[Value of the systematic uterine Doppler in the primiparous woman. A series of 315 cases].
OBJECTIVE
This retrospective study was designed to assess the screening of pre-eclampsia (PE) and intra-uterine growth retardation (IUGR) by uteroplacental doppler scan in a population of primiparous, selected in a hospital having 700 deliveries each year.


METHODS
We studied, a consecutive series of 315 primiparous women at 19 weeks (gestational age) screened by pulsed Doppler of uterine artery. Group A (normal uterine artery Doppler) was compared with group B (pathological uterine artery Doppler) for pregnancy-induced hypertension, preeclampsia and intra-uterine growth retardation (chi 2 test and Fisher test).


RESULTS
Group B included 50 patients (15%). They had more hypertensive pathologies (24%) (p < 0.001) and IUGR (20%) (p < 0.005) were more frequent than the group A (265 patients: 85%) which had only 7.2% and 8.2% respectively. In this study, the sensitivity of uterine artery Doppler was 34.3%, the specificity was 88.5%, the positive predictive value was 42%, the negative predictive value was 84.9% for all hypertensive disorders.


CONCLUSIONS
The contribution of this examination is doubtful in a low risk population where the prevalence of complications is low and the VPP is about 10 to 14% for preeclampsia. On the other hand, test predictivity reaches 50% for all dysgravidic disorders.
Soutif
C
C
Service de Gynécologie-Obstétrique, Hôpital Monod, Flers.
Prevost
A
A
André
M
M
D001158:Arteries; D005260:Female; D005317:Fetal Growth Retardation / Q000000981:diagnostic imaging*; D006801:Humans; D010298:Parity; D011225:Pre-Eclampsia / Q000000981:diagnostic imaging*; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D012189:Retrospective Studies; D012307:Risk Factors; D012680:Sensitivity and Specificity; D016216:Ultrasonography, Prenatal / Q000592:standards*; D014599:Uterus / Q000098:blood supply*