{"title":"ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWTH RESTRICTION IN PREECLAMPTIC PREGNANCIES","authors":"Filiz Taşçi, Özlem Bi̇li̇r","doi":"10.55994/ejcc.1345685","DOIUrl":null,"url":null,"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","PeriodicalId":507244,"journal":{"name":"Eurasian Journal of Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Eurasian Journal of Critical Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.55994/ejcc.1345685","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
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
目的：探讨脐动脉（UA）和大脑中动脉（MCA）多普勒指数及其比值在确定先兆子痫孕妇宫内生长受限（IUGR）和不利分娩结局方面的效用。 材料与方法：这项前瞻性研究包括 59 名孕周在 31-40 孕周的先兆子痫孕妇和 63 名健康孕妇（对照组），她们在一家三甲医院的妇产科门诊接受了为期 16 个月的随访。在使用 B 型超声波对正常妊娠和先兆子痫妊娠进行评估后，使用多普勒超声波测定了 UA 和 MCA 的多普勒指数值。通过测定 UA 和 MCA 的速度-时间波谱，按照设备的自动数学算法计算出搏动/舒张比（S/D）、阻力指数（RI）和搏动指数（PI）值。 结果：先兆子痫组的 UAS/D 值（3.47±1.29）和 UA RI 值（0.69±0.13）与对照组的 UAS/D 值（2.50±0.30）和 UA RI 值（0.59±0.06）存在显著差异（P＜0.05）。
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