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Ginecol Obstet Mex ; 82(6): 377-82, 2014 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-25016896

RESUMO

BACKGROUND: Pregnancy during adolescence has been rising in the past years, and it is well known that preeclampsia affects teenagers, because maternal age and primigravida are risk factors. There are different ways and methods to predict preeclampsia, for example doppler velocimetry. OBJECTIVE: Determine S/D ratio of uterine artery in pregnant teenagers between 24-28 weeks and correlation with preeclampsia. MATERIAL AND METHOD: Observational study in 50 pregnant teenagers (14-19 years) obtaining uterine artery waveform at 24-28 weeks gestation recording S/D ratio. RESULTS: Sensitivity and specificity of 90% with a positive predictive value of 69.23% and negative predictive value of 97.3%. 13 patients had S/D ratio greater than 2.6, of which 5 had gestational hypertension, 3 with preeclampsia, 1 with Fetal Growth Restriction, 4 with normal pregnancy. Relative Risk was 25.62 (3.58-183.13) with odds ratio of 81.00 (6.83-2260.88) and p value 0.00002. CONCLUSION: analysis of uterine artery flow velocity waveforms is a method to predict preeclampsia.


Assuntos
Retardo do Crescimento Fetal/diagnóstico , Hipertensão Induzida pela Gravidez/diagnóstico , Pré-Eclâmpsia/diagnóstico , Artéria Uterina/metabolismo , Adolescente , Velocidade do Fluxo Sanguíneo , Feminino , Retardo do Crescimento Fetal/fisiopatologia , Humanos , Hipertensão Induzida pela Gravidez/fisiopatologia , Fluxometria por Laser-Doppler , Idade Materna , Pré-Eclâmpsia/fisiopatologia , Valor Preditivo dos Testes , Gravidez , Estudos Prospectivos , Fatores de Risco , Sensibilidade e Especificidade , Adulto Jovem
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