FIRST TRIMESTER UTERINE ARTERY PULSATILITY INDEX AS A PREDICTOR OF INTRA UTERINE GROWTH RESTRICTION AND PREECLAMPSIA

Articles in Press

Document Type : Short Communication

Authors

1 vinayaka mission's kirupananda variyar medical college and hospitals

2 vinayaka missions kirupananda variyar medical college and hospitals

10.22038/jmrh.2024.76883.2275

Abstract

Pre-eclampsia and intrauterine growth restriction are characterized by abnormal placenta formation, which results in inadequate uteroplacental blood flow. This has led to the idea of using Doppler ultrasonography to assess the velocity of uterine artery blood flow as part of routine ultrasound screening. This study included 50 women with singleton pregnancies without any antenatal complications in the age group 20 to 40 years. Pregnancy dating was done by USG ultrasound measurements of crown rump length at 11 to 14 weeks . P.I was assessed in both the uterine arteries. All the patients were asked to follow up at 20-22 weeks and 32-36 weeks for routine blood and urine investigations to rule out PE. Development of IUGR was detected clinically and by ultrasonography. There was a statistically significant association between the diagnostic predictability of uterine artery pulsatility index and pre-eclampsia and intra uterine growth restriction. Chi square test and Fisher test were used. We can conclude from this study that Uterine artery pulsatility index done at 11-14 weeks gestation can be used as a predictor of intra uterine growth restriction and pre-eclampsia developing later in pregnancy. This in turn provides careful observation and preventive measures to improve maternal and perinatal morbidity and mortality.
Keywords ultrasonography, doppler study, hypertension first trimester, uterine artery pulsatility index, intra uterine growth restriction, pre eclampsia.

Keywords

Main Subjects

Journal of Midwifery and Reproductive Health

Articles in Press, Accepted Manuscript
Available Online from 15 October 2025

Files

Share

How to cite

Statistics