Comparison of fetal middle cerebral artery versus umbilical artery color Doppler ultrasound for predicting neonatal outcome in complicated pregnancies with fetal growth restriction

Sharbaf, Fatemeh Rahimi; Movahed, Fatemeh; Pirjani, Reihaneh; Teimoory, Nastaran; Shariat, Mamak; Farahani, Zahra

doi:10.15419/bmrat.v5i5.443

Cited by 13 publications

(11 citation statements)

References 10 publications

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“…In our study, out of 100 patients, (38%) had first gravidity, (29%) had gravida 2, (27%) had 3 rd gravidity and only (6%) patients had 4 th gravidity. In consonance to our study Anjum S et al, (2019) also reported maximum percentage of primigravidae [10] . Another study by Geeta M et al, (2016) showed 40% primigravidae patients [12] .…”

Section: Results and Observationssupporting

confidence: 93%

“…However, we found that (52%) did not have any associated risk factor. In similar kind of study by Anjum S et al, (2019), pregnancy induced hypertension was present in (38%) patients making it most important risk factor, diabetes in 2% cases, anaemia in (30%) cases [10] . So, this study was similar to our study in proving pregnancy induced hypertension as most important risk factor.…”

Section: Results and Observationsmentioning

confidence: 59%

“…. Likewise Sharbaf et al, (2018), reported the mean maternal age as (27.83±5.85) years [11] . In a study conducted by Geeta M et al, (2016), 83% patients were in age group (21 -30) years [12] .…”

Section: Results and Observationsmentioning

confidence: 99%

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Role of color doppler sonography in the intrauterine growth restriction and perinatal outcome

Sharma¹,

Sharma²,

Kumar³

2021

Int. J. Clin. Obstet. Gynaecol.

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Section: Results and Observationssupporting

confidence: 93%

Section: Results and Observationsmentioning

confidence: 59%

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Role of color doppler sonography in the intrauterine growth restriction and perinatal outcome

Sharma¹,

Sharma²,

Kumar³

2021

Int. J. Clin. Obstet. Gynaecol.

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“…Study further disclosed that mean middle cerebral PI in IUGR group was 1.15±0.26 and among normal females was 1.63±0.36. The findings were determined to be significant statistically (P 0.001).Virtually the results of our study are comparable with a study undertaken by Sharbaf 31 and partners in 2018 who asserted that mean middle cerebral PI in IUGR group was 1.405±0.377 and among normal females was 1.799±0.412 while the results were found statistically significant (P <0.000).…”

Section: Discussionsupporting

confidence: 87%

Placental Elasticity (KPA) Assessment by Shearwave Elastography in early detection of hypotrophic fetuses.

Butt¹,

Gilani²,

Hanif³

et al. 2021

PJMHS

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Aim: To see the predictability of the shear wave elastography assessment of placental elasticity (kpa) for early detection of hypotrophic fetuses Design: Cross sectional comparative.300 single tone pregnancies previously diagnosed as normal and hypotrophic fetuses were included, the placental elasicity assessed by shear wave elastography of both groups and compared. Methods: We took biometric measurements and Doppler indicis of the uterine, umbilical, and middle cerebral arteries in both groups and screened them for grayscale and colour doppler ultrasonography. The placental elasticity was measured by Shear wave elastography in these groups .The comparison of strain ratios between these groups were done. Statistical analysis was carried out using the Mann-Whitney test. By plotting ROC curves, cut-off values for elasticity were analysed. On Shear wave elastography measurements, the sensitivity and specificity and diagnostic accuracy of hypotrophic fetuses were planned and developed. Results: The mean placental elasticity in hypotrophic fetuses and normal group was 28.71 ± 7.28 and 5.64 ± 1.53 respectively while the median placental elasticity in IUGR group was 27 ± 7 and 5.50 ± 2 with statistically higher median in hypotrophic groups, p-value < 0.001. Conclusion: In hypotrophic fetuses, as placental stiffness values are much higher, therefore for early detection of compromised hypotrophic fetuses , as a non-invasive, supplementary tool to gray-scale and Doppler, the Shear-wave elastography can be used. Keywords: Hypotrophic fetuses, Shear-wave elastography, Placental Elasticity (kpa), IUGR, Uterine artery, Umbilical artery, Middle cerebral artery, resistive index, pulsatility index,

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“…4 Fetal and maternal doppler ultrasound helps in detection of compromised IUGR fetus by doing timely intervention which is main objective of antenatal care. 5 IUGR are mainly due to increased resistance within the placental circulation which leads to decrease in velocity in the feeding arteries especially during diastole than systole. Disproportionate slowing of diastolic relative to systolic flow leads to elevation of a number of Doppler indices, including the systolic/diastolic ratio and the pulsatility index.…”

Section: Introductionmentioning

confidence: 99%

Role of Colour Doppler in Evaluation of Intrauterine Growth Retardation

Veerabathini¹,

Mohanthy²,

Mukherjee³

et al. 2020

IJCMSR

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Introduction:Most common complication of pregnancy is intrauterine growth restriction which is associated with perinatal mortality, morbidity and neurological impaired development. Doppler of Uterine, umbilical, middle cerebral arteries and cerebro-placental ratio are commonly done for intrauterine growth restriction evaluation. The aim of the study was to evaluate the diagnostic performance of fetal middle cerebral artery and umbilical artery by Doppler ultrasonography in high risk mothers and correlation with perinatal outcome. Material and Methods: Fifty singleton pregnancies beyond 28 weeks of gestation complicated by intrauterine growth restriction were prospectively examined with Doppler ultrasound of umbilical and middle cerebral arteries. Results: 40 of the 50 cases included in the study had adverse outcome. The sensitivity of Doppler of the umbilical artery using Pulsatility index was 82.5%, middle cerebral artery Pulsatility index was 77.5% and ratio of middle cerebral artery Pulsatility index / umbilical artery Pulsatility index was 87.5% in predicting perinatal outcome. Conclusion: Pulsatility index ratio of middle cerebral artery / umbilical artery is the most sensitive index in predicting perinatal outcome (87.5%). Umbilical Systolic /Diastolic ratio is the most specific index (80.9%). Absent and reversed diastolic flow in umbilical artery in prenatal sonography carries grave prognosis and high mortality of fetus. Combined use of both umbilical and middle cerebral arterial doppler study including the cerebro-placental ratio increase the sensitivity of the doppler studies for prediction adverse perinatal outcome.

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Comparison of fetal middle cerebral artery versus umbilical artery color Doppler ultrasound for predicting neonatal outcome in complicated pregnancies with fetal growth restriction

Cited by 13 publications

References 10 publications

Role of color doppler sonography in the intrauterine growth restriction and perinatal outcome

Role of color doppler sonography in the intrauterine growth restriction and perinatal outcome

Placental Elasticity (KPA) Assessment by Shearwave Elastography in early detection of hypotrophic fetuses.

Role of Colour Doppler in Evaluation of Intrauterine Growth Retardation

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