DOI: 10.36347/sjams.2019.v07i09.037

Pages: 3093-3097

This was prospective study carried out in -Khartoum state –Sudan, Khartoum Bahri Teaching hospital in the period from august 2016 to December 2018. The problem of study was the post term pregnancy constitutes a challenge to clinicians; knowing who to induce, who will respond to induction and who will require a caesarean section (CS) and the risk of stillbirth increases beyond 41 weeks, additional fatal risks of postdate pregnancies include macrosomia, caesarean deliveries and shoulder dystocia, as well as meconium aspiration syndrome and oligohydramnios, on the other hand the Doppler ultrasound can be used as an excellent tools to aid in management. The main aim of the study was to assess MCA in postdate pregnancies by spectral Doppler ultrasound. The study was done in 64 pregnant women with normal singleton pregnancy with mean age 27 years, with gestational age ranged from 40 weeks 1day to 46 week, no maternal medical condition that may affect pregnancy outcome such as diabetic and hypertension. The data was collected by data collection sheet designed especially for this study and including all variables; then analyzed by statistical package for social sciences (SPSS). The study found that most of postdate were nulliparous 73.4%, 67.2% had adverse outcome. 40.6% delivered by CS, 6.2% had oligohydramnios, 10.9% had macrosomia, 1.6 % prenatal mortality. The study concluded that no significant difference in Doppler indices of MCA in postdate with adverse outcome and normal outcome (PI, RI,S\D ratio and CU ratio) (p >0.05) but are slightly increased in case with adverse outcome than in normal outcome.