Correlation of adverse neonatal outcomes of pregnant women with hypertensive disorders using the middle cerebral artery and umbilical artery pulsatility index ratio.
- Author:
Serrano Maharica J
;
Salvador Floriza C
- Publication Type:Journal Article, Original
- MeSH: Human; Male; Female; Pregnancy; Umbilical Arteries; Middle Cerebral Artery; Ultrasonography, Prenatal; Fetus; Placenta; Hypertension; Ultrasonography, Doppler
- From: Philippine Journal of Obstetrics and Gynecology 2014;38(3):7-14
- CountryPhilippines
- Language:English
-
Abstract:
BACKGROUND: Doppler velocimetry studies of placental and fetal circulation can provide important information regarding fetal wellbeing providing an opportunity to improve fetal outcome. The present study was undertaken to evaluate the role of middle cerebral to umbilical artery pulsatility index ratio (MCA/UA PI Ratio) as a predictor of perinatal outcome in hypertensive pregnant patients admitted from January 2009- December 2011 at the De La Salle-University Medical Center
OBJECTIVES: To correlate the neonatal outcomes of hypertensive pregnant women at 28-34 weeks AOG with the middle cerebral artery and umbilical artery pulsalitility index ratio.
STUDY DESIGN: A retrospective cohort was done on records of patients with hypertension who delivered from January 2009 - December 2011. Doppler ultrasound results of said patients that were available at the OB-GYN ultrasound section were recorded and the MCA/UA PI Ratio computed. Doppler results were then compared to neonatal outcomes
RESULTS: Results of the study shows that 10 out of the 17 hypertensive patients with decreased MCA/UA PI Ratio developed Intrauterine growth restriction. 62.5% of those patients who had normal MCA/UA PI Ratio results delivered term, while 87.5% of those who had decreased MCA/UA PI Ratio delivered preterm (P <0.002). However results of the MCA/UA PI ratio has no association on APGAR scores at 1 and 3 minutes.
CONCLUSION: Decreased MCA/UA PI Ratio results have an association on the development of adverse neonatal outcomes in hypertensive pregnant women.