Akademik Veri Yönetim Sistemi
Turkiye Klinikleri Jinekoloji Obstetrik, cilt.22, sa.1, ss.36-41, 2012 (Scopus)
Objective: To evaluate the prognostic significance of uterine artery Doppler in women with preeclampsia. Material and Methods: 162 women with preeclampsia who delivered in Cerrhapasa Medical Faculty Department of Obstetrics and Gynecology between January 2005-April 2011 were included in the study. Early and late-preeclampsia was defined as that delivered before and after 34 gestational weeks. Uterine artery Doppler evaluation was performed to preeclamptic cases. Perinatal and obstetric outcomes were evaluated. Results: There was no maternal mortality and perinatal mortality rate was 28.4%. Maternal complications occured only in cases with severe preeclampsia. No significant differences were observed in the incidences of low birth weight, still-birth and early neonatal death rates between mild and severe preeclampsia (p>0.05). The incidence of abnormal uterine artery velocity waveform was significantly higher in the early than late onset preeclampsia (73.2% vs 29.2%) (p=0.001). There was no stillbirth and early neonatal death observed in late-preeclampsia cases. The incidences of low birth weight, Apgar score <7 at 5 min, still-birth and early neonatal death rates were significantly higher in women with early and late onset preeclampsia with abnormal uterine artery Doppler (p<0.01). Conclusion: Uterine artery Doppler abnormality is an important prognostic factor for women with preeclampsia. Early-onset disease with uterine artery Doppler abnormality mainly define placentation problem and has a higher perinatal adverse outcome. Copyright © 2012 by Türkiye Klinikleri.