Predicting Pre-Eclampsia & Fetal Growth Restriction through Second Trimester Uterine Artery Doppler Sonography: An Indian experience

Abstract

7,8 . The performance of uterine artery Doppler velocimetry as a screening test seems to depend on the prevalence of the adverse outcome in the studied population and whether the adverse outcomes are assessed individually or collectively. In the light of these controversies and conflicting recommendations, there seems to be a need for more data from properly designed research studies. There is also a need to clarify the specific parameters measured in the Doppler procedure in order that the predictions can be simpler for use in common practice by obstetricians. Further, most studies are done in developed countries and there are hardly any studies examining Doppler ultrasonography critically in developing world such as in India, where pre-eclampsia and fetal growth restrictions are quite common. In this paper, experiences in the use of Doppler during the second trimester of women attending a multispecialty hospital in the outskirts of Bangalore city in Karnataka state, India, are presented with a brief discussion on future research ideas.