Fetal umbilical artery to middle cerebral artery doppler velocimetry ratio as a predictor for adverse perinatal outcome in high risk pregnancy
Journal Title: Medpulse International Journal of Gynaecology - Year 2019, Vol 10, Issue 2
Abstract
Background:Measurement of blood flow velocities in the maternal and fetal vessels provides information about uteroplacental blood flow and fetal responses to physiologic challenges.Doppler assessments of umbiical artery and fetal middle cerebral artery are most useful for monitoring fetuses with early-onset growth restriction and fetalanemia in at-risk pregnancies.Aim: To study ratio of middle cerebral to umbilical artery blood velocity in high risk pregnancies to evaluate the role of these blood flow indices in the prediction of adverse foetaloutcome.Material and Methods:A total of 200 pregnant women with full term pregnancywere included.Doppler velocity waveforms of umbilical and middle cerebral arteries were taken for high risk pregnancies.Abnormal perinatal outcome was measured and correlated.Results:Abnormal Ratio of MCA/UC PI was associated with adverse perinatal outcome like thick meconium stained liquor, Apgar < 7 at 5 minutes, respiratory complications within 72 hrs, NICU admission within 72 hours of birth and Small for age.Conclusion:Abnormal ratio of MCA/UC PI and RI were found to be associated with adverse perinatal outcome.So, abnormal Doppler velocimetry indices are good predictor for adverse perinatal outcome in high risk pregnancy.
Authors and Affiliations
Sanjaya Sharma, Shushila Kharakwa, Shruti Gupta, Prakhar Mohniya
Keywords
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- EP ID EP615038
- DOI 10.26611/10121028
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