Significance of ultrasonography in the assessment of fetal condition in pre-eclampsia

Research output: Contribution to journalArticle

Abstract

Ultrasonography plays an essential role in fetal surveillance. In early-onset pre-eclampsia, serial monitoring of fetal biometric parameters is required. Trends in fetal development are more significant than the actual size of the fetus. Serial measurements determining amniotic fluid index are pivotal if pre-eclampsia is associated with intrauterine growth restriction (IUGR). Ultrasound placental morphology does not correlate with severity in all pre-eclamptic cases. In addition to biophysical profile examination, measurement of blood flow in fetal vessels and uteroplacental arteries provides valuable information on fetal well-being. Abnormal blood flow of the uterine artery primarily indicates risk of early-onset pre-eclampsia associated with IUGR. Color Doppler ultrasonography of the uterine artery is an effective screening test to predict pre-eclampsia in a high-risk patient group. However, in the low-risk group, owing to the low positive predictive value it is not recommended.

Original languageEnglish
Pages (from-to)244-249
Number of pages6
JournalUltrasound Review of Obstetrics and Gynecology
Volume3
Issue number4
Publication statusPublished - Dec 1 2003

Keywords

  • Amniotic fluid index
  • Blood flow
  • Pre-eclampsia
  • Ultrasonography

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Obstetrics and Gynaecology

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