Fetal Doppler Study of Ductus Venosus to Assess Fetal Acidemia in IUGR
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 2
Abstract
Introduction: it is a known fact that significant perinatal mortality and morbidity is associated with intrauterine fetal growth restriction (IUGR). The morbidities range from low birth weight to intrauterine fetal demise. Fetal neurological damage is one of the most dreaded results of IUGR. Placental insufficiency is the most common cause of fetal growth restriction in today’s scenario. The aim was early identification of fetal hemodynamic compromise, fetal hypoxemia and the dreaded fetal acidemia in established growth restricted fetuses. The aim was also to precisely recognize fetal hypoxia, assist the clinician in planning delivery before the onset of irreversible fetal academia and to see how well the fetal outcome correlated with the severity of our fetal Doppler indices. Material and methods: 160 clinically and biometrically confirmed growth restricted fetuses underwent fetal Doppler study. Fetal abdominal circumference less than 5th percentile and estimated fetal weight on or less than 10th percentile for that gestational age were considered as IUGR fetuses. Fetal Doppler was performed using a Philips color Doppler machine with a 3.5 MHz convex probe. The umbilical artery, fetal middle cerebral artery and the fetal ductus venosus were sampled. The pulsatility indices were measured. Follow up of these fetuses were done and the perinatal outcome were obtained. Results: The diagnosis of IUGR can be done with grey scale biometry. However the fetal hemodynamic status to assess for hypoxia and acidemia were possible only by fetal Doppler. By assessing the severity of the Doppler findings and accurate prediction of perinatal outcome was done. Conclusion: By applying the grading of altered fetal Doppler indices, the fetus can be classified as hemodynamically stable, altered hemodynamic state, fetal hypoxia and fetal acidemia. By intervening before fetal acidemia sets in, the perinatal mortality can be drastically reduced.
Authors and Affiliations
Anita Soundarapandian, Senthil Anbumani, Anusha Palaniswamy
Keywords
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- EP ID EP424482
- DOI 10.21276/ijcmsr.2018.3.2.35
- Views 111
- Downloads 0
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