Study on the uterine artery and fetal umbilical artery hemodynamics in patients with HDP

Objective: To explore the uterine artery and fetal umbilical artery hemodynamic change in patients with HDP. Methods: A total of 80 patients with HDP who came to our hospital from July, 2015 to July, 2016 for pregnancy examination were included in the study and served as the observation group, wh...

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Bibliographic Details
Main Authors: Jing An, Rui Bai
Format: Article
Language:English
Published: Editorial Board of Journal of Hainan Medical University 2017-02-01
Series:Journal of Hainan Medical University
Subjects:
HDP
Online Access:http://www.hnykdxxb.com/PDF/201702/3.pdf
Description
Summary:Objective: To explore the uterine artery and fetal umbilical artery hemodynamic change in patients with HDP. Methods: A total of 80 patients with HDP who came to our hospital from July, 2015 to July, 2016 for pregnancy examination were included in the study and served as the observation group, while 80 healthy pregnant women who came for pregnancy examination in the same period were served as the control group. The pregnant women in the two groups were performed with sequential color Doppler ultrasound at gestation 30-40 weeks. The twodimensional ultrasound apparatus was used to detect the uterine artery and umbilical artery. PI, RI, and S/D were recorded. The fetal BPD, head girth, femur length, and abdominal girth were measured. ELISA was used to detect 8-iso-PGF2α. The immunoturbidimetry was used to detect Cys-C and CRP. Results: The uterine artery PI, RI, and S/D in the observation group were significantly higher than those in the control group. The umbilical artery PI, RI, and S/D in the observation group were significantly higher than those in the control group. The fetal BPD, head girth, femur length, and abdominal girth in the observation group were significantly less than those in the control group. 8-iso-PGF2α, Cys C, and CRP levels in the observation group were significantly higher than those in the control group. Conclusions: The uterine artery and umbilical artery blood flow resistance in patients with HDP are significantly elevated, which can severely affect the placental blood perfusion and fetal growth and development, while the color Doppler ultrasound can provide a non-invasive diagnosis for fetal distress in uterus.
ISSN:1007-1237