Sildenafil Citrate and Uteroplacental Perfusion in Fetal Growth Restriction

Mohamed Zaifer Ali Bawady;

Abstract


Abstract
Objective: To evaluate effectiveness and safety of Sildenafil citrate for treatment of intrauterine growth restriction (IUGR).
Design: A prospective randomized control study.
Setting: At Ain shams University hospital and Kafr Aldwwar main Hospital in El-Beheria governorate.
Subjects: eighty pregnant women with gestational age between 24 to 34 weeks having singleton pregnancy and suffering from IUGR attending an antenatal clinic.
Methods: Eighty pregnant women with FGR and abnormal umbilical artery Doppler between 24and34 weeks were randomly allocated to sildenafil (n= 40) 25mg tid or placebo (n=40) with a plenty of fluids until delivery.
Main outcome measure: Length of pregnancy, neonatal weight and ICU admission.
Results: Sildenafil treatment was associated with a significant increase in length of pregnancy (P> 0.05) and a significant increase in estimated fetal weight by ultrasound (P<0.05), and was associated with a significant decrease in neonatal ICU admission (P=0.218) and neonatal mortality (P=0.290).


Other data

Title Sildenafil Citrate and Uteroplacental Perfusion in Fetal Growth Restriction
Other Titles عقار السلدنيافيل سترات وعلاقته بالتدفق الرحمى المشيمى فى قصور نمو الجنين داخل الرحم
Authors Mohamed Zaifer Ali Bawady
Issue Date 2018

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