Document Type
Original Article
Abstract
Background; Doppler ultrasonography is typically used to examine umbilical arteries, however recent research have shown that middle cerebral artery (MCA) Doppler examination is equally effective and strongly recommend it. Aim and objectives; This study sought to determine how well the ratio of the middle cerebral artery to umbilical artery pulsatility could be used to predict a newborn's outcome in Primi Gravida with hypertension. Subjects and methods: Women who have Primi Gravida with Hypertension participated in this cohort research. Between December 2021 and November 2022, Emergency personnel and workers at ALHUSSIEN University Hospital's foetal care unit 100 patients with severe preeclampsia who visited the prenatal clinic and emergency room at the obstetrics and gynaecology department, college of medicine, ALHUSSIEN University Hospital underwent ultrasounds. Result; With a p value of 0.009, 62.5% sensitivity, 71.43% specificity, an estimated positive predictive value of 29.41, and a negative predictive value of 90.91, the MCA/UA PI ratio demonstrated high NICU predictive value, Conclusion; Doppler data, which includes cerebral and umbilical velocimetry, can be helpful in treating preeclampsia patients and in determining when to deliver the patient in order to save the foetus because it gives information on how the placental anomaly will affect the fetus.
Keywords
Middle Cerebral artery; Umbilical Artery; Doppler; Prediction; Neonatal Outcome; PrimiGravida; Hypertension
Subject Area
Obstetrics and Gynecology
How to Cite This Article
Ali, Samir Abdalla; Atalla, Emad Mohamed Ibrahim; and Awad, Ahmed Abdelhamid Ahmed
(2023)
"The Value Of Middle Cerebral versus Umbilical Artery Doppler In The Prediction Of Neonatal Outcome Among Primi Gravida With Hypertension,"
Al-Azhar International Medical Journal: Vol. 4:
Iss.
9, Article 19.
DOI: https://doi.org/10.58675/2682-339X.2004
