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Relation Between Fetal Doppler Pulmonary Artery Indices and Neonatal Respiratory Distress Syndrome In Term Neonates

Article

Last updated: 24 Dec 2024

OverviewSimilar Items

Subjects

-

Tags

Gynecology and Obstetrics

Abstract

Background: Neonatal respiratory distress syndrome (RDS) is a common and challenging neonatal morbidity. Reliable prediction of the condition can improve management. Fetal pulmonary artery (PA) Doppler indices were suggested for prediction. However, the findings of different studies are conflicting.
Aim of the work: The present study aimed to assess the value of PA indices in the prediction of neonatal RDS in term babies.
Subjects and methods: This prospective study included 120 women with singleton term pregnancy. Assessed Doppler indices for the main pulmonary artery included pulsatility index (PI), resistive index (RI), peak systolic velocity (PSV), and the At/Et ratio. Upon delivery, the newborn babies were examined for RDS signs (tachypnea, retractions, and/or nasal flaring).
Results: Among the 120 delivered babies, there were 16 (13.3 %) with RDS. Comparison between neonates with RDS and neonates without showed significantly lower neonatal weight, higher pulmonary artery RI and PI, higher pulmonary artery PSV in neonates with RSD. Also, they had a significantly lower pulmonary artery at/et ratio when compared with normal babies. The pulmonary artery at/et ratio showed the best performance compared to other indices (sensitivity: 100.0 %, specificity: 50.0 %) at a cut-off (0.32).
Conclusions: The present study documented reliable predictive value of PA hemodynamic parameters including RI, PI, PSV, and at/et ratio in predicting neonatal RDS in term babies.

DOI

10.21608/ijma.2020.43097.1172

Keywords

Neonatal respiratory distress syndrome, Pulmonary artery, fetal Doppler, Pulsatility Index, resistive index

Authors

First Name

Ahmed

Last Name

Alsheikh

MiddleName

Mohamed

Affiliation

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

Email

dr.ahmed.201053@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Elsadek

MiddleName

Mohammed

Affiliation

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

Email

dr.ahmedelsadek84@gmail.com

City

-

Orcid

-

First Name

Samy

Last Name

Gebreel

MiddleName

Amin

Affiliation

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

Email

samy.gebreel@outlook.com

City

-

Orcid

-

Volume

3

Article Issue

1

Related Issue

21557

Issue Date

2021-01-01

Receive Date

2020-09-16

Publish Date

2021-01-01

Page Start

1,046

Page End

1,052

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 1_Pages 1046-1052.pdf

PDF . 1.7MB

Link

https://ijma.journals.ekb.eg/article_121248.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=121248

Order

20

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

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

MainTitle

Relation Between Fetal Doppler Pulmonary Artery Indices and Neonatal Respiratory Distress Syndrome In Term Neonates

Details

Type

Article

Created At

22 Jan 2023