Modified Myocardial Performance Index for Evaluation of Intra Uterine Growth Restriction Fetal Outcome

Document Type : Original Article

Authors

1 Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Egypt

2 Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University

Abstract

Objectives: To assess the utility of the Modified Myocardial Performance Index in assessing the in utero Mod MPI of IUGR fetuses in order to optimize neonatal outcomes by determining the optimal timing to deliver the baby.
Methods: Our present study was conducted on 100 pregnant ladies and they were divided into 2 groups: Group 1: Patients with IUGR include 50 pregnant ladies diagnosed with IUGR fetuses. Group 2: Control group include 50 pregnant ladies with healthy uncomplicated pregnancy. After recruitment, the mother and the fetus were subjected to sonographic evaluation of fetal biometry, EFW, AFV, fetal ultrasound Doppler study of UA, MCA, fetal Echocardiography to detect mod-MPI, DV.
Results: Our study revealed a significant increase in Tei index and MCO/ ms among cases group .while ET/ms shows significant decrease among cases group than control group. Cut-off Mod-MPI value of 0.505 conferred a sensitivity of 81.2% [confidence interval (CI): 95%] and specificity of 83.7% (CI: 95%) and for validity of Doppler findings in differentiating IUGR indicating that Mod-MPI can be used as good predictor for IUGR.
Conclusion: Mod-MPI was elevated in fetuses with fetal growth restriction. It may be possible to foresee unfavorable perinatal outcomes for FGR fetuses using mod-MPI.

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