MIDDLE CEREBRAL ARTERY AND UMBILICAL ARTERY PULSATILITY INDEX RATIO IN PATIENTS WITH PREGNANCY INDUCED HYPERTENSION AND ITS CORRELATION WITH PERINATAL OUTCOME

Abstract

A ntenatal care is a primary defense mechanism against diagnosis of the disease and picking up of the severe cases with subsequent early management and intervention. The second line of defense mechanism which would carry the lowest maternal and fetal morbidity and mortality is the aggressive management of severe cases of high risk pregnancy. In this study which included 56 women with pregnancy induced hypertension admitted to Ain Shams maternity university hospital our aim was to evaluate the accuracy of Middle cerebral artery/Umbilical artery Pulsatility index ratio in predicting low Apgar score at 1,5 minutes, birth weight, NICU admission, emergency c.s and neonatal death in neonates of pregnancy induced hypertension women. There was a positive significant correlation between Apgar score at 1 and 5 min and (MCA/UA) PI ratio which was a good predictor of NICU admission, neonatal death and emergency c.s. MCA / UA PI ratio was more sensitive and more specific than its two components UA (PI) and MCA (PI) in prediction of poor neonatal outcome (Apgar score). Also diagnostic accuracy of MCA /UA RI ratio was better than diagnostic accuracy of MCA (RI) and UA (RI).