Comparison of ophthalmic artery Doppler velocimetry changes on patients with hypertensive disorders of pregnancy versus normotensive pregnant women in third trimester of pregnancy: A prospective study
Background: Hypertensive disorders in pregnancy are widely acknowledged as among the most severe complications, significantly impacting maternal as well as neonatal morbidity and mortality rates globally. Preeclampsia is the most important gestational condition associated with hypertension. Aim and...
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Krishna Vishwa Vidyapeeth (Deemed to be University), Karad
2024-07-01
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| Series: | Journal of Krishna Institute of Medical Sciences University |
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| Online Access: | https://www.jkimsu.com/jkimsu-vol13no3/JKIMSU,%20Vol.%2013,%20No.%203,%20July-September%202024%20Page%20134-145.pdf |
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| author | Suma K. B Anupama Marnal B A Mamatha S Vikram Patil Shweta R. Poojary Sumuk M S |
| author_facet | Suma K. B Anupama Marnal B A Mamatha S Vikram Patil Shweta R. Poojary Sumuk M S |
| author_sort | Suma K. B |
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| description | Background: Hypertensive disorders in pregnancy are widely acknowledged as among the most severe complications, significantly impacting maternal as well as neonatal morbidity and mortality rates globally. Preeclampsia is the most
important gestational condition associated with hypertension. Aim and Objectives: To compare Ophthalmic Artery Doppler (OAD) indices of normotensive and hypertensive pregnant women in third trimester of pregnancy and to correlate the OAD changes with the severity of hypertensive disorder of pregnancy in third trimester. Material and Methods: A prospective study was conducted in a tertiary care hospital, Mysuru. Seventy pregnant women with
hypertensive disorders and 70 normotensive pregnant women were enrolled in this study during their third trimester. A comprehensive history of hypertension was obtained, and an obstetric scan was conducted to assess the gestational age.
Doppler examinations of the umbilical, middle cerebral, and uterine arteries were also performed. At the same time, maternal ophthalmic artery Doppler readings were obtained, and the women were monitored after birth. The perinatal outcomes were also documented. Results: Statistically significant differences were observed in ophthalmic artery Doppler parameters' mean values between normotensive women and those with hypertensive disorders of pregnancy, particularly for peak systolic velocity, pulsatility index, and resistivity index. Conclusion: Pregnancy complicated by hypertensive disorders showed significant differences in ophthalmic artery Doppler velocities between women with preeclampsia and healthy pregnant women. These findings imply that ophthalmic artery Doppler parameters can be considered predictable indicators of the development of preeclampsia. These parameters, which include safety, cost-effectiveness, and accessibility, can be used to distinguish between preeclamptic and normotensive pregnancies during late gestation. |
| format | Article |
| id | doaj-art-42338fd7306b4ff480c2be02f1f82f27 |
| institution | Kabale University |
| issn | 2231-4261 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Krishna Vishwa Vidyapeeth (Deemed to be University), Karad |
| record_format | Article |
| series | Journal of Krishna Institute of Medical Sciences University |
| spelling | doaj-art-42338fd7306b4ff480c2be02f1f82f272025-02-02T16:13:45ZengKrishna Vishwa Vidyapeeth (Deemed to be University), KaradJournal of Krishna Institute of Medical Sciences University2231-42612024-07-01133134145Comparison of ophthalmic artery Doppler velocimetry changes on patients with hypertensive disorders of pregnancy versus normotensive pregnant women in third trimester of pregnancy: A prospective studySuma K. B0Anupama Marnal B A1Mamatha S2Vikram Patil3Shweta R. Poojary4Sumuk M S5Department of Obstetrics and Gynecology, JSS Medical College, JSS Academy of Higher Education & Research, Mysuru-570004 (Karnataka), IndiaDepartment of Obstetrics and Gynecology, JSS Medical College, JSS Academy of Higher Education & Research, Mysuru-570004 (Karnataka), IndiaDepartment of Obstetrics and Gynecology, JSS Medical College, JSS Academy of Higher Education & Research, Mysuru-570004 (Karnataka), IndiaDepartment of Radiology, JSS Medical College, JSS Academy of Higher