Comparative study between Umbilical Fetal and Middle Cerebral Arteries Doppler Versus Fetal Heart Rate Monitoring in Pregnant Women with Gestational Diabetes Mellitus and their Relation to Fetal Outcome
Zakaria, A., Labib, M., Saeed, A., Helal, M. (2646). Comparative study between Umbilical Fetal and Middle Cerebral Arteries Doppler Versus Fetal Heart Rate Monitoring in Pregnant Women with Gestational Diabetes Mellitus and their Relation to Fetal Outcome. EKB Journal Management System, 2024(12), -. doi: 10.58675/2682-339X.2749
Abd El Meniem Zakaria; Majed Labib; Ahmed Saeed; Mohamed Helal. "Comparative study between Umbilical Fetal and Middle Cerebral Arteries Doppler Versus Fetal Heart Rate Monitoring in Pregnant Women with Gestational Diabetes Mellitus and their Relation to Fetal Outcome". EKB Journal Management System, 2024, 12, 2646, -. doi: 10.58675/2682-339X.2749
Zakaria, A., Labib, M., Saeed, A., Helal, M. (2646). 'Comparative study between Umbilical Fetal and Middle Cerebral Arteries Doppler Versus Fetal Heart Rate Monitoring in Pregnant Women with Gestational Diabetes Mellitus and their Relation to Fetal Outcome', EKB Journal Management System, 2024(12), pp. -. doi: 10.58675/2682-339X.2749
Zakaria, A., Labib, M., Saeed, A., Helal, M. Comparative study between Umbilical Fetal and Middle Cerebral Arteries Doppler Versus Fetal Heart Rate Monitoring in Pregnant Women with Gestational Diabetes Mellitus and their Relation to Fetal Outcome. EKB Journal Management System, 2646; 2024(12): -. doi: 10.58675/2682-339X.2749

Comparative study between Umbilical Fetal and Middle Cerebral Arteries Doppler Versus Fetal Heart Rate Monitoring in Pregnant Women with Gestational Diabetes Mellitus and their Relation to Fetal Outcome

Al-Azhar International Medical Journal
Volume 2024, Issue 12, December 2024  XML
DOI: 10.58675/2682-339X.2749
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Authors
Abd El Meniem Zakaria1; Majed Labib2; Ahmed Saeed1; Mohamed Helal2
1Obstetrics and Gynecology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
2Obstetrics and Gynecology Department, Maadi Military Hospital, Cairo, Egypt
Abstract
Background: One of the most prevalent clinical disorders in obstetrics is gestational diabetes mellitus (GDM). Aim and objectives: To evaluate the relationship between fetal heart rate monitoring and umbilical fetal middle cerebral artery Doppler vs fetal outcome in pregnant women with GDM. Patients and methods: This prospective study was conducted at the Al-Sayed Galal and EL-Hussein hospitals. From March 2021 to March 2022, one hundred patients with gestational diabetes mellitus were included in the study group. Two groups of patients were formed: Group A: Normal UA Doppler control group, and Group B: Doppler abnormalities in the umbilical arteries. Results: The middle cerebral artery (MCA) doppler showed a statistically significant difference depending on gestational age between aberrant and normal. However, in terms of fetal weight, PH, Apgar l-min, Apgar 5-min, and gestational age (GA) at birth, there was no statistically significant difference between abnormal and normal UA Doppler readings. Additionally, all outcome measures, such as PH<7.2, Apgar at 1 minute<4, Apgar at 5 minutes<7, and infant death when the CTG was aberrant (P-value<0.005), were significantly reflected by the cardiotocograph (CTG. Conclusion: The UA Doppler measurement had no bearing on fetal outcome measures such as neonatal PH, the 5-minute Apgar score, or neonatal death in patients with GDM. The Apgar score at one minute was the sole outcome measure that an aberrant UA Doppler impacted; however, MCA Doppler was significant for all outcome metrics, except the Apgar score at five minutes.
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