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 86
- Downloads 0
COMPARATIVE STUDY OF COMPLICATIONS OF TYPE-I TYMPANOPLASTY IN CHILDREN VERSUS ADULTS
BACKGROUND The objectives of the study were 1. To compare different complications of Type 1 Tympanoplasty of children with complications in adults. 2. To determine as to whether performing Type 1 Tympanoplasty is justifi...
IMPRINT CYTOLOGY IN FRESHLY RESECTED SURGICAL SPECIMENS
INTRODUCTION Intra operative imprint smears are extensively used in neoplastic & non-neoplastic conditions. This has been proved beneficial in tumors of breast, thyroid parathyroid, head and neck tumors, kidneys, reprodu...
A COMPARATIVE STUDY OF THREE PORT VERSUS FOUR PORT LAPAROSCOPIC CHOLECYSTECTOMY
Four port laparoscopic cholecystectomy has been a standard procedure for removal of gall bladder. Each additional port gives more morbidity to the patient. Research continues to devise procedures which are more patient f...
A COMPARATIVE STUDY BETWEEN APACHE II AND RANSON SCORING SYSTEMS IN PREDICTING THE SEVERITY OF ACUTE PANCREATITIS
BACKGROUND Acute pancreatitis is a condition which involves a wide variety of clinical signs and symptom. The course of which ranges from a mild self-limiting inflammatory process to a more fulminant course which could i...
MRI FINDINGS OF INTERNAL DERANGEMENT OF KNEE IN TRAUMA
AIMS AND OBJECTIVES: 1. To evaluate ligament and meniscal injuries and secondary signs, using MRI. 2. To analyse the types and grades of the tears. MATERIALS AND METHODS: MR imaging studies of knee was performed in 200 p...