الفهرس 
Congenital anomaliesOnly 14 pages are availabe for public view
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Abstract
Summary
The present study was conducted to evaluate the accuracy of
cerebral- Umbilical ratio (the middle cerebral artery divided by
the umbilical artery) as detected by color Doppler ultrasonography
and amniotic fluid index as a means of predicting intrauterine fetal
distress and adverse perinatal outcome in post-term pregnancies.
The present study included 50 pregnant ladies with gestational
age f r o m 40-42 weeks coming in labour in one group: All patients
were submitted to antenatal fetal surveillance tests including
modified biophysical profile (MBPP) which consists of the nonstress
test (NST), amniotic fluid index (AFI), and color Doppler
velocimetry of fetoplacental and fetal vessels including MCA PI,MCARA,
UA PI,UARI and CPR
All patients were submitted to antenatal fetal surveillance
tests In the current study, normal outcome is associated with
higher AFI, MCA-PI, CPR and lower UA-PI compared to adverse
outcome group with statistically significant difference between
normal and adverse outcome as regard AFI, CPR and MCA-PI, but
no significance as regard UA-PI.
Cases were classified as having adverse perinatal outcome
according to the study protocol criteria: Cesarean delivery for fetal
distress, thick meconium stained liquor, meconium aspiration
syndrome, 5-min Apgar score less than 7 and admission in neonatal
intensive care unit (NICU).It was proven that the AFI is the most sensitive predictor of
thick MSL and MAS where it was the only marker which was
highly significant in relation to them.
In the current study, there is highly statistically significant difference
between normal and adverse perinatal outcome as regard CPR and
AFI, while only significant as regard MCA-PI
On the other hand, there is no statistically significant difference as
regard UA-PI between normal and adverse perinatal outcome.