Doppler Surveillance of High Risk Pregnancies: a Comparative Study at Tertiary Care Centre
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
BACK GROUND: Doppler velocimetry is important diagnostic tool in the management of high risk pregnancy incidence of high risk pregnancy is 20-30% this group must be identified and given extra care. This small group is responsible for 70-80% of perinatal mortality and morbidity. The present study aims at the effectiveness of Doppler velocimetry of umbilical artery and fetal vessels to improve fetal out come in high risk pregnancies AIM OF THE STUDY To study the acceptability, efficacy of doppler ultrasound in high risk pregnancies and reducing the perinatal mortality and morbidity. MATERIALS AND METHODS: It is a prospective observational study. This study was conducted from January 2016 to Dec 2018 in OBG department of SMC Vijayawada and it was approved by the ethical committee ,informed consent was taken from all the patients .A total of 200 high-risk pregnant women with gestational age 30 weeks and above were selected for the study and divided into group A (100) subjected to Doppler velocimetry and group B [100] without doppler velocimetry. Standard management protocols were followed in all cases. The primary outcome measures were mode of delivery and gestational age at the time of delivery. The secondary outcome measures were perinatal and neonatal complications. RESULTS: Preterm deliveries, preterm as well as full-term neonatal admissions were more frequent in group A than those in group B (39% vs 26%) (22% vs 20%) (18% vs 10%) . But preterm and full-term neonatal deaths were less in group A than those in group B (3% vs 18%) CONCLUSION: Surveillance of high risk pregnancies with Doppler velocimetry compliments the biophysical methods of fetal surveillance to determine earlier and more precisely the fetal compromise and aids in the appropriate timing of delivery and there by perinatal outcome was improved.
Authors and Affiliations
Dr. R. Rama, Dr Eda. Indira, Dr B. Srinivas Rao
Keywords
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- EP ID EP467770
- DOI 10.9790/0853-1802160912.
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