الفهرس 
The association between clinical, laboratory and ultrasonographic findings with development of maternal and neonatal complications in women with severe preeclampsia
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Abstract
Background: Preeclampsia is a major obstetric problem and a significant cause of maternal and neonatal morbidity and mortality. We aim to determine maternal and perinatal outcomes in severe pre eclamptic patients in relation to clinical, laboratory, sonographic findings.
Methods:The study was designed as cohort study in the Obstetrics and Gynecology hospital, Kasr El Aini between march 2020 to September 2021 two hundred and eighty patients with severe preeclampsia were included , Primary outcome was the correlation between umbilical artery Doppler and maternal and neonatal outcomes as development of eclampsia, renal failure, DIC,HELLP syndrome ,acute pulmonary edema Secondary outcome was correlation between clinical and laboratory criteria of severity and maternal and neonatal outcome.
Results:We found a statistically significant relation between umbilical artery Doppler with maternal and fetal complications (p value<.001), there is statistically significant between blurring of vision (p value=.005) and antepartum hemorrhage (p value <.001) with maternal complications. In our study there is statistically significant between persistent headache (p value=.008), vomiting (p value=.005) and antepartum hemorrhage (p value<.001) with fetal complications statistically significant between systolic blood pressure (p value =<.001), diastolic blood pressure (p value=.028), albumin in urine (p value =.010) and presence of ascites in U/S (p value =<.001) with maternal complications. There is systolic blood pressure (p value<.001), diastolic blood pressure (p value=.040), amniotic fluid index ( p value<.001), APGAR score(p value<.001) , ascites by ultrasound ( p value=.029) are statistically significant with fetal complications. there is statistically significant between ALT, AST, hemoglobin, platelet count and creatinine with maternal and fetal complications (p value =<.001).
Conclusions: There was significant associated between umbilical artery Doppler, clinical and laboratory findings with maternal and fetal outcomes in severe pre eclamptic