The value of middle cerebral artery and umbilical artery Doppler indices in assessment of fetal well-being and prediction of neonatal outcome in IUGR and preeclampsia

ObjectiveThe purpose of this study was to assess the accuracy of the middle cerebral artery (MCA) and umbilical artery (UA) Doppler indices in predicting fetal outcome in pregnancies complicated by preeclampsia and/or intrauterine growth retardation (IUGR). Study designIt was a prospective study. Patients and methodsOne hundred and twenty-one pregnant women were categorized into four groups: group A, preeclampsia without IUGR group (38 cases); group B, IUGR without preeclampsia group (24 cases); group C, preeclampsia complicated with IUGR group (19 cases); and group D, the control group (40 cases). The perinatal outcomes correlated to the results of UA and MCA Doppler indices and cerebroplacental ratio (CPR). The accuracy of UA and MCA Doppler indices and CPR in the prediction of adverse outcome was calculated. ResultsAdverse neonatal outcome in group A was significantly correlated to UA-resistance index (RI) and UA-pulsatility index (PI) (r=0.537, P
Source: Journal of Evidence-Based Women’s Health Journal Society - Category: OBGYN Tags: Original articles Source Type: research