Document Type : Original Article
Authors
1
Obstetrics and Gynaecology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
2
King Faisal Military hospital (Armed forces hospital southern region) Khamis Mushait, Saudi Arabia
3
Imam Abdulrahman Al Faisal hospital, NGH , Dammam Saudi Arabia
4
King Faisal Military Hospital (Armed forces hospital, southern region) Khamis Mushait, Saudi Arabia
5
Public Health Department, Faculty of Medicine, Mansoura University, Egypt
6
Mouwasat hospital, Saudi Arabia,
Abstract
Background: Globally, preeclampsia (PE) is a major contributor to maternal and neonatal death. It accounts for 10–15% of maternal deaths that are direct, and 99% of these deaths take place in low-income nations. Depending on the parameters employed, many PE screening methods are documented in the literature. Nonetheless, the research generally agrees that no single-parameter screening tool has demonstrated the ability to adequately compensate for preexisting maternal risk of PE with specificity and sensi-tivity for clinical application.
Aim of the work : is to evaluate the role of fetal Doppler indices in predicting adverse perinatal outcomes in pa-tients with preeclampsia .
Patients and techniques: This is a retrospective study that was carried out between December (2021) and July (2023) at Mouwasat Hospital, Qatif and King Faisal Mil-itary Hospital (Armed Forces Hospital southern region), Khamis Mushait. This study comprised 61 pregnant wom-en who were viable singletons and at least 34 weeks along in their pregnancy all of them were diagnosed with pre-eclampsia or pregnancy induced hypertension. They were split into two groups: 40 cases had a favorable perinatal outcome, and 21 cases with an unfavorable perinatal out-come were of the same age and gestational age. Chronic hypertension, liver, kidney, and collagen vascular disor-ders, diabetes mellitus, and foetal deformity were among the exclusion criteria.
Urine analysis and maternal arterial blood pressure mea-surements were performed on both groups. Doppler ex-amination of the fetoplacental circulation and ultrasound estimate of gestational age were assessed. The newborns were also evaluated for birth weight, admission to the neonatal intensive care unit, and Apgar score assessment at five minutes.
Results: • The mean PI, RI and S/D index of UA were significantly higher in the case group compared to the controls. The Doppler indices of the MCA showed no sig-nificant difference between both groups except for S/D index, Moreover, CPR and DV PI showed significant dif-ference between both groups CPR had the highest sensitivity 86.4% and specificity 88% for detection of adverse peri-natal outcomes.
Conclusion: The best measure that can be used exclusively to predict unfavorable de-livery outcomes is CPR ( < 1.12 ).
Keywords
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