The  Evaluation of Doppler Indices for Umbilical Artery in Hypertensive Women in Third Trimester of pregnancy

Zarish  Rasool; Narjis  Batool; Abid  Ali; Nosheen   Arshad; Waqar  Mahmood Dar

doi:10.46966/msjar.v3i2.39

The Evaluation of Doppler Indices for Umbilical Artery in Hypertensive Women in Third Trimester of pregnancy

Authors

Zarish Rasool University Institute of Radiological and Medical Imaging Sciences, The University of Lahore, Gujrat Campus, Pakistan
Narjis Batool The University of Lahore, Gujrat Campus
Abid Ali The University of Lahore, Gujrat Campus
Nosheen Arshad The University of Lahore, Gujrat Campus
Waqar Mahmood Dar The University of Lahore, Gujrat Campus

DOI:

https://doi.org/10.46966/msjar.v3i2.39

Keywords:

Umbilical Artery, Doppler Ultrasound, Obstetrics, Hypertension

Abstract

Background: The hypertensive disorders affect pregnant women and can create complications for the women in last trimester of pregnancy. To assess the impact of high hypertension, doppler scan is recommended in the third trimester.

Objective: Present explores values of PSV, EDV, S/D ratio, RI and PI among normotensive and hypertensive pregnant women during third trimester of pregnancy in Islamabad, Pakistan.

Material and Methods: A Cross-sectional study was conducted at PIMS hospital Islamabad with objectives to evaluate doppler indices in fetal umbilical artery among hypertensive pregnant women in the third trimester of pregnancy. Data were collected from 1^st February 2022 to 15^th May 2022. A total of 93 pregnant women were recruited from already registered at maternal child health care center of PIMS and recommended for doppler indices scan. Toshiba Aplio 300 Ultrasound System was used for the assessment. Data about S/D ratio, RI and PI was analyzed by using IBM SPSS® software platform.

Results: Mean Age of pregnant women in our study conducted was 26.722 ± 4.133. Also the mean gestational week for pregnant women was 32.163 ± 2.35. Doppler indices were significantly raised in hypertensive women as compared to normotensive women. Doppler indices i.e. Pulsatility Index (Mean 1.049 ± 0.312 vs 1.360 ± 0.421), Resistivity Index (Mean 0.631 ± 0.114 vs 0.743 ± 0.01), Systolic/Diastolic flow (Mean 2.672 ± 0.512 vs 3.818 ± 0.986) were increased in third trimester of hypertensive women as compared to normotensive patients.

Conclusion: In this study, among doppler indices pulsatility index and resistivity index were identified as significant after applying null hypothesis test. Doppler ultrasound should be used to identify vascular resistance and evaluating degree of fetoplacental blood flow in hypertensive pregnant women.

References

Ahmed A, Alrashid Rahim HO, Elgyoum AA, Elzaki A. The correlation between placental thickness and fetal age among the pregnants in sudan. Scholars Journal of Applied Medical Sciences. 2014;2:395-398.

Spurway J, Logan P, Pak S. The development, structure and blood flow within the umbilical cord with particular reference to the venous system. Australas J Ultrasound Med. 2012;15(3):97-102.

Ramesh S, Hariprasath S, Anandan G, Solomon P, Vijayakumar V. Single umbilical artery. Journal of Pharmacy and Bioallied Sciences. 2015;7(April):S83-S84. doi:10.4103/0975-7406.155815

Strong A, Gračner T, Chen P, Kapinos K. On the Value of the Umbilical Cord Blood Supply. Value in Health. 2018;21(9):1077-1082. doi:10.1016/j.jval.2018.03.003

Vest AR, Cho LS. Hypertension in Pregnancy. Cardiology Clinics. 2012;30(3):407-423. doi:10.1016/j.ccl.2012.04.005

Adekanmi AJ, Roberts A, Akinmoladun JA, Adeyinka AO. Uterine and umbilical artery doppler in women with pre-eclampsia and their pregnancy outcomes. Niger Postgrad Med J. 2019;26(2):106-112. doi:10.4103/npmj.npmj_161_18

