Ignite Creation Date:
2024-05-06 @ 8:20 PM
Last Modification Date:
2024-10-26 @ 3:25 PM
Study NCT ID:
NCT06347913
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-04-04
First Post:
2024-03-11
Brief Title:
Umblical Artery Systolic Diastolic Ratio and Amniotic Fluid Index in Prediction of Fetal Outcome in Term Pregnancy
Sponsor:
Sohag University
Organization:
Sohag University
Study Overview
Official Title:
Umblical Artery Systolic Diastolic Ratio and Amniotic Fluid Index in Prediction of Fetal
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Antepartum fetal surveillance is the cornerstone of management in pregnancy 1 It is done primarily to reduce the incidence of adverse fetal outcomes It minimizes morbidity by optimizing the timing of delivery Fetus at risk of chronic hypoxia is identified and unnecessary interventions are avoided However fetal surveillance acts as a diagnostic modality to detect the influence of maternal placental and fetal factors on the fetus The timely detection of morbid changes in the fetal status followed by adequate interventions to avoid death or disability is one of the most important objectives of prenatal care 2 Tests now commonly done for antepartum fetal surveillance are nonstress test NST amniotic fluid index AFI biophysical profile Doppler study of umbilical artery UA and middle cerebral artery MCA3 6 However AFI and UA Doppler velocimetry both form an essential part of the antenatal surveillance in the assessment of fetal well being UA Doppler is a powerful tool that allows the obstetrician to follow a sequence of fetal hemodynamic events that happen in response to placental insufficiency 7 However several studies have reported higher sensitivities and specificities for UA Doppler ratio for prediction of fetal prognosis 3 6 Amniotic fluid is the product of complex and dynamic fetal and placental physiologic processes Disruption of the fine balance may result in overproduction or underproduction of fluid Liquor adequacy often reflects the fetal status Oligohydramnios is associated with increased perinatal loss Furthermore other studies indicate that UA velocimetry is a predictor of adverse outcomes in pregnancies complicated by oligohydramnios 89 Thus arterial Doppler velocimetry measurement may be useful in predicting adverse pregnancy outcomes adjunct to other antenatal surveillance tests especially the AFI Therefore the present study will be done to evaluate the comparative assessment of UA ratio and AFI in predicting adverse perinatal outcomes
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None