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Umbilical artery doppler velocimetry study on prediction of adverse pregnancy outcomes among high risk pregnant women with diabetes mellitus at Aminu Kano teaching hospital
Abstract
Background: Doppler velocimetry studies of pregnant women with diabetes mellitus can predict adverse pregnancy outcomes.
Objective: To identify pregnant women with diabetes mellitus for second trimester umbilical artery Doppler velocimetry to predict adverse pregnancy outcomes.
Methods: It was a prospective study among pregnant women with diabetes mellitus. The umbilical artery Doppler study was carried outin second trimester using 3.5 m Hz convex of the Mindry Digital Ultrasound Imaging System (Model DP-8800Plus; ShenzenMindray Biomed electronics, China).
Results: a total of 64 pregnant women with diabetes mellitus were recruited at the gestational age of 20 to 24 weeks. The mean age ± SD was 33.06±4.79. Only 24 (37.50%) of the women had gestational diabetes of which 16 (66.67%) had abnormal RI but no diastolic notch. Fourty women were identified with pregestational diabetes and Half of them had abnormal RI of which 4 had diastolic notches.
Conclusion: Diabetic pregnant women withhigh resistive indices following umbilical artery Doppler velocimetry were not associated with significant adverse pregnancy outcomes.
Keywords: Umbilical artery Doppler velocimetry, diabetes in pregnancy, adverse pregnancy outcomes.
