The correlation of myocardial performance index, doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age fetuses (2025)

Abstract

Objective: To assess the correlation of Myocardial Performance Index (MPI), Doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age (SGA) fetuses. Materials and Methods: The cross-sectional study of singleton pregnancies with small for gestational age fetuses with perinatal mortality and early neonatal morbidity was conducted from March 1st to November 30th, 2014. Forty-nine cases of singleton pregnancies with SGA fetuses were enrolled by excluding chromosome abnormality, major organ anomaly or intrauterine infection. MPI, Doppler ultrasonography of umbilical artery, middle cerebral artery, aortic isthmus, ductus venosus and umbilical vein were performed within 48 hours before delivery. The Z-scores were calculated for Doppler indices. The delivery method and the indication of delivery, data regarding perinatal mortality, bronchopulmonary dysplasia (BPD), interventricular hemorrhage (IVH) and necrotizing enterocolitis (NEC) were recorded. The correlation and multiple logistic regression analyses was used to find the significant factors of perinatal mortality and early neonatal morbidity in SGA fetuses. Results: Total 38 pregnant women and newborns were analyzed. No perinatal mortality was detected but found some of early neonatal morbidity. 6 newborns needed to admit in NICU (15.8%), 3 of which had BPD (7.9%). Neither IVH nor NEC was detected. This study did not demonstrate the correlation between MPI, all Doppler parameters after dichotomous branching and early neonatal morbidity, with individual adjusted R2 =-0.027 (p-value= 0.951) for UA S/D ratio ≥ 95th percentile,-0.005 (p-value= 0.819) for UA PI ≥ 95th percentile, 0.091 (p-value=0.368) for cerebroplacental ratio ≤ 1.08, 0.088 (p-value= 0.996) for aortic isthmus flow index ≤ 5th percentile, 0.160 (p-value= 0.058) for MPI ≥ 95th percentile. Only, the gestational age (GA <38 wks) was the only significant factor associated with early neonatal morbidity with adjusted R2 of 0.620 (p-value <0.05, Odd ratios 7.0, 95%CI: 0.61-79.87). Conclusion: There was no significant correlation between perinatal mortality and early neonatal morbidity in small-for-gestational age (SGA) fetuses with Doppler ultrasound parameters in terms of MPI, UA S/D ratio, UA pulsatility index, MCA pulsatility index, DV waveform, aortic isthmus flow index and UV waveform in SGA fetuses. Gestation age was the most significant associated factor with early neonatal morbidity in SGA fetuses. However, no conclusion could be drawn regarding the correlation of perinatal mortality with MPI and Doppler ultrasound parameters due the lack of fetal and neonatal death.

Original languageEnglish
Pages (from-to)765-771
Number of pages7
JournalJournal of the Medical Association of Thailand
Volume101
Issue number6
Publication statusPublished - Jun 2018

Keywords

  • Doppler ultrasound
  • Early neonatal morbidity
  • MPI
  • Myocardial performance index
  • Perinatal mortality
  • SGA
  • Venous doppler

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  • The correlation of myocardial performance index, doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age fetuses (1)
  • The correlation of myocardial performance index, doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age fetuses (2)

Other files and links

Fingerprint

Dive into the research topics of 'The correlation of myocardial performance index, doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age fetuses'. Together they form a unique fingerprint.

View full fingerprint

Cite this

  • APA
  • Author
  • BIBTEX
  • Harvard
  • Standard
  • RIS
  • Vancouver

Hansahiranwadee, W., Pitukkijronnakorn, S., Panburana, P. (2018). The correlation of myocardial performance index, doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age fetuses. Journal of the Medical Association of Thailand, 101(6), 765-771.

Hansahiranwadee, Wirada ; Pitukkijronnakorn, Somsri ; Panburana, Panyu et al. / The correlation of myocardial performance index, doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age fetuses. In: Journal of the Medical Association of Thailand. 2018 ; Vol. 101, No. 6. pp. 765-771.

@article{f120c276fd9d419c8c9c22f7216be97b,

title = "The correlation of myocardial performance index, doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age fetuses",

