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Corresponding Author

El-Madany, Yehia

Document Type

Original Article

Abstract

Background; New-onset gestational hypertension and proteinuria are symptoms of preeclampsia, a pregnancy complication. Both moms and their infants are affected by the illness. Aim and objectives; was to assess the accuracy of Doppler indices during the third trimester in predicting fetal outcome after administration of corticosteroids in women with preeclampsia. Subjects and methods; A prospective randomised controlled clinical trial with double blinding was done. at El Galaa Maternity Teaching Hospital. Pregnant ladies between 32 to 36 weeks of gestation with preeclampsia who attend antenatal clinic and emergency room at El Galaa Maternity Teaching Hospital's Obstetrics and Gynecology Department. Results; there was one case of stillbirth among Study cases. 40% of neonates of Study group were admitted to NICU versus only 2 neonates of control group, 34 % of Study cases' neonates showed RDS versus only one of control group. umbilical artery PI, RI, and S/D ratio showed significant decrease 48 hours after dexamethasone administration and then returned to baseline levels after 4 days of administration of dexamethasone. Conclusion; Doppler examination can identify foetuses at risk for NICU admission and morbidity, allowing for antenatal risk calculation and prognostication. Based on the Doppler findings, in-utero transfer to tertiary care centres can be explored, providing for superior post-natal management and outcomes. Neonatal outcomes are better for those born at or near term than for those born very preterm, indicating that gestational age is a significant factor of neonatal outcome.

Keywords

Neonates; preeclampsia; Doppler evaluation; predicting; Gestational age

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