Role of Lung Ultrasound and Transthoracic Echocardiography for Assessment of Haemodynamics in Patients with Post Partum Sever PET at Intensive Care Unit.

Abstract

Background: Preeclampsia (PET) is a life-threatening pregnancy disorder where echocardiography and lung ultrasound (LUS) aid in accurate, non-invasive fluid and cardiovascular assessment. Objective: The goal of this study was to assess the contribution and clinical utility of lung ultrasonography and transthoracic echocardiography in after operation haemodynamic assessment in individuals with severe PET and was to detect role of lung ultrasonography and transthoracic echocardiogram (TTE) for predicting complications among these individuals.

Methods This cross sectional was executed on 100 female participants in the childbearing period with marked PET hypertension exceeding 160/110 mmHg, proteinuria up to 2 grams, sustained epigastric discomfort, elevated hepatic enzyme levels, thrombocytopenia (<100,000/mm³), visual or neurological impairments, pulmonary edema, and eclampsia. Participants were divided into 61 cases with severe PET and 39 cases with eclampsia and 60 healthy laboring woman as a control group.

Results: Heart rate (HR), LUS score, ejection fraction (EF), and diastolic dysfunction grade all significantly predicted and monitored postoperative complications. HR (>99 bpm) showed the highest sensitivity (94.12%) and strong negative predictive value (NPV 98.2%). LUS score (>9) had the highest specificity (87.95%) and a high NPV (94.8%). EF (>56%) and diastolic dysfunction grade (>1) also demonstrated good predictive value, with high NPVs (92.5% and 95.9%, respectively), supporting their role in early detection of complications.

Conclusions:  LUS and transthoracic echocardiography, alongside vital signs, had aided post-delivery monitoring in severe PET by detecting pulmonary congestion, assessing cardiac function, and identifying high-risk women for timely, individualized management.