APPLYING VALUE UTERINE DOPPLER ASSOCIATED WITH PREECLAMPSIA

Background: Study on the correlation between the values of the Uterine Doppler with the type of preeclamsia and using uterine Doppler and predict fetal distress. Methods: Study on 116 patients with pre-eclampsia at Obs. & Gyn. Department - Hue Central Hospital were taken by an prospective cohort study. Results: There was correlation between morphology of uterine Doppler waves with the type of preeclamsia and fetal distress. Among 46 patients with server preeclamsia, the rate of abnormal of waves uterine Doppler is 78,2 %, and the rate of abnormal of waves uterine Doppler is 22% and fetal. This research also evaluate the relation between uterine Doppler with the fetal distress. The group patients with fetal distress also have the rate of abnormal uterine Doppler is 86,6% and the rate of nomal uterine dopple is 13,4 %. Conclusion: There was the correlation between the values of the Uterine Doppler with the type of preeclamsia and predict fetal distress. The value of uterine Doppler ultrasound can be predict the ricks happening for mother and fetal distress with preeclampsia. Key words: Doppler ultrosound, uterine Doppler, fetal distress, preeclampsia, IUGR.

APPLYING MIDDLE CELEBRAL ARTERY DOPPLER ON PREDICTING OF FETAL DISTRESS ASSOCIATED WITH PREECLAMPSIA

Objectives: To study the value of the Doppler resistance index of middle celebral artery and its correlation to predict fetal distress associated with pre-eclampsia. Methods: 102 patients with pre-eclampsia at Obs. & Gyn. Department – Hue Central Hospital were taken by a prospective cohort study. Results: Mean of RI middle cerebral artery was 0.70 ± 0.08 (0.49-0.92, 95% CI). The rate doppler resistance index of middle cerebral/umblical artery < 1 was 27/102 (26.4%). There was no correlation between resitance index of middle cerebral artery and fetal distress status. The rate doppler resistance index of middle cerebral/umblical artery had a close relation to abnormal fetal after delivery. Conclusion: The doppler resistance index of middle cerebral artery was not a predict factor of fetal distress associated with pre-eclampsia. Key words: Doppler, middle celebral artery, fetal distress, pre-eclampsia

USING DOPPLER TO ASSESS THE FETAL HEALTH FOR THE PREDICTION OF GESTATIONAL OUTCOME

Background: Assessment of fetal health plays the most important role in prenatal care because of influence of the prediction of gestational outcome. One of the main aims of routine antenatal care is to identify the ‘ at risk ‘ fetus in order to apply clinical interventions which could results in reduced perinatal morbidity and mortality. Doppler ultrasound is a non invasive technique whereby the movement of blood is studied by detecting the change in frequence of reflected sound, Doppler blood flow velocity waves form of fetal side (umbilical artery, middle cerebral artery ...) and maternal side ( uterine arteries) are discussed and monograms for routine practice are presented. Recently this method is important tool for qualifying high risk pregnancies and help early forecasts the health of the babies and mothers disorder. Doppler sonography in obstetrics is a widely accepted functional method of examining the prediction of gestational outcome. Key words: Doppler, umbilical artery, middle cerebral artery, uterine arteries