COLOUR DOPPLER EVALUATION IN HIGH-RISK PREGNANCY AND PERINATAL OUTCOME
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 43
Abstract
BACKGROUND Doppler velocimetry is a rapid non-invasive test that provides valuable information about haemodynamic situation of the foetus and is an efficient diagnostic test of foetal jeopardy, which helps in timely intervention and management of high-risk pregnancy for better perinatal outcome. Objectives: 1. To assess the role of Colour Doppler imaging in prediction of high-risk pregnancies and their perinatal outcome. 2. To evaluate the role of Colour Doppler in normal and high-risk pregnancies in relation to perinatal outcome. MATERIALS AND METHODS The present study was carried out as a prospective observational study. The study was carried out from 1st August 2016 to 31st July 2018 in Department of Obstetrics and Gynaecology in co-ordination with Central Laboratory and Department of Radiology, Jawaharlal Nehru Medical College, Sawangi (M), Wardha, Maharashtra. A total of 120 pregnant women (study group and control group) attending a clinic in Dept. of Gynaecology and Obstetrics, AVBRH was examined for high-risk pregnancy. RESULTS There was a significant difference between the Colour Doppler indices of the three vessels (Umbilical, Uterine and Middle Cerebral Artery) in the study and the control groups. In women with abnormal Doppler indices, there was a high incidence of caesarean section, low birth weight babies, low Apgar score and higher admission rate to NICU. CONCLUSION The Colour Doppler findings with abnormal indices of Uterine artery, Umbilical artery and Middle cerebral artery shows consistent relationship with poor perinatal outcome.
Authors and Affiliations
Harshika Singh, Manjusha Agrawal, Arvind Bhake, Nihar Gupta
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