Umbilical Artery Flow Velocity in Pregnancy Induced Hypertension at Third Trimester

Background: Doppler ultrasound of umbilical vessels is a technique for evaluating fetoplacental blood flow which is very important in high risk pregnancies like hypertensive pregnancies and can predict both fetal and maternal morbidity and mortality. Since the traditional methods are not good enoug...

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Main Authors: Riyadh Al Esawi, Ban Edan, Zaid Shukur
Format: Article
Language:English
Published: Faculty of Medicine, University of Kufa 2021-12-01
Series:مجلة الكوفة الطبية
Subjects:
Online Access:https://journal.uokufa.edu.iq/index.php/kmj/article/view/1952
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author Riyadh Al Esawi
Ban Edan
Zaid Shukur
author_facet Riyadh Al Esawi
Ban Edan
Zaid Shukur
author_sort Riyadh Al Esawi
collection DOAJ
description Background: Doppler ultrasound of umbilical vessels is a technique for evaluating fetoplacental blood flow which is very important in high risk pregnancies like hypertensive pregnancies and can predict both fetal and maternal morbidity and mortality. Since the traditional methods are not good enough to assess uteroplacental and fetoplacental circulation, blood flow studies are used to assess fetal well-being in normal and hypertensive pregnancies. Aim: To measure the blood flow indices of umbilical artery using Doppler ultrasound in patients with pregnancy induced hypertension (PIH) and healthy pregnant women. Methods: This is a case control study at which 60 participants, 40 with PIH and 20 with normal pregnancy at the third trimester were studied in Al Najaf Governorate. Doppler ultrasound of umbilical artery was performed for both, the patient and the control groups in which Resistive Index (RI), Pulsatility Index (PI) and Systolic to Diastolic ratio (S/D ratio) were calculated. Results: The mean ±SD of RI, PI and S/D of the umbilical artery were 0.63±0.11, 0.97± 0.33 and 2.9±1.38 respectively in the PIH group, they were higher than those of the control group (0.62±0.06, 0.91± 0.17 and 2.72 ± 0.41 respectively) at 33-36 weeks. However, differences were found to be insignificant as well as they were higher at 37-40 weeks. Conclusion: There are insignificant elevations of indices of the umbilical artery in PIH women with respect to those of normal pregnancy.
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spelling doaj.art-d57908ab967046d484770c50312b37952024-01-06T15:17:33ZengFaculty of Medicine, University of Kufaمجلة الكوفة الطبية1993-517X2709-44642021-12-0117110.36330/kmj.v17i1.1952Umbilical Artery Flow Velocity in Pregnancy Induced Hypertension at Third TrimesterRiyadh Al Esawi0Ban Edan1Zaid Shukur2Department of Radiology-College of Medicine, University of Kufa, IraqDepartment of Physiology, College of Medicine, Babylon UniversityDepartment of Physiology, College of Medicine, University of Kufa, Iraq Background: Doppler ultrasound of umbilical vessels is a technique for evaluating fetoplacental blood flow which is very important in high risk pregnancies like hypertensive pregnancies and can predict both fetal and maternal morbidity and mortality. Since the traditional methods are not good enough to assess uteroplacental and fetoplacental circulation, blood flow studies are used to assess fetal well-being in normal and hypertensive pregnancies. Aim: To measure the blood flow indices of umbilical artery using Doppler ultrasound in patients with pregnancy induced hypertension (PIH) and healthy pregnant women. Methods: This is a case control study at which 60 participants, 40 with PIH and 20 with normal pregnancy at the third trimester were studied in Al Najaf Governorate. Doppler ultrasound of umbilical artery was performed for both, the patient and the control groups in which Resistive Index (RI), Pulsatility Index (PI) and Systolic to Diastolic ratio (S/D ratio) were calculated. Results: The mean ±SD of RI, PI and S/D of the umbilical artery were 0.63±0.11, 0.97± 0.33 and 2.9±1.38 respectively in the PIH group, they were higher than those of the control group (0.62±0.06, 0.91± 0.17 and 2.72 ± 0.41 respectively) at 33-36 weeks. However, differences were found to be insignificant as well as they were higher at 37-40 weeks. Conclusion: There are insignificant elevations of indices of the umbilical artery in PIH women with respect to those of normal pregnancy. https://journal.uokufa.edu.iq/index.php/kmj/article/view/1952Umbilical ArteryPregnancy Induced Hypertension
spellingShingle Riyadh Al Esawi
Ban Edan
Zaid Shukur
Umbilical Artery Flow Velocity in Pregnancy Induced Hypertension at Third Trimester
مجلة الكوفة الطبية
Umbilical Artery
Pregnancy Induced Hypertension
title Umbilical Artery Flow Velocity in Pregnancy Induced Hypertension at Third Trimester
title_full Umbilical Artery Flow Velocity in Pregnancy Induced Hypertension at Third Trimester
title_fullStr Umbilical Artery Flow Velocity in Pregnancy Induced Hypertension at Third Trimester
title_full_unstemmed Umbilical Artery Flow Velocity in Pregnancy Induced Hypertension at Third Trimester
title_short Umbilical Artery Flow Velocity in Pregnancy Induced Hypertension at Third Trimester
title_sort umbilical artery flow velocity in pregnancy induced hypertension at third trimester
topic Umbilical Artery
Pregnancy Induced Hypertension
url https://journal.uokufa.edu.iq/index.php/kmj/article/view/1952
work_keys_str_mv AT riyadhalesawi umbilicalarteryflowvelocityinpregnancyinducedhypertensionatthirdtrimester
AT banedan umbilicalarteryflowvelocityinpregnancyinducedhypertensionatthirdtrimester
AT zaidshukur umbilicalarteryflowvelocityinpregnancyinducedhypertensionatthirdtrimester