Biophysical profile scores and resistance indices of the umbilical artery as seen in patients with pregnancy induced hypertension. E
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Date
2006Author
Nguku, SW
Wanyoike-Gichuhi, J
Aywak, AA
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
OBJECTIVE:
The role of Biophysical Profile Score and resistive index of the umbilical artery for monitoring pre-eclampsia patients.
DESIGN:
Descriptive prospective study.
SETTING:
Kenyatta National Hospital and Mater Hospital, Nairobi, Kenya.
SUBJECTS:
One hundred and ten cases during a three month period.
RESULTS:
Normal biophysical profile scores were found in 93 (84.5%), and 17 (17.5%) cases had abnormal scores ranging from mild to severe foetal distress. Resistive index of umbilical artery (RI-UA) were normal in 72 (66.1%) and high resistive index accounted for 33.9%. Intra-Uterine Growth Restriction (IUGR) was a prominent finding accounting for 30.5%. A positive relationship was shown to exist between IUGR and RI-UA and also with severity of hypertension with P-values < 0.05. Resistive index of umbilical artery was positively related to the duration of illness confirming its dependence on chronicity (P = 0.004). Resistive index of umbilical artery proved to be an earlier indicator of foetal compromise before any foetal distress becomes obvious.
CONCLUSION:
Regular obstetrical ultra sound foetal surveillance in pre-eclampsia patients is important for foetal wellbeing. Doppler evaluation of high risk patients is more sensitive test than the biophysical profile score.
Citation
ANGELINE, DRAYWAK. 2006. Nguku SW, Wanyoike-Gichuhi J, Aywak AA.Biophysical profile scores and resistance indices of the umbilical artery as seen in patients with pregnancy induced hypertension. East Afr Med J. 2006 Mar;83(3):96-101.. East Afr Med J. 2006 Mar;83(3):96-101Publisher
University of Nairobi