A PROSPECTIVE STUDY ON EVALUATION OF DOPPLER ULTRASOUND APPLICATION IN OBSTETRICS WITH BLOOD FLOW VELOCITY WAVEFORM IN PREGNANCY-INDUCED HYPERTENSION.

Priyanka  Singh; Ashok  Kumar

doi:10.51168/sjhrafrica.v4i12.843

Authors

Priyanka Singh Consultant, Department of Obstetrics and Gynecology, Sumitram Hospital, Bidupur Bazar, Vaishali, Bihar, India
Ashok Kumar Assistant Professor, Department of Radio- diagnosis, SKMCH, Muzaffarpur, Bihar, India

DOI:

https://doi.org/10.51168/sjhrafrica.v4i12.843

Keywords:

Doppler ultrasound, Pre-eclampsia, Uteroplacental flow, pregnancy induced hypertension

Abstract

Aim:

This study aims to illustrate that the speed of blood flow can be determined using Doppler ultrasound which can be useful in obstetrics for determining the blood flow in pregnant women having hypertension.

Methods:

The present research was a prospective multicenter investigation including a cohort of 50 pregnant women diagnosed with pregnancy-induced hypertension (PIH). These individuals were subjected to sonographic evaluation using Doppler color imaging techniques. The research was carried out in the Department of Obstetrics and Gynaecology. The duration of the research spanned 16 months.

Results:

The cases of PIH were categorized into age groups of > 20, 20-24, 25-29, and 30-34 years. The bulk of the cases fell within the age category of 20-24, accounting for approximately 40% of the total cases. The average age of the participants was 25.5 years. A total of 34% of the reported cases were observed within the age group of 25-29. Within this study, it was observed that among the group of pregnant individuals with hypertension, 20 individuals (40%) were nulliparous, whereas 22 individuals (44%) were primiparous. The remaining 14% of cases were classified as multipara. Among the instances of Pregnancy-Induced Hypertension (PIH) that were examined, it was observed that out of a total of 50 cases, 32 cases exhibited aberrant uterine artery Doppler indices, representing 64% of the sample.

Conclusion:

Doppler ultrasound can detect cases of pregnancy-induced hypertension at an early stage of pregnancy through a reliable and non-invasive assessment of hemodynamic function. The utilization of Doppler indices obtained from fetal circulation has demonstrated a consistent ability to accurately forecast bad perinatal outcomes in obstetric patients, particularly those belonging to high-risk populations.

Recommendation:

Low-dose aspirin is recommended in patients with chronic hypertension in pregnancy from between 12- and 28 weeks gestation to delivery.