THE SIGNIFICANCE OF DOPPLER ULTRASOUND IN THE MANAGEMENT OF HIGH-RISK PREGNANCIES
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Keywords
high-risk pregnancies, Doppler studies, pregnant women
Abstract
Background: Mostly in well-developed countries, the major cause of death in neonatal and mothers is eclampsia and preeclampsia. Every year, approximately 50 thousand maternal deaths are recorded, which are caused by eclampsia. When we talk about the healthcare sector of Pakistan, it is reported that 34 percent of maternal deaths in Pakistan are caused by eclampsia.
Objective: To assess the prevalence of Doppler velocimetry usage among women with high-risk pregnancies and to analyse the impact of Doppler velocimetry on outcomes in the management of high-risk pregnancies.
Study design: An analytical cross-sectional study
Place and Duration: This study was conducted in Almana General Hospital Jubail Saudi Arabia from May 2022 to May 2023
Methodology: Women who had active singleton pregnancies were included in this research. Moreover, the patients had a gestational age of more than 20 weeks, frequent antenatal visits, and normal blood pressure measured. All the participants were between 17 and 34 years old. All of the participants were divided into two groups. Group A included people with an ultrasound Doppler. Group B included people without an ultrasound Doppler. SPSS version 26 was used to analyze the data. The chi-square test was used for the comparison of the results. A significant p-value was defined as less than 0.05.
Results: There were a total of 140 pregnant women included in this research. The average age calculated was 30.5 years. The average gestational age calculated was 35.2 weeks. The average body mass index was 27.5 kg/m2. There were 56 patients in group A and 84 patients in group B.
Conclusion: Positive results in both obstetric and neonatal care were observed through the monitoring of high-risk pregnancies using Doppler studies. However, the use of other well-established diagnostic investigations at each medical facility affects the relevance of Doppler in late pregnancy research.
References
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Khalida Salim
Khalida Salim, Resident Obstetrics and Gynaecology, Almana General Hospital Jubail Saudi Arabia.
Sahira Agha
Assistant Professor Obstetrics and Gynaecology, Medicare Cardiac and General Hospital Karachi Pakistan.
Bushra Khan
Specialist Obstetrics and Gynaecology, Zulekha Hospital Sharjah U.A.E.
Sabahat Hamid
Senior Registrar Obstetrics and Gynaecology, Indus hospital, DHQ Badin Pakistan.
Neelam Fatima
Consultant Obstetrics and Gynaecology, Ibrahim Medical Center Badin Pakistan.
Saadia Akram
Assistant professor Obstetrics and Gynaecology, Baqai Medical University Karachi Pakistan.