First-trimester Uterine Artery Doppler Indices in the Prediction of Small-for-gestational Age Pregnancy and Intrauterine Growth Restriction in Low Risk Population

Background: Small-for-Gestational-Age (SGA) neonates have been connected with a higher risk of poor perinatal results, particularly when associated with placental insufficiency, which would be accountable for a large proportion of perinatal complications. Aim of the work: To know the role of uterine artery Doppler indicators in the first trimester in the prediction of subsequent birth of small-for-gestational age (SGA) neonates or intrauterine growth restriction (IUGR). Patients and methods: The think about included 1000 patients from the outpatient Gynecological Clinic, Al Hussein, Al Sayed Galal Clinics Al-Azhar College amid the period starting from August 2018 till August 2021. All patients were enduring low risk pregnancy. Results: The first Doppler resistance index ranged (0.7-0.82) with a mean±SD (0.72±0.02), with end diastolic notch in 35% of the patients 11% right sided, 14% left sided and 10% bilateral. The first trimester Doppler showed 83.33% sensitivity to detect IUGR with specificity 96.81%. The second Doppler resistance index ranged (0.5-0.66) with a mean±SD (0.53±0.03), with end diastolic notch in 23% of the patients 7% right sided, 11% left sided and 5% bilateral. The second trimester Doppler showed 83.33% sensitivity to detect IUGR with specificity 92.55%.The fetal weight ranged (2000- 3800) gm with a mean±SD (3237.5±357.63) gm, with IUGR percentage 5%. Conclusion: Uterine artery Doppler is a good predictive method for IUGR whether done in 1st or 2nd trimester. artery Doppler was more sensitive than prediction of low birth weights. His study covered all women with singleton gestations at 19–22 weeks' gestation in a prospective multicenter trial. The study had a total of 6,586 women in it. For 6,035 of the women, complete outcome data has been collected (91.6%).

• Publication year

  2022

• Venue

  Al-Azhar International Medical Journal

• Publication date

  2022-04-16

• Fields of study

  Not labeled

• Identifiers
  DOI 10.21608/aimj.2022.107228.1677
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

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