DOI: 10.36347/sjams.2018.v06i11.029

Pages: 4313-4319

Hypertension disease is a major cause of maternal mortality; it's also responsible for perinatal morbidity and mortality mainly due to its effect on the growing fetus. Preeclampsia (PE) which is characterized by high blood pressure, proteinuria and edema is threatens the maternal and fetus life. Doppler Ultrasound (US) study has been considered as primary tool of choice for PE patients' assessment. To assess Doppler studies of fetal middle cerebral artery (MCA) indices in PE patients for prediction of PE and adverse perinatal outcome. A prospective study on 221 pregnant women (100 with preeclampsia and 121 with normal pregnancy) of fetal MCA indices was performed using Doppler US then perinatal outcomes were monitored. The data was presented in percentage and discussed, between patients age, gestational age (GA), parity, diastolic, systolic, pulsatility index (PI), resistant index (RI), and systolic/diastolic ratio (S/D ratio) of fetal MCA Doppler indices and its correlated to fetal outcome, were analyzed statistically. Then the results were discussed. Doppler study in PE patients is a non-invasive hemodynamic study; abnormal waveforms are associated with the adverse perinatal outcome in our study. It is useful guide to plan timely intervention so as to reduce perinatal mortality and morbidity.