[Correlation between Doppler fluxometry of middle cerebral artery/umbilical and non stress test as methods of antepartum fetal surveillance].
OBJECTIVE
To determine the correlation between Doppler fluxometry of middle/umbilical cerebral artery and the non-stress test as methods of antepartum fetal surveillance.


METHODS
We made a cross-sectional study. There were included 161 patients with high risk pregnancies. We carried out the non-stress test and the middle/umbilical cerebral artery resistance index in these women. Apgar score and perinatal outcome of the newborns were registered. Correlation coefficient as well as the sensitivity, specificity and predictive values of the tests were calculated.


RESULTS
For the non-stress test in perinatal death, a sensitivity of 0% and a specificity of 84% were obtained; for Apgar at five minutes, sensitivity was 50% and specificity was 85%. In relation to perinatal death, the middlelumbilical cerebral artery resistance index has a sensitivity and specificity of 100 and 91%, respectively; for Apgar score at five minutes, the values were 100 and 92%, respectively. Correlation coefficient for the middle/umbilical cerebral artery resistance index and the non-stress test was -0.257 (p = 0.0009).


CONCLUSIONS
We found a correlation between the middle/umbilical cerebral artery resistance index and the non-stress test. This index had more sensitivity and specificity for diagnosing perinatal death and Apgar score, for this reason we recommend it as a first choice method of antepartum fetal surveillance.
Guerrero Casillas
Miguel Angel
MA
Hospital de Ginecopediatría num. 48, León, Guanajuato.
Romero Gutiérrez
Gustavo
G
Molina Rodríguez
Roberto
R
Guzán Mena
Gabriel
G
D000293:Adolescent; D000328:Adult; D015148:Cardiotocography; D003430:Cross-Sectional Studies; D005260:Female; D005323:Fetal Monitoring / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D008875:Middle Aged; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging*; D011247:Pregnancy; D016216:Ultrasonography, Prenatal; D014469:Umbilical Arteries / Q000000981:diagnostic imaging*