The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus
Al Bellehy, M., Omar, K., Eid, S., Emam, A. (2020). The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus. EKB Journal Management System, 2(4), 886-897. doi: 10.21608/ijma.2020.37083.1151
Muhamed Ahmed Al Bellehy; Khattab Abdelhaleem Omar; Samia Eid; Abdelrahman Emam. "The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus". EKB Journal Management System, 2, 4, 2020, 886-897. doi: 10.21608/ijma.2020.37083.1151
Al Bellehy, M., Omar, K., Eid, S., Emam, A. (2020). 'The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus', EKB Journal Management System, 2(4), pp. 886-897. doi: 10.21608/ijma.2020.37083.1151
Al Bellehy, M., Omar, K., Eid, S., Emam, A. The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus. EKB Journal Management System, 2020; 2(4): 886-897. doi: 10.21608/ijma.2020.37083.1151

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

International Journal of Medical Arts
Article 30, Volume 2, Issue 4, October 2020, Page 886-897  XML PDF (2.4 MB)
Document Type: Original Article
DOI: 10.21608/ijma.2020.37083.1151
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Authors
Muhamed Ahmed Al Bellehy email 1; Khattab Abdelhaleem Omar2; Samia Eid2; Abdelrahman Emam2
1Department of Obstetrics and Gynecology, Nabrouh General Hospital, Ministry of Health, Egypt
2Department of Obstetrics and Gynecology Damietta Faculty of Medicine, Al-Azhar University, Egypt
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.‎
Keywords
Doppler ultrasound; Intrauterine growth restriction; Myocardial performance index; Isthmic flow index; Aortic isthmus
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