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Doppler de arterias uterinas predice el comportamiento de pacientes con preeclampsia severa

Publicado el 28.06.2010

Un estudio publicado esta semana por el grupo del Dr. Eduard Gratacos muestra que las pacientes que ingresan con preeclampsia severa y un aumento significativo de la resistencia de las arterias uterinas, tienen mayores complicaciones maternas y neonatales que aquellas con un flujo uterino normal.

The prognostic role of
uterine artery Doppler investigation in patients with severe early-onset
preeclampsia

Eva Meler, MD, Francesc Figueras,
PhD Corresponding Author Information

, Mar Bennasar,
MD, Olga Gomez, MD, Fatima Crispi,
MD, Eduard Gratacos,
PhD

Received 26 June 2009; received in revised form 8 October 2009;
accepted 19 January 2010.
published online 29 March 2010.

Objective

The purpose of this study was to evaluate
the prediction capacity of uterine artery Doppler investigation for
maternal and neonatal complications in women who are admitted with
severe early-onset preeclampsia.

Study
Design

A uterine artery
Doppler examination was performed at admission for patients with severe
early-onset (<34 weeks of gestation) preeclampsia. The maternal and
neonatal outcome of women with abnormal uterine Doppler results was
compared with those with normal Doppler results.

Results

One hundred twenty patients were included.
In 53% of them, uterine Doppler results were abnormal. This group had a
lower gestational age at delivery (30.2 vs 32.7 weeks; P <
.001) and a higher proportion of small-for-gestational age infants
(87.5% vs 67.9%; P = .009). Neonatal (40.6% vs 14.3%; P =
.01) and maternal (28.1% vs 5.4%; P = .001) complications were
more common in the abnormal uterine Doppler group.

Conclusion

Women with severe early-onset preeclampsia
are at higher risk of maternal and neonatal complications if abnormal
uterine blood flow is present.

Key words: early-onset
preeclampsia, uterine
artery Doppler investigation

Department of Maternal-Fetal Medicine, ICGON,
Fetal and Perinatal Medicine Research Group (IDIBAPS), and Center of
Biomedical Research on Rare Diseases (CIBER-ER), Hospital
Clinic-University of Barcelona, Spain

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Cedip promueve construir equidad en nuestra área mediante el libre acceso a la información médica, para mejorar la práctica clínica y la atención de pacientes embarazadas.

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