ROLE OF MIDDLE CEREBRAL ARTERY AND DUCTUSVENOSUS DOPPLER IN EVALUATION OF INTRAUTERINE GROWTH RESTRICTION

Abstract

Background: World over, intrauterine growth restriction (IUGR) is observed in about 24% of newborns. Approximately, 30 million infants suffer from IUGR every year. IUGR is associated with stillbirth, neonatal death, and perinatal morbidity as well as delayed effects including cerebral palsy (CP) and adult diseases. Objective: To assess the role of umbilical artery, middle cerebral artery and ductus venosus doppler in evaluating the neonatal outcome of growth restricted fetuses. Patients and methods: Our study was conducted on 100 pregnant women attended at the department of Obstetrics and Gynecology, Al-Azhr University Hospitals from January 2019 to December 2019. The cases were allocated into 2 main groups: Group I: thirty two pregnant women with intrauterine growth restriction (IUGR), Group II: sixty eight normal pregnant women without IUGR. Results: The presence of high statistical significance correlation between neonatal outcome and Doppler indices of umbilical artery, middle cerebral artery (PSV, PI, RI) in IUGR group. There were also high statistical significance correlation between neonatal outcome and Ductus venosus Doppler with high specificity and sensitivity of A wave RI, PI in IUGR group. Conclusion: The umbilical artery Doppler indices (RI, PI) were abnormally high in IUGR, in addition with S/D ratio have significant relation with poor neonatal outcome in IUGR fetuses. Middle cerebral artery Doppler indices (PSV, S/D ratio, RI and PI) are abnormally high in IUGR and have high significant relation with poor neonatal outcome in IUGR group.