EVALUATION OF THE DOPPLER ULTRASOUND FOETAL VESSELS PARAMETERS IN PREGNANCIES WITH SUSPECTED INTRAUTERINE GROWTH RETARDATION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 71
Abstract
BACKGROUND Intrauterine Growth Retardation (IUGR) is conveniently defined as foetal weight less than 10th percentile for gestational age. The term IUGR is often interchangeably used with Small for Gestational Age (SGA). Strictly speaking, not all IUGR foetuses are SGA. SGA foetuses comprise of a heterogeneous group that include foetuses with IUGR, foetuses with small constitution and foetuses with appropriate growth (misdiagnosed as small). Timely diagnosis of foetal compromise offers the best chance to reduce perinatal complications associated with IUGR. MATERIALS AND METHODS In the present study, 50 singleton pregnancies of more than 24 weeks of gestational age with estimated foetal weight less than 10th percentile for gestational age were included. Doppler ultrasound on foetal MCA, UA and TA were recorded the PI values obtained from each vessels and any end-diastolic flow changes were obtained. Pregnancies were followed up to termination and assessed the perinatal outcome in terms of gestational age at delivery, caesarean section for foetal distress, birth weight, admission to NICU and perinatal death. RESULTS The mean age of the mother was 26.02 years. On Doppler ultrasound study, 58% of the foetuses had some abnormality in the Doppler parameter, abnormal PI values from MCA in 19 cases; from the UA in 17 cases and from TA in 13 cases. Of the 29 foetuses born by cesarean section, 14 cases had abnormal MCA PI, 12 cases had abnormal UA PI, 11 cases had abnormal TA PI and 9 cases had cerebroplacental ratio less than 1. CONCLUSION Foetuses with an abnormal PI in MCA or UA or TA are at increased risk of adverse perinatal outcomes.
Authors and Affiliations
Santanu Das, Sukharanajan Howlader, Sampa Chakrabarti
Keywords
Related Articles
- EP ID EP277886
- DOI 10.18410/jebmh/2017/844
- Views 62
- Downloads 0
CLINICAL STUDY OF EARLY BREAST CARCINOMA
Carcinoma of the breast is one of the commonest cancers occurring in female and accounts for 1/3rd of all the malignant diseases occurring in them. It is mainly a disease of the developed countries and accounts for 1,00,...
ALBUMIN AS A PROGNOSTIC INDICATOR FOR TWO DEADLY DISEASES OF THE 21ST CENTURY
INTRODUCTION Two of the most dreaded diseases of the 21st century are cancer and HIV. It brings shiver down the spines of a treating physician because of the complexity of the diseases. One important way of doing this is...
EFFECTS OF LIFESTYLE MODIFICATION ON FETOMATERNAL OUTCOME IN ANTENATAL WOMEN WITH INCREASED BMI
BACKGROUND Overweight and obese women represent a significant and increasing problem encountered in obstetric practice. With most authors agreeing that overweight and obese women show increased maternal and perinatal mor...
A RETROSPECTIVE STUDY ON PENETRATING INJURIES ABDOMEN
BACKGROUND Penetrating abdominal injuries forms an important component of surgical emergencies. It remains one of the commonest reasons for preventable deaths in any trauma systems.1 Abdominal injuries may be parietal or...
SPINAL CORD- A CADAVERIC STUDY
BACKGROUND Spinal cord is situated within the vertebral canal extending from the lower end of the medulla oblongata at the upper border of first cervical vertebra. In early foetal life, it extends throughout the length o...