Background: Small-for-Gestational-Age (SGA) neonates have been connected with a higher risk of poor perinatal results, particularly when associated with placental insufficiency, which would be accountable for a large proportion of perinatal complications.
Objective: To know the role of uterine artery Doppler indicators in the first trimester in the prediction of subsequent birth of small-for-gestational age (SGA) neonates or intrauterine growth restriction (IUGR).
Patients and methods: The think about included 1000 patients from the outpatient Gynecological Clinic, Al Hussein, Al Sayed Galal Clinics Al-Azhar College amid the period starting from August 2018 till August 2021. All patients were enduring low risk pregnancy
Results: The first Doppler resistance index ranged (0.7-0.82) with a mean±SD (0.72±0.02), with end diastolic notch in 35% of the patients 11% right sided, 14% left sided and 10% bilateral. The first trimester Doppler showed 83.33% sensitivity to detect IUGR with specificity 96.81%. The second Doppler resistance index ranged (0.5-0.66) with a mean±SD (0.53±0.03), with end diastolic notch in 23% of the patients 7% right sided, 11% left sided and 5% bilateral. The second trimester Doppler showed 83.33% sensitivity to detect IUGR with specificity 92.55%.The fetal weight ranged (2000- 3800) gm with a mean±SD (3237.5±357.63) gm, with IUGR percentage 5%.
Conclusion: Uterine artery Doppler is a good predictive method for IUGR whether done in 1st or 2nd trimester.