Doppler ultrasound of uterine arteries in the first and third trimester of pregnancy as a predictive diagnosis of preeclampsia
Keywords:
Preeclampsia; hipertensión; embarazoAbstract
Background
Preeclampsia and hypertensive disorders significantly impact maternal and perinatal morbidity and mortality rates, which is why markers with predictive diagnostic value are required to avoid adverse outcomes.
Objective
To analyze how the use of Doppler ultrasound of uterine arteries influences the prognosis of patients as a predictive study for preeclampsia or hypertensive diseases.
Materials and methods
Prospective design with a longitudinal approach performed at the Tampico General Hospital "Dr. Carlos Canseco.” Pregnant patients underwent Doppler evaluation of the uterine artery, giving them regular follow-ups in the first and third trimesters. Any patient with a mean Pulsatility Index (PIm) > 95 percentile was determined as pathological Doppler, consistently in all evaluations.
Results
ROC curve analysis was performed to assess the diagnostic accuracy of the mean uterine artery pulsatility index in the first and third trimesters for the diagnosis of preeclampsia. In the first, an area under the curve of 0.655 (Confidence Interval [CI] 95%, 0.502-0.807) was reached, and in the third, 0.76 (95% CI, 0.612-0.908), demonstrating an acceptable level of diagnostic performance.
Conclusions
Uterine artery PIm was found to have good diagnostic accuracy for the prediction of preeclampsia and hypertensive disorders, and its use in the third trimester has higher accuracy than first-trimester measurement.
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Accepted 2025-05-15
Published 2025-06-25
