Doppler de arterias uterinas para tamizaje y prevención de preeclampsia

Abstract

Introduction: Preeclampsia continues to be one of the most frequent pathologies in pregnancy with a high rate of morbidity and mortality, both maternal and fetal, however Doppler ultrasound techniques have been of great help in recent years and have allowed early recognition of changes pathologies generated in the fetus in the face of different types of lesions, thus allowing us to act in a timely manner in the reduction of morbidity and neonatal mortality. Objectives: Describe the utility of Ultrasonography Doppler of the uterine arteries for screening and prevention of preeclampsia. Methods: A systematic search of the literature was carried out in the main electronic medical libraries (PUBMED, Cochrane Library, Web of Science, Trip Database) in the last 15 years from October 2007 to October 2022 in humans, using DeCS and MeSH terms such as: ultrasonography, doppler, uterine artery, diagnosis, screening and pre-eclampsia. Results: 28 literature reviews were included, including: 11 clinical trials, 5 reviews, 5 observational studies, 3 research supports, 2 meta-analyses, 1 comparative study and 1 evaluation study, covering all types of studies. Conclusion: Doppler ultrasound of the uterine arteries combined with maternal markers increase the detection rate of preeclampsia, it is a useful diagnostic tool in pregnant women, thus showing a greater predictive capacity in the screening of preeclampsia, significantly reducing invasive procedures.