Okunade K. January-March 2018 An Official Publication of The National Postgraduate Medical College of Nigeria. 2018;(January):19-26. doi:10.4103/npmj.npmj

Vogel JP, Vannevel V, Robbers G, et al. Prevalence of abnormal umbilical arterial flow on Doppler ultrasound in low-risk and unselected pregnant women: a systematic review. Reproductive Health. 2021;18(1):1-8. doi:10.1186/s12978-021-01088-w

Lopez-Mendez MA, Martinez-Gaytan V, Cortes-Flores R, et al. Doppler ultrasound evaluation in preeclampsia. BMC Research Notes. 2013;6(1). doi:10.1186/1756-0500-6-477

Acharya G, Wilsgaard T, Berntsen GKR, Maltau JM, Kiserud T. Reference ranges for serial measurements of umbilical artery Doppler indices in the second half of pregnancy. Am J Obstet Gynecol. 2005;192(3):937-944. doi:10.1016/j.ajog.2004.09.019

Bacha R, Khadija S, Shams M. Umbilical Artery Doppler Waveform Indices at Term. Donald School Journal of Ultrasound in Obstetrics & Gynecology. 2018;12:104-107.

Stubert J, Peschel A, Bolz M, Glass A, Gerber B. Accuracy of immediate antepartum ultrasound estimated fetal weight and its impact on mode of delivery and outcome - a cohort analysis. BMC Pregnancy and Childbirth. 2018;18(1):1-8. doi:10.1186/s12884-018-1772-7

Bosselmann S, Mielke G. Sonographic Assessment of the Umbilical Cord. Geburtshilfe Frauenheilkd. 2015;75(8):808-818. doi:10.1055/s-0035-1557819

Wasim M. Comparison of Fetal Umbilical Artery Doppler Indices between Normal and Hypertensive Pregnant Women in the Second Trimester of Pregnancy. Ann Pak Inst Med Sci 2015;. 2015;11(2):95-99.

Gupta U, Qureshi A, Samal S. Pregnancy. 2008;11(2):1-6.

Yousaf M, Khadija S, Bacha R, Shams MAA, Zain-Ul-Abidin S. Umbilical artery doppler waveform indices at term. Donald School Journal of Ultrasound in Obstetrics and Gynecology. 2018;12(2):104-107. doi:10.5005/jp-journals-10009-1559

Rana MJ, Amanullah A, Farooq O. The Role Of Umbilical Artery Doppler In Detection And Management Of Fetal Growth Retardation. 2005;21:10-13.

Downloads

Published

2022-06-11

How to Cite

Rasool , Z. ., Batool , N. ., Ali, A. ., Arshad, N. . ., & Mahmood Dar , W. . (2022). The Evaluation of Doppler Indices for Umbilical Artery in Hypertensive Women in Third Trimester of pregnancy. Medical Science Journal for Advance Research, 3(2), 40–47. https://doi.org/10.46966/msjar.v3i2.39

Download Citation

Issue

Vol. 3 No. 2 (2022): June 2022 - Medical Science Journal for Advance Research

Section

Original Articles

License

This work is licensed under a Creative Commons Attribution 4.0 International License.

In submitting the manuscript to the Medical Science Journal for Advance Research, the authors certify that:

They are authorized by their co-authors to enter into these arrangements.
The work described has not been formally published before, except in the form of an abstract or as part of a published lecture, review, thesis, or overlay journal.
That it is not under consideration for publication elsewhere,
The publication has been approved by the author(s) and by responsible authorities – tacitly or explicitly – of the institutes where the work has been carried out.
They secure the right to reproduce any material that has already been published or copyrighted elsewhere.
They agree to the following license and copyright agreement.

License and Copyright Agreement

Authors who publish with Medical Science Journal for Advance Research agree to the following terms:

Authors retain copyright and grant the Medical Science Journal for Advance Research right of first publication with the work simultaneously licensed under Creative Commons Attribution License (CC BY 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the Medical Science Journal for Advance Research published version of the work (e.g., post it to an institutional repository or edit it in a book), with an acknowledgment of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) before and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.