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Journal of Pregnancy and Newborncare


Research Article

Value of Middle Cerebral Artery Doppler Study and Amniotic Fluid Index in Prediction of Perinatal Outcome of Prolonged Pregnancies

Aml Khalil Khalil, Sheren Barakat El- Bohoty, Mohamed Mohamed Hefeda, Mohamed Nabih El-Gharib

Correspondence Address :

Mohamed Mohamed Hefeda
Department of Obstetrics & Gynecology and Radiology
Faculty of Medicine
Tanta University
Tanta, Egypt
Tel: +20117040040

Received on: March 27, 2018, Accepted on: April 03, 2018, Published on: April 09, 2018

Citation: Mohamed Mohamed Hefeda, Aml Khalil Khalil, Sheren Barakat El-Bohoty, Mohamed Nabih El-Gharib (2018). Value of Middle Cerebral Artery Doppler Study and Amniotic Fluid Index in Prediction of Perinatal Outcome of Prolonged Pregnancies

Copyright: 2018 Mohamed Mohamed Hefeda, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Objective: To assess the role of fetal middle cerebral artery Doppler and amniotic fluid index in uncomplicated prolonged pregnancies for the prediction of perinatal outcome.
Design: Prospective observational study
Setting: Tanta University Hospital and Miniat Elnasr Hospital.
Methods: All cases (50) ere pronged pregnancy, they were subjected to complete history taking, clinical and ultrasound exam to find out the amniotic fluid index (AFI) and middle cerebral artery (MCA) pulsatility index (PI) also and resistance index (RI). The outcomes of the MCA and AFI will be evaluated with respect to outcome of the infants and adverse perinatal outcome defined as: Meconium stained liquor, perinatal death, the need for emergency Cesarean delivery for fetal distress, Admission to the neonatal intensive care unit and Apgar scores at the first moment after birth.
Results: No statistically significant correlation between AFI, RI and PI versus different variables. The best cut off value for the three predictors and the sensitivity and specificity in predicting perinatal outcome. All the 3 markers considered were not valid and RI is considered the best of them. Conclusions: Both, AFI and middle cerebral artery Doppler RI and PI are not useful in predicting perinatal outcomes in normal postdated pregnancies. However, RI was considered the best one of them.

Keywords: Prolonged pregnancy, Postterm, Neonatal outcome