abstract = "Objective: To assess the correlation of Myocardial Performance Index (MPI), Doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age (SGA) fetuses. Materials and Methods: The cross-sectional study of singleton pregnancies with small for gestational age fetuses with perinatal mortality and early neonatal morbidity was conducted from March 1st to November 30th, 2014. Forty-nine cases of singleton pregnancies with SGA fetuses were enrolled by excluding chromosome abnormality, major organ anomaly or intrauterine infection. MPI, Doppler ultrasonography of umbilical artery, middle cerebral artery, aortic isthmus, ductus venosus and umbilical vein were performed within 48 hours before delivery. The Z-scores were calculated for Doppler indices. The delivery method and the indication of delivery, data regarding perinatal mortality, bronchopulmonary dysplasia (BPD), interventricular hemorrhage (IVH) and necrotizing enterocolitis (NEC) were recorded. The correlation and multiple logistic regression analyses was used to find the significant factors of perinatal mortality and early neonatal morbidity in SGA fetuses. Results: Total 38 pregnant women and newborns were analyzed. No perinatal mortality was detected but found some of early neonatal morbidity. 6 newborns needed to admit in NICU (15.8%), 3 of which had BPD (7.9%). Neither IVH nor NEC was detected. This study did not demonstrate the correlation between MPI, all Doppler parameters after dichotomous branching and early neonatal morbidity, with individual adjusted R2 =-0.027 (p-value= 0.951) for UA S/D ratio ≥ 95th percentile,-0.005 (p-value= 0.819) for UA PI ≥ 95th percentile, 0.091 (p-value=0.368) for cerebroplacental ratio ≤ 1.08, 0.088 (p-value= 0.996) for aortic isthmus flow index ≤ 5th percentile, 0.160 (p-value= 0.058) for MPI ≥ 95th percentile. Only, the gestational age (GA <38 wks) was the only significant factor associated with early neonatal morbidity with adjusted R2 of 0.620 (p-value <0.05, Odd ratios 7.0, 95%CI: 0.61-79.87). Conclusion: There was no significant correlation between perinatal mortality and early neonatal morbidity in small-for-gestational age (SGA) fetuses with Doppler ultrasound parameters in terms of MPI, UA S/D ratio, UA pulsatility index, MCA pulsatility index, DV waveform, aortic isthmus flow index and UV waveform in SGA fetuses. Gestation age was the most significant associated factor with early neonatal morbidity in SGA fetuses. However, no conclusion could be drawn regarding the correlation of perinatal mortality with MPI and Doppler ultrasound parameters due the lack of fetal and neonatal death.",

keywords = "Doppler ultrasound, Early neonatal morbidity, MPI, Myocardial performance index, Perinatal mortality, SGA, Venous doppler",

author = "Wirada Hansahiranwadee and Somsri Pitukkijronnakorn and Panyu Panburana and Vallibhakara, {Sakda Arj Ong}",

note = "Publisher Copyright: {\textcopyright} 2018, Medical Association of Thailand. All rights reserved.",

year = "2018",

month = jun,

language = "English",

volume = "101",

pages = "765--771",

journal = "Journal of the Medical Association of Thailand",

issn = "0125-2208",

publisher = "Medical Association of Thailand",

number = "6",

}

Hansahiranwadee, W, Pitukkijronnakorn, S, Panburana, P 2018, 'The correlation of myocardial performance index, doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age fetuses', Journal of the Medical Association of Thailand, vol. 101, no. 6, pp. 765-771.

The correlation of myocardial performance index, doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age fetuses. / Hansahiranwadee, Wirada; Pitukkijronnakorn, Somsri; Panburana, Panyu et al.
In: Journal of the Medical Association of Thailand, Vol. 101, No. 6, 06.2018, p. 765-771.

Research output: Contribution to journalArticlepeer-review

TY - JOUR

T1 - The correlation of myocardial performance index, doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age fetuses

AU - Hansahiranwadee, Wirada

AU - Pitukkijronnakorn, Somsri

AU - Panburana, Panyu

AU - Vallibhakara, Sakda Arj Ong

N1 - Publisher Copyright:© 2018, Medical Association of Thailand. All rights reserved.

PY - 2018/6

Y1 - 2018/6

N2 - Objective: To assess the correlation of Myocardial Performance Index (MPI), Doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age (SGA) fetuses. Materials and Methods: The cross-sectional study of singleton pregnancies with small for gestational age fetuses with perinatal mortality and early neonatal morbidity was conducted from March 1st to November 30th, 2014. Forty-nine cases of singleton pregnancies with SGA fetuses were enrolled by excluding chromosome abnormality, major organ anomaly or intrauterine infection. MPI, Doppler ultrasonography of umbilical artery, middle cerebral artery, aortic isthmus, ductus venosus and umbilical vein were performed within 48 hours before delivery. The Z-scores were calculated for Doppler indices. The delivery method and the indication of delivery, data regarding perinatal mortality, bronchopulmonary dysplasia (BPD), interventricular hemorrhage (IVH) and necrotizing enterocolitis (NEC) were recorded. The correlation and multiple logistic regression analyses was used to find the significant factors of perinatal mortality and early neonatal morbidity in SGA fetuses. Results: Total 38 pregnant women and newborns were analyzed. No perinatal mortality was detected but found some of early neonatal morbidity. 6 newborns needed to admit in NICU (15.8%), 3 of which had BPD (7.9%). Neither IVH nor NEC was detected. This study did not demonstrate the correlation between MPI, all Doppler parameters after dichotomous branching and early neonatal morbidity, with individual adjusted R2 =-0.027 (p-value= 0.951) for UA S/D ratio ≥ 95th percentile,-0.005 (p-value= 0.819) for UA PI ≥ 95th percentile, 0.091 (p-value=0.368) for cerebroplacental ratio ≤ 1.08, 0.088 (p-value= 0.996) for aortic isthmus flow index ≤ 5th percentile, 0.160 (p-value= 0.058) for MPI ≥ 95th percentile. Only, the gestational age (GA <38 wks) was the only significant factor associated with early neonatal morbidity with adjusted R2 of 0.620 (p-value <0.05, Odd ratios 7.0, 95%CI: 0.61-79.87). Conclusion: There was no significant correlation between perinatal mortality and early neonatal morbidity in small-for-gestational age (SGA) fetuses with Doppler ultrasound parameters in terms of MPI, UA S/D ratio, UA pulsatility index, MCA pulsatility index, DV waveform, aortic isthmus flow index and UV waveform in SGA fetuses. Gestation age was the most significant associated factor with early neonatal morbidity in SGA fetuses. However, no conclusion could be drawn regarding the correlation of perinatal mortality with MPI and Doppler ultrasound parameters due the lack of fetal and neonatal death.

