الفهرس | Only 14 pages are availabe for public view |
Abstract Summary The present study was conducted to evaluate the accuracy of cerebral- Umbilical ratio (the middle cerebral artery divided by the umbilical artery) as detected by color Doppler ultrasonography and amniotic fluid index as a means of predicting intrauterine fetal distress and adverse perinatal outcome in post-term pregnancies. The present study included 50 pregnant ladies with gestational age f r o m 40-42 weeks coming in labour in one group: All patients were submitted to antenatal fetal surveillance tests including modified biophysical profile (MBPP) which consists of the nonstress test (NST), amniotic fluid index (AFI), and color Doppler velocimetry of fetoplacental and fetal vessels including MCA PI,MCARA, UA PI,UARI and CPR All patients were submitted to antenatal fetal surveillance tests In the current study, normal outcome is associated with higher AFI, MCA-PI, CPR and lower UA-PI compared to adverse outcome group with statistically significant difference between normal and adverse outcome as regard AFI, CPR and MCA-PI, but no significance as regard UA-PI. Cases were classified as having adverse perinatal outcome according to the study protocol criteria: Cesarean delivery for fetal distress, thick meconium stained liquor, meconium aspiration syndrome, 5-min Apgar score less than 7 and admission in neonatal intensive care unit (NICU).It was proven that the AFI is the most sensitive predictor of thick MSL and MAS where it was the only marker which was highly significant in relation to them. In the current study, there is highly statistically significant difference between normal and adverse perinatal outcome as regard CPR and AFI, while only significant as regard MCA-PI On the other hand, there is no statistically significant difference as regard UA-PI between normal and adverse perinatal outcome. |