Objective. The aim of our data is to reveal the method of prognosis
abnormal perinatal outcome, using combination US and Doppler results in
uncomplicated pregnancies at 40 weeks and beyond. Design.1020
uncomplicated pregnant women at 40 weeks and beyond were examined 48
hours before delivery. We analyzed fetus’s condition during labor and
just after. Setting. According these dates all women were divided into 3
groups after amniotic index(AI)and pulsatility indices(PI) in the middle
cerebral artery(MCA). Population.260 women were included in the study
because they met the inclusion criteria. Methods.All women were divided
into 3 groups (group 1 - PI>0.835, any value of AI, group
2-AI >85, PI ≤ 0.835, group 3- AI ≤ 85 and PI ≤ 0.835).We
analyzed fetus’s condition during labor and just after delivery (Apgar
score <=7 and >7 on the 1st minute). Result.
We’ve got trigger level for pulsatility index (PI) as 0.835, if we had
PI less than that threshold cases of emergency cesarean section
increases in 2,12 times, if PI less than 0,835 in combination with
Amniotic Index(AI) 85 and less in 5,28 times. If PI =<0,835
risk of newborns having Apgar 7 and less increases in 1,18, but in
combination with AI =<85 in 4,72 times. Conclusion. In results
we found out the following data: low PI in the MCA may be parameter
which cans prognoses fetus distress. Combination of PI reduce with low
AI increases its specific and can use in practical ways to avoid hypoxic
brain damage during labor.