التنبؤ بنقص نمو الجنين و ارتفاع الضغط المحرض بالحمل عن طريق إجراء الإيكو دوبلر للشريان الرحمي

Abstract EN

Background & Objective: To find out the correlation between persistence of uterine artery notch and development of intrauterine growth retardation (IUGR) and pregnancy induced hypertension (PIH), and to see if Doppler assessment can help identify high risk pregnancies.

Material& methods: 106 women, 76 primiparas forming Group I and 30 high risk pregnancies forming Group II underwent Doppler evaluation around 24 weeks of gestation.

They were followed up and the outcome noted.

Results: 16 of the 76 in Group I and 18 of the30 in Group II showed persistence of bilateral notch.

Of these 34, 18 (52.9%) developed IUGR with PIH, and 16 (47.1%) had IUGR alone.

Persistence of bilateral notch was more significant and majority of women with persistence of unilateral notch had a normal outcome.

Conclusion: Uterine artery should be evaluated along with routine scan in all patients whenever possible but in high risk patients uterine artery evaluation should specifically be done at 24 weeks.