PoCUS UtA-PI as a predictor of preeclampsia: Risk of maternal death in low-resource settings
Abstract
The objective of this study was to evaluate the potential of Point-of-care Doppler ultrasound (PoCUS) at the “bedside” of the first-trimester uterine artery for early prediction of preeclampsia (PE) in at-risk pregnant women in low-resource settings. This was a prospective longitudinal study, including 42 pregnant women. The potential of pulsatility indices (PI) is evaluated as a tool for the detection of preeclampsia. Uterine artery Doppler examination performed early at 11–14 GW allows detection of pregnancies that will develope PE with a sensitivity of 78% and a specificity of 100% based on PI analysis. Doppler examination of the uterine artery is an effective non-invasive screening test for the development of PE in high-risk pregnancies, particularly appropriate in health systems with limited means of evaluating other biomarkers such as type A health centers and rural settings.Downloads
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