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Date Published: 31/08/2023
Online Published: 31/07/2023
Abstract Views: 1527
Views PDF: 923
DOI: https://doi.org/10.58490/ctump.2023i62.1484
Issue
No. 62 (2023)
Section
Article
How to Cite
Duong, M. L., Nguyen, H. D. T., Bui, Q. N., Hua, K. C., & Truong, Q. T. (2023). VALUE OF DOPPLER UMBILICAL ARTERY, MIDDLE CEREBRAL ARTERY ULTRASONOGRAPHY IN PREDICTING FETAL WELL-BEING IN PREGNANT WOMEN WITH PREECLAMPSIA AT CAN THO OBSTETRICS AND GYNECOLOGY HOSPITAL 2021 - 2023. Cantho Journal of Medicine and Pharmacy, 62, 186-193. https://doi.org/10.58490/ctump.2023i62.1484

VALUE OF DOPPLER UMBILICAL ARTERY, MIDDLE CEREBRAL ARTERY ULTRASONOGRAPHY IN PREDICTING FETAL WELL-BEING IN PREGNANT WOMEN WITH PREECLAMPSIA AT CAN THO OBSTETRICS AND GYNECOLOGY HOSPITAL 2021 - 2023

My Linh Duong1, Hong Dan Thanh Nguyen1,, Quang Nghia Bui1, Kim Chi Hua1, Quynh Trang Truong1
1 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Preeclampsia is one of the leading causes of substantial maternal and perinatal morbidity and mortality globally. The combination of umbilical artery and fetal brain Doppler indices may increase the prognostic value in preeclamptic pregnant women. Objectives: To determine the cut off value of ultrasound Doppler umbilical artery, middle cerebral artery in predicting fetal well-being in pregnant women with preeclampsia at Can Tho Obstetrics and Gynecology Hospital. Subjects and methods: Study on 77 patients with preeclampsia at Can Tho Obstetrics and Gynecology Hospital were taken by an prospective cohort study from 06/2021 to 03/2023. Results: Umbilical artery had the cut off value 0.63 at gestational age of 34-36 weeks, 0.59 at gestational age above 37 weeks. The sensitivity, specificity, positive predictive value, negative predictive value of umbilical artery is 76.9%; 76.9%; 76.9%; 76.9% and 58.8%; 70.0%; 62.5%; 66.7% respectively. Middle cerebral artery had cut off value 0.73 at gestational age of 34- 36 weeks, 0.68 at gestational age above 37 weeks. The sensitivity, specificity, positive predictive value, negative predictive value of middle cerebral artery is 92.3%; 23.1%; 54.5%; 75% and 52.9%; 80.0%; 69.2%; 66.7% respectively. The C/U ratio of cut off value for predictive fetal distress is 1.05 with the specificity of 83.3%. Conclusion: The study found the cut off values of the umbilical artery and middle cerebral artery to predict fetal distress in preeclampsia. Umbilical artery and C/U ratio had high value in prediction fetal well - being to help clinicians determine the most appropriate management, especially to decide the timing of delivery.

Article Details

Keywords

preeclampsia, fetal distress, resistance index, middle cerebral artery, umbilical artery

References

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