AB - Objective: To assess the correlation of Myocardial Performance Index (MPI), Doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age (SGA) fetuses. Materials and Methods: The cross-sectional study of singleton pregnancies with small for gestational age fetuses with perinatal mortality and early neonatal morbidity was conducted from March 1st to November 30th, 2014. Forty-nine cases of singleton pregnancies with SGA fetuses were enrolled by excluding chromosome abnormality, major organ anomaly or intrauterine infection. MPI, Doppler ultrasonography of umbilical artery, middle cerebral artery, aortic isthmus, ductus venosus and umbilical vein were performed within 48 hours before delivery. The Z-scores were calculated for Doppler indices. The delivery method and the indication of delivery, data regarding perinatal mortality, bronchopulmonary dysplasia (BPD), interventricular hemorrhage (IVH) and necrotizing enterocolitis (NEC) were recorded. The correlation and multiple logistic regression analyses was used to find the significant factors of perinatal mortality and early neonatal morbidity in SGA fetuses. Results: Total 38 pregnant women and newborns were analyzed. No perinatal mortality was detected but found some of early neonatal morbidity. 6 newborns needed to admit in NICU (15.8%), 3 of which had BPD (7.9%). Neither IVH nor NEC was detected. This study did not demonstrate the correlation between MPI, all Doppler parameters after dichotomous branching and early neonatal morbidity, with individual adjusted R2 =-0.027 (p-value= 0.951) for UA S/D ratio ≥ 95th percentile,-0.005 (p-value= 0.819) for UA PI ≥ 95th percentile, 0.091 (p-value=0.368) for cerebroplacental ratio ≤ 1.08, 0.088 (p-value= 0.996) for aortic isthmus flow index ≤ 5th percentile, 0.160 (p-value= 0.058) for MPI ≥ 95th percentile. Only, the gestational age (GA <38 wks) was the only significant factor associated with early neonatal morbidity with adjusted R2 of 0.620 (p-value <0.05, Odd ratios 7.0, 95%CI: 0.61-79.87). Conclusion: There was no significant correlation between perinatal mortality and early neonatal morbidity in small-for-gestational age (SGA) fetuses with Doppler ultrasound parameters in terms of MPI, UA S/D ratio, UA pulsatility index, MCA pulsatility index, DV waveform, aortic isthmus flow index and UV waveform in SGA fetuses. Gestation age was the most significant associated factor with early neonatal morbidity in SGA fetuses. However, no conclusion could be drawn regarding the correlation of perinatal mortality with MPI and Doppler ultrasound parameters due the lack of fetal and neonatal death.

KW - Doppler ultrasound

KW - Early neonatal morbidity

KW - MPI

KW - Myocardial performance index

KW - Perinatal mortality

KW - SGA

KW - Venous doppler

UR - http://www.scopus.com/inward/record.url?scp=85049148714&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:85049148714

SN - 0125-2208

VL - 101

SP - 765

EP - 771

JO - Journal of the Medical Association of Thailand

JF - Journal of the Medical Association of Thailand

IS - 6

ER -

Hansahiranwadee W, Pitukkijronnakorn S, Panburana P, Vallibhakara SAO. The correlation of myocardial performance index, doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age fetuses. Journal of the Medical Association of Thailand. 2018 Jun;101(6):765-771.

The correlation of myocardial performance index, doppler ultrasound indices of fetal blood vessels with perinatal mortality and early neonatal morbidity in small-for-gestational age fetuses (2025)
Top Articles
Latest Posts
Recommended Articles
Article information

Author: Nathanial Hackett

Last Updated:

Views: 5663

Rating: 4.1 / 5 (52 voted)

Reviews: 91% of readers found this page helpful

Author information

Name: Nathanial Hackett

Birthday: 1997-10-09

Address: Apt. 935 264 Abshire Canyon, South Nerissachester, NM 01800

Phone: +9752624861224

Job: Forward Technology Assistant

Hobby: Listening to music, Shopping, Vacation, Baton twirling, Flower arranging, Blacksmithing, Do it yourself

Introduction: My name is Nathanial Hackett, I am a lovely, curious, smiling, lively, thoughtful, courageous, lively person who loves writing and wants to share my knowledge and understanding with you.