- Eurasian Journal of Critical Care
- Cilt: 5 Sayı: 3
- ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWT...
ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWTH RESTRICTION IN PREECLAMPTIC PREGNANCIES
Authors : Filiz TAŞÇI, Özlem BİLİR
Pages : 84-88
Doi:10.55994/ejcc.1345685
View : 25 | Download : 35
Publication Date : 2023-12-27
Article Type : Research
Abstract :Objective:To investigatetheutility of theumbilicalartery (UA) andmiddlecerebralartery (MCA) Doppler indicesandtheirratios in determiningintrauterinegrowthrestriction (IUGR) andunfavorablebirthoutcomes in preeclampticpregnancies. MaterialandMethod:Thisprospectivestudyincluded 59 preeclampticpregnantwomenand 63 healthypregnantwomen (controls) at a gestationalweek of 31-40 whowerefollowedup at thegynecologyandobstetricsclinic of a tertiaryhospitalover a 16-month period.Aftertheevaluation of normal andpreeclampticpregnanciesusing B-Modeultrasonography, the Doppler indexvalues of the UA and MCA weredeterminedusing Doppler ultrasonography. Bydeterminingthevelocity-time wavespectraforthe UA and MCA, thesystole/diastoleratio (S/D), resistiveindex (RI), andpulsatilityindex (PI) valueswerecalculatedfollowingtheautomaticalgorithm of thedevice. Results:The UAS/D (3.47±1.29) and UA RI (0.69±0.13) values of thepreeclampticgroupstatisticallysignificantlydifferedfromthose of thecontrols (2.50 ± 0.30 and 0.59 ± 0.06, respectively) (p<0.001). The Doppler indices of theMCAwerelower in preeclampticpregnancies (PI: 1.28±0.34, RI: 0.73±0.09), andthiswasmoreprominent in fetuseswith IUGR (p<0.001). Therewerealsosignificantdifferencesbetweenthepreeclampticandhealthycontrolgroups in terms of the UA/MCA and MCA/UA Doppler indexratios (p<0.001). Conclusion:Non-invasive Doppler indicescan be used in combinationtoincreasediagnosticaccuracyandprevent fetal mortalityandmorbidity .Keywords : Preeclampsia, intrauterine growth restriction, doppler