Measurement of Third-Trimester Uterine Artery Doppler for Evaluation of Maternal Postpartum Outcome among Patients with Severe Pre-Eclampsia

Document Type : Original Article

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Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Abstract

Background: Preeclampsia is a frequent pregnancy disease that accounts for a significant portion of maternal and foetal morbidity and mortality. Eclampsia, pulmonary edema, HELLP syndrome, cerebral hemorrhage, severe renal failure, placental abruption, and disseminated intravascular coagulation are among the maternal consequences of pre-eclampsia [DIC].
Aim of the work: To analyze the relationship between maternal problems and uterine artery Doppler measures in women with severe pre-eclampsia.
Patients and Methods: 200 pregnant patients from Sayed Galal and Shebin El-Kom teaching hospitals participated in a case-control study. Two groups of pregnant women were used in this study. Group I [Case group] consisted of 100 pregnant women with viable singleton pregnancies and no other obstetric complications or morbidities aside from preeclampsia. There were 100 expectant women in Group II [the Control group] who did not have pre-eclampsia. At admission, uterine artery Doppler was performed, and the postpartum result was assessed.
Results: Uterine artery When compared to the control group, the case group's Doppler had a much higher resistance, which was linked to an increase in eclampsia, oliguria, renal failure, HELLP, and blood transfusions.
Conclusion: Third trimester High-resistance uterine artery Doppler can be used to predict adverse postpartum outcome.

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