Value of Middle Cerebral/Umbilical Artery Resistance Index Ratio in Neonatal Outcome in Patients with Intrauterine Growth Restriction (A Prospective Study)

Background: Fetal growth disorders are usually associated with perinatal morbidity and mortality. Accurate assessment of intrauterine fetal growth is difficult, but recent advances have improved with positive implications for antenatal care.Aim of the work: The aim of this study was to assess the ac...

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Autores principales:	Fatima Al-Zahraa El-Hawary Abdel Aziz, Mahmoud Rady, Ahmed Abd-Eltawab
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	intrauterine growth restriction doppler neonatal outcome resistance index mean cerebral artery Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/db9946a2ef0d407cb06d757f7beacc30
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spelling	oai:doaj.org-article:db9946a2ef0d407cb06d757f7beacc302021-12-02T15:22:18ZValue of Middle Cerebral/Umbilical Artery Resistance Index Ratio in Neonatal Outcome in Patients with Intrauterine Growth Restriction (A Prospective Study)2636-41742682-378010.21608/ijma.2020.35616.1146https://doaj.org/article/db9946a2ef0d407cb06d757f7beacc302020-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_109295_95ed59afc8d7bba57cd86f04a07a87c1.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Fetal growth disorders are usually associated with perinatal morbidity and mortality. Accurate assessment of intrauterine fetal growth is difficult, but recent advances have improved with positive implications for antenatal care.Aim of the work: The aim of this study was to assess the accuracy of the umbilical and middle cerebral artery resistance index in prediction of fetal outcome in pregnancies with intra-uterine growth restriction (IUGR).Patients and Methods: Forty-five pregnant females had been included in a prospective study. All had a confirmed diagnosis of intra-uterine growth restriction (IUGR). Doppler ultrasound had been performed to record fetal umbilical and middle cerebral artery (MCA) resistance indices every one week (from 32 weeks onwards). Post-delivery birth weight of the baby, Apgar score at 0 and 5 minutes had been documented and correlated with doppler indices. Results: One-fifth of the mothers participating in the study (20%) had pre-term birth and 6.7% missed the follow-up. Umbilical artery resistance index (RI) at a cut off value of (0.79) had a diagnostic accuracy of 93%. MCA RI best cut off value was 0.63 with diagnostic accuracy of 73.9%. Also, for C/U ratio had diagnostic accuracy of 92.9%. Finally, there was significant, proportional correlation between MCA RA and C/U ratio from one side and APGAR score at 0 and 5 minutes from the other side. However, the correlation between UARI and Apgar score was inverse and statistically significant. Conclusion: Doppler velocimetry of fetal circulation can provide important information regarding fetal well-being, with subsequent impact on fetal outcome.Fatima Al-Zahraa El-Hawary Abdel AzizMahmoud RadyAhmed Abd-EltawabAl-Azhar University, Faculty of Medicine (Damietta)articleintrauterine growth restrictiondopplerneonatal outcomeresistance indexmean cerebral arteryMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 4, Pp 828-834 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	intrauterine growth restriction doppler neonatal outcome resistance index mean cerebral artery Medicine (General) R5-920
spellingShingle	intrauterine growth restriction doppler neonatal outcome resistance index mean cerebral artery Medicine (General) R5-920 Fatima Al-Zahraa El-Hawary Abdel Aziz Mahmoud Rady Ahmed Abd-Eltawab Value of Middle Cerebral/Umbilical Artery Resistance Index Ratio in Neonatal Outcome in Patients with Intrauterine Growth Restriction (A Prospective Study)
description	Background: Fetal growth disorders are usually associated with perinatal morbidity and mortality. Accurate assessment of intrauterine fetal growth is difficult, but recent advances have improved with positive implications for antenatal care.Aim of the work: The aim of this study was to assess the accuracy of the umbilical and middle cerebral artery resistance index in prediction of fetal outcome in pregnancies with intra-uterine growth restriction (IUGR).Patients and Methods: Forty-five pregnant females had been included in a prospective study. All had a confirmed diagnosis of intra-uterine growth restriction (IUGR). Doppler ultrasound had been performed to record fetal umbilical and middle cerebral artery (MCA) resistance indices every one week (from 32 weeks onwards). Post-delivery birth weight of the baby, Apgar score at 0 and 5 minutes had been documented and correlated with doppler indices. Results: One-fifth of the mothers participating in the study (20%) had pre-term birth and 6.7% missed the follow-up. Umbilical artery resistance index (RI) at a cut off value of (0.79) had a diagnostic accuracy of 93%. MCA RI best cut off value was 0.63 with diagnostic accuracy of 73.9%. Also, for C/U ratio had diagnostic accuracy of 92.9%. Finally, there was significant, proportional correlation between MCA RA and C/U ratio from one side and APGAR score at 0 and 5 minutes from the other side. However, the correlation between UARI and Apgar score was inverse and statistically significant. Conclusion: Doppler velocimetry of fetal circulation can provide important information regarding fetal well-being, with subsequent impact on fetal outcome.
format	article
author	Fatima Al-Zahraa El-Hawary Abdel Aziz Mahmoud Rady Ahmed Abd-Eltawab
author_facet	Fatima Al-Zahraa El-Hawary Abdel Aziz Mahmoud Rady Ahmed Abd-Eltawab
author_sort	Fatima Al-Zahraa El-Hawary Abdel Aziz
title	Value of Middle Cerebral/Umbilical Artery Resistance Index Ratio in Neonatal Outcome in Patients with Intrauterine Growth Restriction (A Prospective Study)
title_short	Value of Middle Cerebral/Umbilical Artery Resistance Index Ratio in Neonatal Outcome in Patients with Intrauterine Growth Restriction (A Prospective Study)
title_full	Value of Middle Cerebral/Umbilical Artery Resistance Index Ratio in Neonatal Outcome in Patients with Intrauterine Growth Restriction (A Prospective Study)
title_fullStr	Value of Middle Cerebral/Umbilical Artery Resistance Index Ratio in Neonatal Outcome in Patients with Intrauterine Growth Restriction (A Prospective Study)
title_full_unstemmed	Value of Middle Cerebral/Umbilical Artery Resistance Index Ratio in Neonatal Outcome in Patients with Intrauterine Growth Restriction (A Prospective Study)
title_sort	value of middle cerebral/umbilical artery resistance index ratio in neonatal outcome in patients with intrauterine growth restriction (a prospective study)
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/db9946a2ef0d407cb06d757f7beacc30
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Value of Middle Cerebral/Umbilical Artery Resistance Index Ratio in Neonatal Outcome in Patients with Intrauterine Growth Restriction (A Prospective Study)

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