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Revista de Obstetricia y Ginecología de Venezuela
versión impresa ISSN 0048-7732
Resumen
MENDOZA MORA, Jeickson German; URBINA LABRADOR, Rhaiza Josefa y GONZALEZ BLANCO, Mireya. Fetal maturity: utility of estimation of fetal pulmonary artery pressure. Rev Obstet Ginecol Venez [online]. 2024, vol.84, n.1, pp.49-58. Epub 14-Oct-2024. ISSN 0048-7732. https://doi.org/10.51288/00840109.
Objective:
To evaluate the usefulness of the estimation of fetal pulmonary artery pressure obtained by doppler ultrasound as an indicator of fetal maturity and its correlation with neonatal outcomes in a group of patients attending the delivery room area of the Hospital Central de San Cristobal, between March and July 2023.
Methods:
This is an observational, descriptive, correlational study. The sample consisted of 90 women (90 fetuses) with a single pregnancy between 34 and 40 weeks of gestation.
Results:
From the doppler variables analyzed, it was evidenced that the fetal pulmonary artery pressure decreased significantly (p < 0.001) with advancing gestational age. It was determined that there is a significant inverse association between fetal pulmonary artery pressure and fetal maturity (p < 0.001), such that the lower the fetal pulmonary artery pressure value, the higher the percentage of fetal maturity. A fetal pulmonary artery pressure cut-off point located at 55.9 mm Hg jointly determined the highest sensitivity and specificity for the diagnosis of fetal lung maturity, its sensitivity being 93.75 % and specificity being 80.77 %. With a positive predictive value of 92.31 % and a negative predictive value of 84 %.
Conclusion:
The estimation of fetal pulmonary artery pressure obtained by doppler ultrasound is useful as an indicator of fetal maturity.
Palabras clave : Doppler; Fetal pulmonary artery pressure; Fetal maturity; Cut-off point.