Obstetrics and Gynecology
Mahsa Naemi; Maasoumeh Saleh; Mahboubeh Saleh
Volume 8, Issue 2 , March and April 2023, , Pages 125-130
Abstract
Background & Objective: Preeclampsia (PE) is a major complication of pregnancy worldwide. Doppler ultrasound of maternal arteries, including uterine and ophthalmic arteries (OA), plays an important role in determining individuals progressing PE. The aim of this study is to compare OA indices ...
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Background & Objective: Preeclampsia (PE) is a major complication of pregnancy worldwide. Doppler ultrasound of maternal arteries, including uterine and ophthalmic arteries (OA), plays an important role in determining individuals progressing PE. The aim of this study is to compare OA indices in pregnant women with a diagnosis of PE and women without it.Materials & Methods: This study evaluated pregnant women who had delivery in Shariati Hospitals, Tehran, Iran between January 2021 and March 2022. The maternal OA Doppler waves were obtained in preeclamptic and non-preeclamptic women at 35 to 37 weeks of gestation by a maternal-fetal medicine specialist. OA Doppler parameters including first and second PSV, second to first PSV ratio (Peak ratio, PR) and PI were obtained for each eye and also average between the eyes.Results: Out of 148 included participants, 48 cases progressed to PE at 35 to 37 weeks of gestation and 100 cases did not have PE at the same gestational age. All OA parameters including (First and second peak systolic velocities (PSV), second to first PSV Ratio (PR) and Pulsatility Index (PI) in each eye; as well as, the average of these indices in both eyes) were assessed. PR and PI between the two eyes were statistically different in those with PE.Conclusion: OA Doppler indices change in pregnant women with PE. These changes could help to earlier and better diagnosis of PE and prevention of maternal and fetal sequelae.
Maternal Fetal Medicine
Sedigheh Borna; Vida Radi; Maasoumeh Saleh; Mina Ataee; Hanieh Feizmahdavi; Zohreh Salari; Mamak Shariat
Volume 7, Issue 3 , January and February 2022, , Pages 144-150
Abstract
Background & Objective: This study assessed the relationship between the ratio of fetal lung volume to head circumference and amniotic fluid index (AFI) in the third trimester of pregnancy.Materials & Methods: This prospective study was performed on low-risk pregnant women in their third trimester ...
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Background & Objective: This study assessed the relationship between the ratio of fetal lung volume to head circumference and amniotic fluid index (AFI) in the third trimester of pregnancy.Materials & Methods: This prospective study was performed on low-risk pregnant women in their third trimester of pregnancy. Fetal lung volume was determined separately using the lung-to-head ratio (LHR) for the right and left lungs. Moreover, the AFI was evaluated, and the Pearson correlation coefficient between LHR for both lungs and AFI was investigated.Results: Overall, 112 pregnant women were included in the study. The mean ± standard deviation (SD) of fetal Observed/Expected Right LHR (O/E RLHR) and O/E Left LHR (O/E LLHR) were 113.9±0.36 and 97.13±27.87, respectively. The mean ± SD of AFI was 12.5±4.96 cm. Pearson correlation coefficient did not show a significant relationship between AFI and the left and right LHR (P < /em>>0.05). However, O/E RLHR was significantly correlated with abdominal circumference (P < /em>=0.02, r=0.2), gestational age (P < /em>=0.21, r=0.27), and fetal weight (P < /em><0.001, r=0.27). There was a positive correlation between the number of days the infant was admitted to the neonatal intensive care unit and the volume of the right lung of the fetus (P < /em>=0.03, r=-0.2). No correlation was observed between fetal parameters and the volume of the left lung of the fetus.Conclusion: The results of this study showed that AFI in the third trimester of pregnancy was not significantly correlated with LHR.
