Value of the systematic uterine Doppler in the primiparous woman. a series of 315 cases
Soutif, C.; Prevost, A.; André, M.
Journal de Gynecologie Obstetrique et Biologie de la Reproduction 25(8): 819-823
1996
ISSN/ISBN: 0368-2315 PMID: 9026510 Document Number: 460222
This retrospective study was designed to assess the screening of pre-eclampsia (PE) and intra-uterine growth retardation (IUGR) by uteroplacental doppler scan in a population of primiparous, selected in a hospital having 700 deliveries each year. We studied, a consecutive series of 315 primiparous women at 19 weeks (gestational age) screened by pulsed Doppler of uterine artery. Group A (normal uterine artery Doppler) was compared with group B (pathological uterine artery Doppler) for pregnancy-induced hypertension, preeclampsia and intra-uterine growth retardation (chi 2 test and Fisher test). Group B included 50 patients (15%). They had more hypertensive pathologies (24%) (p < 0.001) and IUGR (20%) (p < 0.005) were more frequent than the group A (265 patients: 85%) which had only 7.2% and 8.2% respectively. In this study, the sensitivity of uterine artery Doppler was 34.3%, the specificity was 88.5%, the positive predictive value was 42%, the negative predictive value was 84.9% for all hypertensive disorders. The contribution of this examination is doubtful in a low risk population where the prevalence of complications is low and the VPP is about 10 to 14% for preeclampsia. On the other hand, test predictivity reaches 50% for all dysgravidic disorders.