Pulmonary Artery Doppler And Neonatal Outcome In Hypertensive Disorders Of Pregnancy

Inclusion Criteria: * Age: 18-42 years old * Patients who will be diagnosed with hypertensive disorders of pregnancy preoperatively according to (ACOG 2020) * Those who will undergo elective or emergency termination of pregnancy whether by vaginal or cesarean delivery . * Primi or multigravida * With gestational age: 28 0/7 - 37 6/7 weeks Exclusion Criteria: * Multifetal pregnancy * Intrauterine fetal death * Intrauterine growth restriction (IUGR) which is defined as a rate of fetal growth that is less than normal for the growth potential of that specific infant * Placental abruption whether diagnosed before or during delivery. * Absent or reversed umbilical artery end diastolic flow. * Diabetes with pregnancy either gestational or overt which is defined as any degree of glucose intolerance with an onset or first recognition during pregnancy * Premature or prelabor rupture of membranes * BMI above 40 due to technical difficulties to obtain accurate measures * Major congenital fetal anomalies whether diagnosed before or after delivery * Maternal fever more than 37.4 degree * Emergent cases presenting with fetal distress (bradycardia will be defined as fetal heart rate \< 110 beat per minute) * Patient receiving general anesthesia if termination was by cesarean delivery * Patients receiving narcotics 4 hours before delivery * Patients with unreliable dates or no crown rump length at first trimester.