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111019

The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus

Article

Last updated: 24 Dec 2024

OverviewSimilar Items

Subjects

-

Tags

Gynecology and Obstetrics

Abstract

Background: Intrauterine growth restriction [IUGR] represented a challenging health problem, faced during daily clinical practice. Early diagnosis is of crucial importance.
Aim of the work: To determine the value of the aortic isthmic flow index and the left mod-myocardial performance index [MPI] in the prediction of adverse perinatal outcomes in fetuses affected by IUGR.
Patients and Methods: Forty Singleton fetuses with IUGR between 28 and 34 weeks were recruited. The left mod-MPI and the isthmic flow index [IFI] were calculated. Ultrasound indices had been correlated with perinatal outcome.
Results: There was a statistically significant association between abnormal aortic isthmus diastolic flow and low 1-minute Apgar score and neonatal intensive care unit [NICU] admission. There was a statistically significant association between the left mod-MPI and the meconium stained amniotic fluid [AF], the need for Neonatal resuscitation, NICU admission, neonatal sepsis, and neonatal death. When considering cutoff value for prediction of adverse fetal outcome by Left MPI, a cutoff of 0.53 confers 85.2% sensitivity, 80% specificity, PPV 92%, NPV 66.7%, and accuracy of 83.8%. In addition, 85% of fetuses had normal Aortic isthmus [AoI] waveform [IFI type I] and 15% had abnormal AoI waveform, and there was a statistically significant association between abnormal AoI diastolic flow and each of [IFI of II, III, V], [low 1-minute Apgar score] and [NICU admission].
Conclusion: AoI IFI and left mod-MPI could be considered valuable for the assessment of chronic placental insufficiency, and play a role in prediction of adverse perinatal outcome associated with IUGR.ā€Ž

DOI

10.21608/ijma.2020.37083.1151

Keywords

Doppler Ultrasound, intrauterine growth restriction, Myocardial performance index, Isthmic flow index, Aortic isthmus

Authors

First Name

Muhamed Ahmed

Last Name

Al Bellehy

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Nabrouh General Hospital, Ministry of Health, Egypt

Email

muhaalbellehy@gmail.com

City

Mansoura

Orcid

-

First Name

Khattab Abdelhaleem

Last Name

Omar

MiddleName

-

Affiliation

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

Email

dr.khattababdelhalim@hotmail.com

City

-

Orcid

-

First Name

Samia

Last Name

Eid

MiddleName

-

Affiliation

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

Email

samiamohamad11@gmail.com

City

Damietta

Orcid

-

First Name

Abdelrahman

Last Name

Emam

MiddleName

-

Affiliation

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

Email

abdelrahmanali183@domazhermedicine.edu.eg

City

Damietta

Orcid

-

Volume

2

Article Issue

4

Related Issue

17986

Issue Date

2020-10-01

Receive Date

2020-07-25

Publish Date

2020-10-01

Page Start

886

Page End

897

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 4_Pages 886-897.pdf

PDF . 2.5MB

Link

https://ijma.journals.ekb.eg/article_111019.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=111019

Order

30

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus

Details

Type

Article

Created At

22 Jan 2023