The Value of 3D Power Doppler Study of Placental Vasculature Versus Doppler Indices in Patients with Placental Insufficiency

Objectives: The aim of this study is to show the value of 3D power doppler in assessment of placental vasculature in patients with placental insufficiency in relation to Doppler indices.Study Design: Cohort prospective study.Methodology: This study included 100 pregnant women at risk of placental insufficiency. Those patients were recruited from the Obstetric Outpatient Clinic and Obstetric Department at Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo University during the period between February 2013 to August 2014. The patients were examined by 3D power doppler for placental vasculature and fetal doppler indices to detect which will be affected first.Results: Placental blood perfusion in patients with affection of fetal doppler had a lower VI, FI, VFI (affected 7 weeks before fetal doppler) compared to patients with normal fetal doppler. This difference was statistically highly significant (p 0.001).Conclusion: 3DPD indices of placental bed vasularity revealed a significant change of placental vasculature before reflrction on fetal doppler. 3DPD ultrasound may be an important modality in future for the evaluation of feto-placental insufficiency in clinical practice.