WANG Yali, ZHANG Li’na, WU Qingqing. Fetal intrauterine monitoring methods for predicting adverse outcomes of neonates with preeclampsia:a comparative study. [J]. Journal of Clinical Ultrasound in Medicine 23(4):261-265(2021)
WANG Yali, ZHANG Li’na, WU Qingqing. Fetal intrauterine monitoring methods for predicting adverse outcomes of neonates with preeclampsia:a comparative study. [J]. Journal of Clinical Ultrasound in Medicine 23(4):261-265(2021) DOI: 10.16245/j.cnki.issn1008-6978.2021.04.006.
Fetal intrauterine monitoring methods for predicting adverse outcomes of neonates with preeclampsia:a comparative study
Objective and fetal biophysical behaviors in the neonate with preeclampsia
and to explore the predictors of adverse outcomes.MethodsA total of 123 singleton pregnant women with preeclampsia who underwent umbilical artery electronic fetal monitoring
ultrasonographic biophysical profile
biophysical profile
modified biophysical profile(MBPP)were selected.The results of the five kinds of monitor methods within one week before delivery and neonatal outcomes were recorded.The data of each monitor methods were grouped and compared
the predictive factors of adverse outcomes were analyzed by Logistic regression.ResultsThe incidence of adverse neonatal outcomes was higher in the group with absent or reversed end diastolic velocity of the umbilical artery(UA-AREDV)compared with the normal umbilical artery group(P<0.01).The incidence of adverse neonatal outcomes was higher in the group with abnormal NST(or type Ⅲ figure)compared with the normal electronic fetal monitoring group(P<0.01).The incidence of adverse neonatal outcomes was higher in the group with abnormal MBPP scores compared with the normal MBPP scores group(P<0.05).The diagnostic odds ratios of UA-AREDV and abnormal NST(or type Ⅲ figure)were 18.4 and 5.9 in predicting adverse neonatal outcomes of patients with preeclampsia. The positive predictive value and negative predictive value of UA-AREDV were 82.1% and 81%
the positive predictive value and negative predictive value of abnormal NST(or type Ⅲ figure)were 72.2% and 73.3% in the diagnosis of adverse neonatal outcomes.Conclusion indexes of fetal intrauterine monitor in the pregnant women with preeclampsia. Umbilical artery monitoring
electronic fetal monitoring and MBPP have the advantage of predicting neonatal adverse outcomes.UA-AREDV and abnormal NST(or type Ⅲfigure)are valuable in predicting neonatal adverse outcomes.