), nulliparity (33%) and chronic hypertension (26%) were the risk factors most frequently observed in patients with PRE-E. Conclusions: the results obtained allow us to observe that the alterations of the DPau together with the risk factors of the population, could have some type of relation with the outcome of PRE-E and IUGR. Future research is expected to help clearly elucidate the association of DPau and risk factors with the development of adverse obstetric events. Abbreviations: PRE-E, preeclampsia; Doppler Doppler of uterine arteries; IR, arterial resistance index; IP, pulsatility index; IUGR, intrauterine growth retardation.

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References

1. Roberts J, Pearson G, Cutler J. Summary of the NHLBI working group on research on hypertension during pregnancy. Hypertension. 2003; 41(3): 437-45.

2. Wagner L. Diagnosis and management of preeclampsia. Am. Fam. Physician. 2004; 70 (12): 2317- 24.

3. Takata M, Nakatsuka M, Kudo T. Differential blood flow in uterine, ophthalmic, and brachial arteries of preeclamptic women. Obstet Gynecol. 2002; 100 (5 Pt 1): 931-39.

4. Khan F, Belch J, MacLeod M, Mires G. Changes in endothelial function precede the clinical disease in women in whom preeclampsia develops. Hypertension. 2005; 46(5):1123-28.

5. Brosens I, Robertonson W, Dixon H. The role of the spiral arteries in the pathogenesis of pre – eclampsia. Obstet Gynecol Ann. 1972; 1: 177-91.

6. Campbell S, Diaz-Recasens J, Griffin D, Cohen Overbeek TE. New Doppler technique for assessing uteroplacental blood flow. Lancet. 1983; 1: 675-77.

7. Cafici D. Ultrasonografia Doppler en obstetricia. Buenos Aires: Ediciones Journal; 2008.

8. Frusca T, Soregaroli M, Platto C. Uterine artery velocimetry in patients with gestacional hypertension. Obstet Gynecol. 2003; 102 (1): 136-40.

9. McLeod L. How useful is uterine artery Doppler ultrasonograghy in predicting pre-eclampsia and intrauterine growth restriction? CMJA 2008; 178(6): 727-29.

10. Smith G, Yu C. Papageorghiou A, Nicolaides K. Maternal uterine artery Doppler flow velocimetry and the risk of stillbirh Obstet Gynecol. 2007; 109 (1): 144-51.

11. Venkat-Raman N, Backos M, Regan L. Uterine artery Doppler in predicting pregnancy outcome in women with Antiphoslipid Syndrome. Obstet Gynecol. 2001; 98(2): 235-42.

12. Cnossen J, Morris R, Riet G, Mol B, Van der Post J. Use of uterine artery Doppler ultrasonography to predict pre-eclampsia and intrauterine growth restriction: a sytemactic review and bivariable meta-analysis. CMAJ. 2008; 178(6):701-11.

13. Albaiges G, Missfelder-Lobos H, Lees C, Nicolaides K. One-stage screening for pregnancy complicationes by color Doppler assessment of the uterine arteries at 23 weeks gestation. Obstet Gynecol. 2000; 96(4):559-64.

14. Lees C, Parra M, Missfelder-Lobos H, Nicolaides K. Individualized risk assesment for adverse pregnancy outcome by uterine artery Doppler at 23 Weeks. Obstet Gynecol. 2001; 98(3):369-73.

15. Le Thi Huong D, Weschsler B, Vauthier-Beouzes D. The second trimester Doppler ultrasound examination is the best predictor of late pregnancy outcome in systemic lupus erythematosus and/or the antipholipid syndrome. Rheumatology. 2006; 45(3): 332-38.

16. Zimmermann P, Eirio V. Doppler assessment of the uterine and uteroplacental circulation in second trimestrer in pregnancies at high risk for preeclampsia and/or intrauterine growth retardation: comparison between different Doppler parameters. Ultrasound obstet Gynecol. 1997; 9(5): 330-8.

17. ACOG practice bulletin. Diagnosis and management of preeclampsia and eclampsia. Obstet Gynecol. 2002; 99(1): 159-67.

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