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The Value of Middle Cerebral Artery and Umbilical Artery Doppler Indices in Assessment of Fetal Wellbeing and Prediction of Neonatal Outcome in Preeclampsia

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Last updated: 24 Dec 2024

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Abstract

Aim of The Study: To evaluate the value of middle cerebral artery and umbilical artery Doppler indices in assessment of fetal wellbeing and prediction of neonatal outcome in pregnant women with preeclampsia.
Patients and Methods: This study included 100 pregnant women with preeclampsia, 50 women with uneventful pregnancies, Ultrasound and Doppler studies were carried out to estimate fetal weight, fetal biophysical profile and resistance indices of the middle cerebral and umbilical arteries. C/U RI <1.0 was considered abnormal. Adverse neonatal outcome was diagnosed when Apgar score <6 at 5 minutes, C.S for fetal distress, stained meconium, abnormal BPP, perinatal death and/or neonatal admission to neonatal intensive care unit. Results: adverse neonatal outcome in groups A, B and C was significantly correlated to UA-RI and UA-PI. Between the normal and adverse neonatal outcome, in group A, there was a significant difference in UA-RI (P-value = 0.021); in group B, there was a significant difference in UA-RI and UA-PI (P-value <0.001 and P-value <0.001 respectively); and in group C, there was a significant difference in UA-RI and UA-PI (P-value <0.001 and P-value =0.004 respectively). In our study, both absent and reversed diastolic flows were significantly correlated with bad neonatal outcome in the study group (P value <0.001, r-value = 0.428). Conclusions: MCA and UA Doppler indices are good utilities for the assessment of fetal wellbeing and prediction of neonatal outcome in pregnant women with preeclampsia.

DOI

10.21608/ejhm.2019.27421

Keywords

Doppler indices, preeclampsia, Neonatal Outcome

Authors

First Name

Yehia A.

Last Name

Wafa

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine-Al-Azhar University

Email

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City

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Orcid

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First Name

Fahd A.

Last Name

Mohammed

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Police Hospitals

Email

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City

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Orcid

-

First Name

Osama M.

Last Name

Deif

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Mohammed A.

Last Name

Shosha

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine-Al-Azhar University

Email

dr.mshosha.ms@gmail.com

City

-

Orcid

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Volume

74

Article Issue

7

Related Issue

4924

Issue Date

2019-01-01

Receive Date

2019-02-18

Publish Date

2019-01-01

Page Start

1,516

Page End

1,524

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 74_Issue 7_Pages 1516-1524.pdf

PDF . 672.3kB

Link

https://ejhm.journals.ekb.eg/article_27421.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=27421

Order

8

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Value of Middle Cerebral Artery and Umbilical Artery Doppler Indices in Assessment of Fetal Wellbeing and Prediction of Neonatal Outcome in Preeclampsia

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Article

Created At

22 Jan 2023