Work

The Correlation Between Fetal Wellbeing and Umbilical Doppler Parameters in Pregnant Women with Gestational Hypertension

Year: 2025

Type: article

Abstract: Objective: To investigate the role of umbilical cord blood flow parameters in evaluating intrauterine fetal hypoxia and fetal growth restriction in pregnant women with gestational hypertension. Methods: One hundred and nine patients with gestational hypertension admitted from January 2020 to December 2023 were enrolled in this study. The peak systolic velocity/end diastolic velocity (S/D), pulse index (PI) and resistance index (RI) of cord blood were measured by ultrasound. According to the S/D, 109 cases were divided into 62 cases in the control group (S/D < 3) and 47 cases in the observation group (S/D ≥ 3), and the prognosis of pregnant women and fetuses in the two groups were compared. The ROC curves were used to analyze the effects of different parameters of umbilical blood flow on intrauterine fetal hypoxia and fetal growth restriction in pregnant women with gestational hypertension. Results: < 0.05). However, there was no statistical difference in the incidence of neonatal asphyxia between the two groups (P > 0.05). ROC curve analysis showed that cord blood flow RI of pregnant women with gestational hypertension had the highest sensitivity and AUC in predicting intrauterine fetal hypoxia and growth restriction, and PI had the highest specificity in predicting intrauterine fetal growth restriction. The specificity of S/D, PI and RI in predicting intrauterine hypoxia was consistent (all 80%). Conclusion: The different parameters of umbilical blood flow in hypertensive pregnant women during pregnancy provide a good assessment of intrauterine fetal condition and can be used as clinical indicators to predict poor prognosis of intrauterine fetal hypoxia and fetal growth restriction.

Source: International Journal of Women s Health

DOI: 10.2147/ijwh.s514427

Authors: Hualan Lin, Meifang Shen, Dongbei Li, Qiuxia Sun, Liubing Lan

Institution: Meizhou City People's Hospital

Language: English

Topic: Pregnancy and preeclampsia studies

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,836