الفهرس 
Hypertensive Disorders of Pregnancyيوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
Summary
Antenatal care is a primary defense mechanism against diagnosis of diseases
and picking up more cases with subsequent early management and intervention.
The second line of defense mechanism which would carry the lowest maternal
and fetal morbidity and mortality is the aggressive management of severe cases
of high risk pregnancy including hypertensive disorders of pregnancy.
In this study, 100 pregnant women who attended antenatal clinic or admitted
to antenatal ward at Tanta university hospital or Ismailia general hospital were
included. 25 of these women were normal, 25 were preeclamptic, 25 were with
other hypertensive disorders and 25 were with other medical disorders other
than hypertension. The aim was to evaluate the accuracy of middle cerebral
artery/umbilical artery pulsatility index ratio in predicting gestational age at
delivery, fetal weight at birth, low Apgar score at 5 minutes, admission and
prolonged stay in NICU and perinatal mortality.
There was a significant association between MCA-to-UA PI < 5th percentile
and higher rates of NICU admission, 5-minute Apgar score < 7, low gestational
age at delivery estimated by ultrasound, low birth weight and perinatal
mortality.
We found that the best cut off value of MCA-to-UA PI ratio (cerebroplacental
ratio) for prediction of NICU admission was 1.26 (sensitivity 64.7%, speciicity