Education & Research, Mysuru-570004 (Karnataka), IndiaDepartment of Radiology, JSS Medical College, JSS Academy of Higher Education & Research, Mysuru-570004 (Karnataka), IndiaDepartment of Neurology, JSS Medical College, JSS Academy of Higher Education & Research, Mysuru-570004 (Karnataka), IndiaBackground: Hypertensive disorders in pregnancy are widely acknowledged as among the most severe complications, significantly impacting maternal as well as neonatal morbidity and mortality rates globally. Preeclampsia is the most important gestational condition associated with hypertension. Aim and Objectives: To compare Ophthalmic Artery Doppler (OAD) indices of normotensive and hypertensive pregnant women in third trimester of pregnancy and to correlate the OAD changes with the severity of hypertensive disorder of pregnancy in third trimester. Material and Methods: A prospective study was conducted in a tertiary care hospital, Mysuru. Seventy pregnant women with hypertensive disorders and 70 normotensive pregnant women were enrolled in this study during their third trimester. A comprehensive history of hypertension was obtained, and an obstetric scan was conducted to assess the gestational age. Doppler examinations of the umbilical, middle cerebral, and uterine arteries were also performed. At the same time, maternal ophthalmic artery Doppler readings were obtained, and the women were monitored after birth. The perinatal outcomes were also documented. Results: Statistically significant differences were observed in ophthalmic artery Doppler parameters' mean values between normotensive women and those with hypertensive disorders of pregnancy, particularly for peak systolic velocity, pulsatility index, and resistivity index. Conclusion: Pregnancy complicated by hypertensive disorders showed significant differences in ophthalmic artery Doppler velocities between women with preeclampsia and healthy pregnant women. These findings imply that ophthalmic artery Doppler parameters can be considered predictable indicators of the development of preeclampsia. These parameters, which include safety, cost-effectiveness, and accessibility, can be used to distinguish between preeclamptic and normotensive pregnancies during late gestation.https://www.jkimsu.com/jkimsu-vol13no3/JKIMSU,%20Vol.%2013,%20No.%203,%20July-September%202024%20Page%20134-145.pdfophthalmic artery dopplernormotensivehypertensionpreeclampsiaend diastolic velocitypeak systolic velocity |
| spellingShingle | Suma K. B Anupama Marnal B A Mamatha S Vikram Patil Shweta R. Poojary Sumuk M S Comparison of ophthalmic artery Doppler velocimetry changes on patients with hypertensive disorders of pregnancy versus normotensive pregnant women in third trimester of pregnancy: A prospective study Journal of Krishna Institute of Medical Sciences University ophthalmic artery doppler normotensive hypertension preeclampsia end diastolic velocity peak systolic velocity |
| title | Comparison of ophthalmic artery Doppler velocimetry changes on patients with hypertensive disorders of pregnancy versus normotensive pregnant women in third trimester of pregnancy: A prospective study |
| title_full | Comparison of ophthalmic artery Doppler velocimetry changes on patients with hypertensive disorders of pregnancy versus normotensive pregnant women in third trimester of pregnancy: A prospective study |
| title_fullStr | Comparison of ophthalmic artery Doppler velocimetry changes on patients with hypertensive disorders of pregnancy versus normotensive pregnant women in third trimester of pregnancy: A prospective study |
| title_full_unstemmed | Comparison of ophthalmic artery Doppler velocimetry changes on patients with hypertensive disorders of pregnancy versus normotensive pregnant women in third trimester of pregnancy: A prospective study |
| title_short | Comparison of ophthalmic artery Doppler velocimetry changes on patients with hypertensive disorders of pregnancy versus normotensive pregnant women in third trimester of pregnancy: A prospective study |
| title_sort | comparison of ophthalmic artery doppler velocimetry changes on patients with hypertensive disorders of pregnancy versus normotensive pregnant women in third trimester of pregnancy a prospective study |
| topic | ophthalmic artery doppler normotensive hypertension preeclampsia end diastolic velocity peak systolic velocity |
| url | https://www.jkimsu.com/jkimsu-vol13no3/JKIMSU,%20Vol.%2013,%20No.%203,%20July-September%202024%20Page%20134-145.pdf |
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