الفهرس | Only 14 pages are availabe for public view |
Abstract Abstract Introduction: Preeclampsia is a multi-system disorder which was classically characterized by the new onset of hypertension and proteinuria or end organ dysfunction or both in the last half of pregnancy. Aim of the Work: In women with severe preeclampsia, the middle cerebral artery/umbilical artery pulsatility index ratio Doppler during third trimester may predicte neonatal acidemia and low Apgar score at 5 minutes after birth accurately. Patients and Methods: One hundred cases who are at 34 to 40 weeks of gestation with severe preeclampsia attended antenatal clinic and emergency room at obstetrics and gynecology department, faculty of medicine, Ain Shams University Maternity Hospital during the period between June 2016 and November 2016, ultrasound was performed by staff at fetal care unit at Ain Shams University maternity hospital and emergency team staff. Results: This observational crosssectional study was designed to assess the middle cerebral artery (MCA) / umbilical artery (UA) resistance index ratio as predictor of neonatal outcome among women with severe preeclampsia. A total 100 pregnant women with severe preeclampsia were recruited in the study. Conclusion and Recommendations: We recommend adding MCA (PI)/ UA (PI) ratio to routine antepartum fetal surveillance from 34 weeks gestations for women with severe preeclampsia as there is a strong correlations between it and poor neonatal outcome. II Keyword: Fetal middle cerebral, pulsatility index ratio, severe Preeclampsia, Neonatal outcome |