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Corresponding Author

Mohamed Sayed Shehata

Document Type

Original Article

Abstract

Background: Intrauterine growth restriction and preeclampsia are significant pregnancy-related outcomes. Noninvasive and early ultrasound diagnosis could aid in the early prevention and management of such cases.

Aim: To determine the role of 3D Power Doppler ultrasonography in uteroplacental circulation in early pregnancy.

Patients and Methods: This prospective clinical research involved 400 pregnant women who were admitted to the antenatal care clinic at El Maadi Military Hospital during the 24-month period from December 2020 to December 2022. All cases underwent ultrasonographic monitoring of the fetus.

Results: The cut-off level was detected depending on the vascular indices and placental volume. The best cut-off point of Placental volume to detect IUGR and PET group was = 55 * with 91.2% sensitivity, 86.7% specificity, 73.2% PPV, 96.1% NPV, and total accuracy of 95.0%. The best cut-off point of F. I to detect IUGR and PET group was found = 50 * with 93.0% sensitivity, 91.6% specificity, 81.5% PPV, 97.0% NPV, and total accuracy of 98.0%.

Conclusion: In the first trimester, the quantitative evaluation of placental volume and Uterine Artery Doppler can be valuable for early detection of IUGR and PET.

Keywords

First Trimester; Placental Volume; Preeclampsia; Intrauterine Growth Restriction

Subject Area

Obstetrics and Gynecology

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