Neonatal outcome among High Risk Pregnant Women depending on the ratio of Fetal Cerebroplacental Artery versus Uterine Artery Doppler Ultrasonography
Mohamed Abdelghany, B., Younis, M., Metawie, M., Elrefaie, W., Reyad, I. (2024). Neonatal outcome among High Risk Pregnant Women depending on the ratio of Fetal Cerebroplacental Artery versus Uterine Artery Doppler Ultrasonography. EKB Journal Management System, 16(16), 12-22. doi: 10.21608/muj.2023.244709.1150
Bedour Saied Mohamed Abdelghany; Mohamed Hafez Younis; Mohamed Metawie; Waleed Elrefaie; Ibrahim Arafa Reyad. "Neonatal outcome among High Risk Pregnant Women depending on the ratio of Fetal Cerebroplacental Artery versus Uterine Artery Doppler Ultrasonography". EKB Journal Management System, 16, 16, 2024, 12-22. doi: 10.21608/muj.2023.244709.1150
Mohamed Abdelghany, B., Younis, M., Metawie, M., Elrefaie, W., Reyad, I. (2024). 'Neonatal outcome among High Risk Pregnant Women depending on the ratio of Fetal Cerebroplacental Artery versus Uterine Artery Doppler Ultrasonography', EKB Journal Management System, 16(16), pp. 12-22. doi: 10.21608/muj.2023.244709.1150
Mohamed Abdelghany, B., Younis, M., Metawie, M., Elrefaie, W., Reyad, I. Neonatal outcome among High Risk Pregnant Women depending on the ratio of Fetal Cerebroplacental Artery versus Uterine Artery Doppler Ultrasonography. EKB Journal Management System, 2024; 16(16): 12-22. doi: 10.21608/muj.2023.244709.1150

Neonatal outcome among High Risk Pregnant Women depending on the ratio of Fetal Cerebroplacental Artery versus Uterine Artery Doppler Ultrasonography

Medicine Updates
Volume 16, Issue 16, January 2024, Page 12-22  XML PDF (1.08 MB)
Document Type: Original Article
DOI: 10.21608/muj.2023.244709.1150
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Authors
Bedour Saied Mohamed Abdelghany email orcid 1; Mohamed Hafez Younis2; Mohamed Metawie2; Waleed Elrefaie2; Ibrahim Arafa Reyad2
1faculty of medicine portsaid university
2Obstetrics and gynecology faculty of medicine Port said University
Abstract
Background: Doppler velocimetry was used to investigate the typical physiological vascular changes that take place within the placenta and the fetus and application of these changes to predict high risk pregnancy and perinatal outcome.
Aim and objectives: to evaluate neonatal outcome among high risk pregnant women depending on fetal cerebroplacental ratio (CPR) versus uterine artery (UtA) Doppler.
Subjects and methods: This current study was a prospective randomized control trial which was conducted at ElShatby Maternity University Hospital from January 2021 to December 2022 after being approved by the Faculty of Medicine- Port-said University ethical committee on 119 singleton high risk pregnancies which were distributed at random into group A who were evaluated by CPR and group B who were evaluated by UtA.
Results: In current study there was a statistically significant difference between the studied groups regarding fetal CPR Doppler ultrasonography, comparison of neonatal characteristics except in infant sex and neonatal outcome. APGAR score at 5th min, CPR ,middle cerebral artery (MCA) PI(pulsatility index), MCA peak systolic velocity(PSV) have statistically significant positive correlation with birth weight while umbilical artery (UA) PI, umbilical cerebral ratio (UCR), UtA PI and UtA resistance index (RI) have statistically significant negative correlation with birth weight.
Conclusion: In high risk pregnancies, the CPR and UtA Doppler have a significant impact on the ability to predict the fate of the perinatal period.
Keywords
Cerebroplacental; Uterine Artery; Doppler Ultrasonography; Neonatal outcome
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