Relation Between Fetal Doppler Pulmonary Artery Indices and Neonatal Respiratory Distress Syndrome In Term Neonates

Background: Neonatal respiratory distress syndrome (RDS) is a common and challenging neonatal morbidity. Reliable prediction of the condition can improve management. Fetal pulmonary artery (PA) Doppler indices were suggested for prediction. However, the findings of different studies are conflicting....

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Autores principales:	Ahmed Alsheikh, Ahmed Elsadek, Samy Gebreel
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	neonatal respiratory distress syndrome pulmonary artery fetal doppler pulsatility index resistive index Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f1e0722d5d6a45d69179e69dca147ede
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spelling	oai:doaj.org-article:f1e0722d5d6a45d69179e69dca147ede2021-12-02T14:10:53ZRelation Between Fetal Doppler Pulmonary Artery Indices and Neonatal Respiratory Distress Syndrome In Term Neonates2636-41742682-378010.21608/ijma.2020.43097.1172https://doaj.org/article/f1e0722d5d6a45d69179e69dca147ede2021-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_121248_ea959a50b013f481b0c5bc85c5ead0f1.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Neonatal respiratory distress syndrome (RDS) is a common and challenging neonatal morbidity. Reliable prediction of the condition can improve management. Fetal pulmonary artery (PA) Doppler indices were suggested for prediction. However, the findings of different studies are conflicting. Aim of the work: The present study aimed to assess the value of PA indices in the prediction of neonatal RDS in term babies. Subjects and methods: This prospective study included 120 women with singleton term pregnancy. Assessed Doppler indices for the main pulmonary artery included pulsatility index (PI), resistive index (RI), peak systolic velocity (PSV), and the At/Et ratio. Upon delivery, the newborn babies were examined for RDS signs (tachypnea, retractions, and/or nasal flaring). Results: Among the 120 delivered babies, there were 16 (13.3 %) with RDS. Comparison between neonates with RDS and neonates without showed significantly lower neonatal weight, higher pulmonary artery RI and PI, higher pulmonary artery PSV in neonates with RSD. Also, they had a significantly lower pulmonary artery at/et ratio when compared with normal babies. The pulmonary artery at/et ratio showed the best performance compared to other indices (sensitivity: 100.0 %, specificity: 50.0 %) at a cut-off (0.32). Conclusions: The present study documented reliable predictive value of PA hemodynamic parameters including RI, PI, PSV, and at/et ratio in predicting neonatal RDS in term babies.Ahmed AlsheikhAhmed ElsadekSamy GebreelAl-Azhar University, Faculty of Medicine (Damietta)articleneonatal respiratory distress syndromepulmonary arteryfetal dopplerpulsatility indexresistive indexMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 1, Pp 1046-1052 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	neonatal respiratory distress syndrome pulmonary artery fetal doppler pulsatility index resistive index Medicine (General) R5-920
spellingShingle	neonatal respiratory distress syndrome pulmonary artery fetal doppler pulsatility index resistive index Medicine (General) R5-920 Ahmed Alsheikh Ahmed Elsadek Samy Gebreel Relation Between Fetal Doppler Pulmonary Artery Indices and Neonatal Respiratory Distress Syndrome In Term Neonates
description	Background: Neonatal respiratory distress syndrome (RDS) is a common and challenging neonatal morbidity. Reliable prediction of the condition can improve management. Fetal pulmonary artery (PA) Doppler indices were suggested for prediction. However, the findings of different studies are conflicting. Aim of the work: The present study aimed to assess the value of PA indices in the prediction of neonatal RDS in term babies. Subjects and methods: This prospective study included 120 women with singleton term pregnancy. Assessed Doppler indices for the main pulmonary artery included pulsatility index (PI), resistive index (RI), peak systolic velocity (PSV), and the At/Et ratio. Upon delivery, the newborn babies were examined for RDS signs (tachypnea, retractions, and/or nasal flaring). Results: Among the 120 delivered babies, there were 16 (13.3 %) with RDS. Comparison between neonates with RDS and neonates without showed significantly lower neonatal weight, higher pulmonary artery RI and PI, higher pulmonary artery PSV in neonates with RSD. Also, they had a significantly lower pulmonary artery at/et ratio when compared with normal babies. The pulmonary artery at/et ratio showed the best performance compared to other indices (sensitivity: 100.0 %, specificity: 50.0 %) at a cut-off (0.32). Conclusions: The present study documented reliable predictive value of PA hemodynamic parameters including RI, PI, PSV, and at/et ratio in predicting neonatal RDS in term babies.
format	article
author	Ahmed Alsheikh Ahmed Elsadek Samy Gebreel
author_facet	Ahmed Alsheikh Ahmed Elsadek Samy Gebreel
author_sort	Ahmed Alsheikh
title	Relation Between Fetal Doppler Pulmonary Artery Indices and Neonatal Respiratory Distress Syndrome In Term Neonates
title_short	Relation Between Fetal Doppler Pulmonary Artery Indices and Neonatal Respiratory Distress Syndrome In Term Neonates
title_full	Relation Between Fetal Doppler Pulmonary Artery Indices and Neonatal Respiratory Distress Syndrome In Term Neonates
title_fullStr	Relation Between Fetal Doppler Pulmonary Artery Indices and Neonatal Respiratory Distress Syndrome In Term Neonates
title_full_unstemmed	Relation Between Fetal Doppler Pulmonary Artery Indices and Neonatal Respiratory Distress Syndrome In Term Neonates
title_sort	relation between fetal doppler pulmonary artery indices and neonatal respiratory distress syndrome in term neonates
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/f1e0722d5d6a45d69179e69dca147ede
work_keys_str_mv	AT ahmedalsheikh relationbetweenfetaldopplerpulmonaryarteryindicesandneonatalrespiratorydistresssyndromeintermneonates AT ahmedelsadek relationbetweenfetaldopplerpulmonaryarteryindicesandneonatalrespiratorydistresssyndromeintermneonates AT samygebreel relationbetweenfetaldopplerpulmonaryarteryindicesandneonatalrespiratorydistresssyndromeintermneonates
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Relation Between Fetal Doppler Pulmonary Artery Indices and Neonatal Respiratory Distress Syndrome In Term Neonates

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