TY - JOUR ID - 121248 TI - Relation Between Fetal Doppler Pulmonary Artery Indices and Neonatal Respiratory Distress Syndrome In Term Neonates JO - International Journal of Medical Arts JA - IJMA LA - en SN - 2636-4174 AU - Alsheikh, Ahmed Mohamed AU - Elsadek, Ahmed Mohammed AU - Gebreel, Samy Amin AD - Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Egypt Y1 - 2021 PY - 2021 VL - 3 IS - 1 SP - 1046 EP - 1052 KW - Neonatal respiratory distress syndrome KW - Pulmonary artery KW - fetal Doppler KW - Pulsatility Index KW - resistive index DO - 10.21608/ijma.2020.43097.1172 N2 - Background: Neonatal respiratory distress syndrome (RDS) is a common and challenging neonatal morbidity. Reliable prediction of the condition can improve management. Fetal pulmonary artery (PA) Doppler indices were suggested for prediction. However, the findings of different studies are conflicting.Aim of the work: The present study aimed to assess the value of PA indices in the prediction of neonatal RDS in term babies.Subjects and methods: This prospective study included 120 women with singleton term pregnancy. Assessed Doppler indices for the main pulmonary artery included pulsatility index (PI), resistive index (RI), peak systolic velocity (PSV), and the At/Et ratio. Upon delivery, the newborn babies were examined for RDS signs (tachypnea, retractions, and/or nasal flaring).Results: Among the 120 delivered babies, there were 16 (13.3 %) with RDS. Comparison between neonates with RDS and neonates without showed significantly lower neonatal weight, higher pulmonary artery RI and PI, higher pulmonary artery PSV in neonates with RSD. Also, they had a significantly lower pulmonary artery at/et ratio when compared with normal babies. The pulmonary artery at/et ratio showed the best performance compared to other indices (sensitivity: 100.0 %, specificity: 50.0 %) at a cut-off (0.32).Conclusions: The present study documented reliable predictive value of PA hemodynamic parameters including RI, PI, PSV, and at/et ratio in predicting neonatal RDS in term babies. UR - https://ijma.journals.ekb.eg/article_121248.html L1 - https://ijma.journals.ekb.eg/article_121248_ea959a50b013f481b0c5bc85c5ead0f1.pdf ER -