Uterine artery pulsatility index reference chart selection between 24 and 40 weeks of gestational age for a health institution in Lima, Peru

Uterine artery resistance is assessed to detect inadequate placentation in pregnant women, that increases the risk to develop preeclampsia, intrauterine growth restriction and other complications associated with placental insufficiency. Objective: To identify the uterine arteries pulsatility index (...

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Detalles Bibliográficos
Autores: Diez Chang, Guillermo, Bazán Lossio de Diez, Magdalena Gladys, Lacunza Paredes, Rommel, Elías Estrada, José Carlos, Huertas Tacchino, Erasmo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:Perú
Institución:Sociedad Peruana de Obstetricia y Ginecología
Repositorio:Revista Peruana de Ginecología y Obstetricia
Idioma:español
inglés
OAI Identifier:oai:ginecologiayobstetricia.pe:article/2274
Acceso en línea:https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2274
Access Level:acceso abierto
Palabra clave:Uterine arteries
Doppler color ultrasonography
Arterias uterinas
Ultrasonografía Doppler color
Descripción
Sumario:Uterine artery resistance is assessed to detect inadequate placentation in pregnant women, that increases the risk to develop preeclampsia, intrauterine growth restriction and other complications associated with placental insufficiency. Objective: To identify the uterine arteries pulsatility index (UtAPI) reference chart that best fits our institutional data. Methods: Retrospective, cross-sectional study that evaluated 1 753 single pregnancies; 2 031 UtAPI measurements of the uterine arteries were obtained. Mean UtAPI was compared with the reference charts published by Gomez, Limay and Weichert. Results: There was a mild but significant (r=0.16) negative correlation between UtAPI and gestational age between 24 and 40 weeks of gestation; 6.5%, 7.5% and 15% of our measurements were above the 95 centile of respectively Weichert, Limay and Gomez reference charts. Conclusions: In our population, the UtAPI distribution fitted best with Weichert reference chart. More prospective studies are needed to validate this clinical finding.