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Article

Preeclampsia Management and Maternal Ophthalmic Artery Doppler Measurements between 19 and 23 Weeks of Gestation

by
Elitsa Gyokova
1,2,
Eleonora Hristova-Atanasova
3,* and
Georgi Iskrov
3
1
Department of Obstetrics and Gynecology, Faculty of Medicine, Medical University-Pleven, 5800 Pleven, Bulgaria
2
Obstetrics Clinic, UMHAT “Saint Marina” Pleven, 5800 Pleven, Bulgaria
3
Department of Social Medicine and Public Health, Faculty of Public Health, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(4), 950; https://doi.org/10.3390/jcm13040950
Submission received: 18 December 2023 / Revised: 19 January 2024 / Accepted: 5 February 2024 / Published: 7 February 2024
(This article belongs to the Special Issue Pregnancy Management of Preeclampsia)

Abstract

Background: The ophthalmic Doppler is a reliable and impartial way to assess the severity of preeclampsia (PE). The study aimed to assess the potential utility of Doppler measurements of the maternal ophthalmic arteries during the weeks 19–23 of gestation, both independently and in combination with established biomarkers for PE. Methods: A prospective cohort study was conducted involving women who were recruited from a variety of standard appointments, including booking, scanning, and regular prenatal visits. A total of 200 women that were divided into high-risk and low-risk groups for developing PE were involved during the period between April 2023 and November 2023. Results: The ophthalmic ratio had significantly higher values in high-risk patients than in low-risk women (p = 0.000). There was a significant relationship between PSV2/PSV1 and gestational age at birth in women with PE compared to the ones who did not develop PE. Conclusions: An ophthalmic artery Doppler can play a crucial role in the early detection of PE, allowing for timely intervention and management. Incorporating the ophthalmic artery Doppler as a screening tool for PE in Bulgaria has the potential to improve early detection, risk stratification, and overall maternal and fetal health outcomes.
Keywords: preeclampsia; ophthalmic artery; PSV2/PSV1; management; Bulgaria preeclampsia; ophthalmic artery; PSV2/PSV1; management; Bulgaria

Share and Cite

MDPI and ACS Style

Gyokova, E.; Hristova-Atanasova, E.; Iskrov, G. Preeclampsia Management and Maternal Ophthalmic Artery Doppler Measurements between 19 and 23 Weeks of Gestation. J. Clin. Med. 2024, 13, 950. https://doi.org/10.3390/jcm13040950

AMA Style

Gyokova E, Hristova-Atanasova E, Iskrov G. Preeclampsia Management and Maternal Ophthalmic Artery Doppler Measurements between 19 and 23 Weeks of Gestation. Journal of Clinical Medicine. 2024; 13(4):950. https://doi.org/10.3390/jcm13040950

Chicago/Turabian Style

Gyokova, Elitsa, Eleonora Hristova-Atanasova, and Georgi Iskrov. 2024. "Preeclampsia Management and Maternal Ophthalmic Artery Doppler Measurements between 19 and 23 Weeks of Gestation" Journal of Clinical Medicine 13, no. 4: 950. https://doi.org/10.3390/jcm13040950

APA Style

Gyokova, E., Hristova-Atanasova, E., & Iskrov, G. (2024). Preeclampsia Management and Maternal Ophthalmic Artery Doppler Measurements between 19 and 23 Weeks of Gestation. Journal of Clinical Medicine, 13(4), 950. https://doi.org/10.3390/jcm13040950

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