الفهرس 
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Abstract
This study was designed in a prospective manner to search for the prediction of preeclampsia at an early stage in pregnancy allows categorization and management of these cases as high risk, which could hopefully improve both maternal and fetal outcomes.
pE & IUGR are considered among major maternal and fetal health risks which may lead to premature termination of pregnancy.
Fetomaternal medicine aims to early identify highrisk cases for proer intervention and promoting pregnancy outcome.
PE & IUGR are related to uteroplacental circulatory insufficiency such circulation can be studied non invasively using doppler ultrasound.
The study aimed at determining the value of color Doppler assessment of the uterine arteries at 19-22weeks of gestation in predicting the subsequent development of pre-eclampsia and fetal growth restriction.
This study will be conducted at Suzan Mobarak University Materity Hospital on 50 primegravida with singleton pregnancy attending for routine examination at 19-22 weeks.
The inclusion criteria included :
1- Gestational age between 22-24 weeks.
2- Single intrauterine pregnancy.
3- The patient is medically free.
The exclusion criteria included :
1- Gestational age < 19 or > 22 weeks.
2- Multiple pregnancy.
3- Patient having medical disease.
Every case was subjected to examination of uterine arteries using doppler ultrasound and subsequently cases were divided into two groups:
1- Group with normal uterine artery doppler mPI.
2 Group with elevated uterine artery MPI.
Cases were followed up till term and data were colllected and statistacally processed.
There was a statstically significant relation between elevated uterine artery doppler measures and adverse pregnancy outcome especially those occuring earlier in pregnancy course.