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VALUE OF UTERINE ARTERIES DOPPLER ULTRASOUND IN PREGNANCY 14-28 WEEKS TO PREDICT PREECLAMPSIA AT HOAN MY CUU LONG GENERAL HOSPITAL
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Abstract
Background: Preeclampsia is one of the serious problems about health for pregnant women. Doppler ultrasound to measure uterine arteries in second trimester of pregnancy is a method to predict the risk of preeclampsia in pregnant women. Objectives: To determine the sensitivity, specificity, positive predictive values, negative predictive values of uterine artery Doppler ultrasound in the early second trimester in predicting the risk of preeclampsia. Materials and method: The study was carried out of 187 pregnant women from the 14th to 28th weeks of pregnancy who attended the Obstetrics & Gynaecology Department at Hoan My Cuu Long General Hospital from May in 2021 to July in 2022. Through the clinical examination, bilateral uterine artery Doppler measurement following ISOUG guidelines in 2018, interviews were performed on patients to collect the information about epidemiological characteristics, follow up and evaluate pregnancy outcomes on mothers and babies after delivering birth. Results: The PI value for predicting preeclampsia of uterine artery Doppler ultrasound was sensitivity (31.9%), specificity (95%), positive predictive values (68.1%), negative predictive values (80.6%). The RI value for predicting preeclampsia was sensitivity (89.3%), specificity (79.2%), positive predictive values (59.1%), negative predictive values (95.6%). The S/D value was sensitivity (76.5%), specificity (84.2%), positive predictive values (62%), negative predictive values (91.4%) Conclusions: The RI, S/D value of Doppler ultrasound of the uterine arteries in the second trimester of pregnancy were valuable in predicting preeclampsia.
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Keywords
Uterine artery Doppler measurement, Preeclampsia screenings, Preeclampsia
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