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TITLE:

EVALUATION OF FETAL (MCA) VERSUS (UA) COLOR DOPPLER ULTRASOUND FOR DETERMINING NEWBORN OUTCOME IN OBSTRUCTED GESTATIONAL WITH (FGR)

AUTHORS:

Muhammad Nauraiz Zubair, Dr. Muhammad Ibrahim Shahzad, Dr Muhammad Subeeh Gulbaz

ABSTRACT:

Purpose: The aim of the present study was to compare alterations in the fetal MCA versus umbilical artery (UA) pulsatility indices (PI) in complicated pregnancies by fetal growth restriction (FGR). Place and Duration: In the Obstetrics and gynecology department Unit II of Services Hospital Lahore for one-year duration from May 2018 to April 2019. Methods: One hundred and fifty pregnant women in the third quarter he participated in the study with FGR forecast. Tran’s abdominal ultrasound was done to determine the weight of the fetus. After birth, all newborns were divided into 2 groups: Small for gestational age (SGA), not for SGA. We compare UA and MCA Doppler values In the SGA forecast. Data were evaluated by t-test and chi-square test. Results: After the delivery, 126 Mothers had SGA and 24 subjects had newborns without SGA. Unlike UA PI, MCA artery PI, The SGA and non-SGA groups were significantly different (p = 0.062 for UA PI comparison; p = 0.0001 MCA PI for comparison). 40.5% reduction in fetuses in MCA IP from 126 cases UA PI increased in 22.2% of fetuses. There were significant differences in both specificity and sensitivity. Specificity towards UA PI for MCA PI (p = 0.014 for sensitivity; p = 0.009 for specificity). Conclusion: The results indicate that in all cases SGA decreased MCA PI, UA PI. Sensitivity, specificity and SGA prognosis for MCA PI was higher than UA PI.

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