OP09.04: Maternal ophthalmic artery Doppler: novel parameter to predict early‐onset pre‐eclampsia in the first trimester of pregnancy

Abstract

Objectives: To evaluate the utility of sequential measurement of the uterine artery (UtA) resistances in both the 11–14 weeks scan (1T) and the 19–22 weeks scan (2T) for the prediction of preeclampsia (PE) in a high-risk population. Methods: Prospective observational study of 155 singleton pregnancies at high risk for PE (at least having one major risk factor: prior PE, chronic hypertension, pregestational diabetes mellitus, chronic renal disease, BMI >30, autoimmune disorders or thrombophilia). Pregnancies with abnormal karyotype or incomplete outcome were excluded. Measurement of mean UtA pulsatility index (UtA-PI) was performed at 1T and 2T and statistical comparisons were established between unaffected gestations and those who developed either late PE (gestational age at delivery ≥34 weeks) or early PE ( 1.8 in the 2T developed PE (2 late, 4 early) (OR 13.9; 95% CI 3.2–59.8), and 5/14 (36%) pregnancies with mean UtA-PI in the 2T > mean UtA-PI in the 1T developed PE (2 late, 3 early) (OR 8.2; 95% CI 2.1–33.0). Conclusions: When applied to high-risk women, UtA Doppler screening proved to be ineffective for the prediction of late PE and showed a modest performance for the prediction of early PE, especially in the 1T. However, very high UtA resistances in the 2T as well as the increase of the UtA resistances between 1T and 2T are associated with a highly increased risk of developing PE in high-risk women. OP09.04 Maternal ophthalmic artery Doppler: novel parameter to predict early-onset pre-eclampsia in the first trimester of pregnancy