Uterine artery Doppler assessment in pregnancy

Area of Science:

• Obstetrics and Gynecology
• Medical Imaging
• Fetal Medicine

Background:

• Non-invasive prenatal assessment is crucial for predicting obstetric syndromes.
• Doppler ultrasound enhances the detection of obstetric pathologies by evaluating uteroplacental circulation.
• Placental insufficiency affects up to 15% of pregnancies, contributing to preeclampsia, fetal growth restriction, and preterm delivery.

Purpose of the Study:

• To highlight the role of Doppler ultrasound in assessing uteroplacental circulation.
• To emphasize the importance of uterine artery Doppler in early prediction of preeclampsia.
• To advocate for the integration of Doppler assessment into risk algorithms for timely intervention.

Main Methods:

• Evaluation of uteroplacental circulation using Doppler ultrasound.
• Transabdominal uterine artery Doppler assessment in the first trimester.
• Utilizing standardized techniques and mean pulsatility index by trained professionals.

Main Results:

• Doppler studies identify physiological and pathophysiological changes in pregnancy.
• Uterine artery Doppler can identify placental insufficiency.
• Early identification of high-risk pregnancies for preeclampsia is possible.

Conclusions:

• Uterine artery Doppler is a valuable tool for non-invasive prenatal assessment.
• Incorporating Doppler into risk algorithms can enable early preeclampsia prevention with acetylsalicylic acid.
• Standardized assessment by trained professionals is essential for accurate results.