الفهرس 
PREECLAMPSIAOnly 14 pages are availabe for public view
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Abstract
Hypertensive disorders during pregnancy constitute a serious health problem and are associated with increased risk of maternal prenatal adverse outcome. One main goal of prenatal care is to improve the outcome of pregnancy in terms of prenatal morbidity and mortality by identifying women at risk of complications of uteroplacental insufficiency; pre-eclampsia and IUGR. Doppler ultrasound has been demonstrated to be a reliable, noninvasive method for examining uteroplacental perfusion. Scientific interest is now focused on early pregnancy. Roll over test is noninvasive method for prediction of pre-eclampsia In this study, we were aiming to assess the value of color Doppler assessment of the uterine arteries and roll over test in predicting the subsequent development of pregnancy related hypertensive disorders as pre-eclampsia and fetal growth restrictions in high risk pregnancies enabling further earlier prevention and therapeutic interventions to improve maternal and neonatal health. In this study, 100 pregnant females at 20-24 weeks gestation were recruited from Benha Hospital. Females included in this study were subjected to abdominal Doppler ultrasound for assessment of the presence of uterine artery notching and doing roll over test at 20-24 week.All pregnancies were followed up to termination of pregnancy, and investigated for the development of pre-eclampsia. fifteen pregnancies out of one hundred (15%) develop pre-eclampsia. For the statistical analysis, we divided the females subjected to this study according to the development of pre-eclampsia into two groups: pre-eclampsia group (n= 15) and non pre-eclampsia group (n =85). As regarding the presence or absence of diastolic nothing in the uterine arteries; it was found that a significantly higher prevalence of notching was found in the females developing pre-eclampsia. As regards roll over test comparison between patient who develop pre-eclampsia and not developed it was found that roll over test not highly accurate as uterine artery notching in prediction of pre-eclampsia as uterine artery notching. This is by and large an endeavor to asses the predictive value of two tests for development of PIH. Our results don’t exactly correspond with any of the international studies conducted previously. This can be attributed to the fact that our study population includes only high risk cases attending the out-woman department of a tertiary care centre.