Effect of maternal anemia on fetal Doppler indices during the last trimester of pregnancy | ||||
| Evidence Based Women's Health Journal | ||||
| Article 6, Volume 9, Issue 1, February 2019, Page 356-362 PDF (524.01 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/EBWHJ.2019.28640 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Abdel-Megeed Ismail Abdel-Megeed; Amr Ahmed Riad; Shaimaa Mahmoud Mohamed, 
| ||||
| Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||||
| Abstract | ||||
| Aim of the work: The aim of this study was to evaluate the effect of maternal anemia on fetal Doppler indices ; namely, umbilical artery and middle cerebral artery in the last trimester of pregnancy. Patients and Methods: This study was designed as a prospective case control clinical trial carried out in obstetric outpatient clinics and inpatient ward, Ain Shams University Maternity Hospital on 200 patients. The patients must follow these criteria:Gestational age between 28-40 weeks of singleton pregnancy (calculated by their last menstrual period or by earlier ultrasound), fetus is alive and normal fetal ultrasound parameters. Results: The umbilical artery resistance index showed a significant increase in moderate severe anemic patients more than the control group. Umbilical artery pulsatility index showed a significant increase in severe anemic group more than the other 3 groups.Umbilical artery systolic/diastolic ratio showed a significant increase in severe anemic more than the other groups. Finally, the umbilical artery cerebral/umbilical artery resistance ratio showed a significant increase in severe anemic more than the other groups. Conclusion: GA at delivery in different groups was matched, i.e. there was no statistical significant difference between different studied groups regarding GA at delivery (P > 0.05). Neonatal ICU admission were 2(4%), 2(4%), 4(8%) and 9(18%) in different groups, respectively. There was statistical significant difference between different studied groups regarding Neonatal ICU admission (P < 0.05). | ||||
| Keywords | ||||
| Cerebral/umbilical artery resistance ratio; hemoglobin concentration; red blood cells | ||||
|
Statistics Article View: 472 PDF Download: 685 |
||||
