الفهرس | Only 14 pages are availabe for public view |
Abstract Background:Hypertensive disorders of pregnancy are one of the most common indications for fetal surveillance. This reduces the burden of perinatal mortality and long-term morbidities, while also avoiding unnecessary obstetric interventions. Doppler ultrasound in high-risk pregnancies improved a number of obstetric cares out- comes and was helping to reduce peri- natal deaths.There is consensus that its use significantly reduces perinatal mortality as well as iatrogenic prematurity and its complications Study Objective: To determine and compare the diagnostic performance of Doppler sonography of Umbilical Artery (UA), Fetal Middle Cerebral Artery (MCA), Ductus Venosus (DV) & Umbilical Vein (UV) for prediction of Adverse Perinatal Outcome among Severely Hypertensive Pregnant Patients Design:A prospective observational study Methods: Sixty pregnant women with severe hypertension diagnosed clinically with severe hypertensionwere included in the study, from March, 2016 to December, 2017. All the patients underwent accurate color Doppler velocimetry examination. The study population was divided into two groups depending on the normal or abnormal values of MCA/UA pulsatility index ratio. Outcome variables were intrauterine and early neo natal death, admission to the neonatal intensive care unit and the duration of treatment, Apgar score below 7 at 5 minutes,cesarean delivery for fetal distress, gestational age at delivery, neonatal birth weight, IUGR |