Assessing the Predictive Value of Uterine Artery Flow Parameters in Patients with Recurrent Spontaneous Abortion
DOI:
https://doi.org/10.51985/Keywords:
Abortion, Miscarriages, Pregnancy Loss, Pulsatility Index, Resistive Index, Uterine artery flow parameters.Abstract
Objective: To compare uterine artery flow parameters in women with Recurrent Spontaneous Abortion (RSA) and a control group among females presenting at a tertiary care hospital.
Study Design and Settings: The study was conducted at the Department of Obstetrics and Gynecology for uterine artery flow parameters in women with Recurrent Spontaneous Abortion (RSA) and a control group.
Methodology: 100 participants were included, with 50 in each group. The case group comprised women with RSA, defined as three or more consecutive pregnancy losses before the 20th week of gestation, while the control group consisted of women with uncomplicated pregnancies and at least one child born at term. Data were collected on demographic and clinical variables, including age, parity, and BMI. Uterine artery flow parameters, including Pulsatility Index (PI) and Resistive Index (RI), were assessed via Doppler ultrasound, and the results were subjected to statistical analysis using SPSS.
Results: The study revealed that mean age, BMI, and median parity were similar in both groups. However, the PI and RI were significantly higher in the RSA group. The receiver operating characteristic (ROC) curve analysis demonstrated high diagnostic accuracy, with an area under the curve (AUC) of 88.6% for PI and 79.4% for RI, further emphasizing their potential as predictors of RSA.
Conclusion: Uterine artery blood parameters may serve as potential predictors for identifying women at risk of RSA.
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