Prognostic Value of Doppler Velocimetry in Intrauterine Growth Restricted Fetuses
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 8
Abstract
Introduction: Intra uterine growth restriction (IUGR) is associated with increased perinatal mortality, morbidity and impaired neurodevelopment. Doppler velocimetry can assess the fetal hypoxia thereby deciding the timing of delivery and avoiding prematurity. Objective: To predict the perinatal outcome in IUGR fetuses by Doppler velocimetry of umbilical artery, middle cerebral artery and descending thoracic aorta and deciding the management accordingly. Material and methods: Twenty five IUGR fetuses were subjected for Doppler velocimetry of umbilical artery (UA), middle cerebral artery (MCA) and descending thoracic aorta (DTA). S/D ratio, PI and RI were calculated to predict he fetal hypoxia. Observations: Umbilical artery S/D ratio was increased in 52% cases, whereas PI and RI were increased in 48% and 40% cases respectively. AEDV was found in 12% and REDV in 4% cases and were associated with 75% mortality. Positive predictive value of S/D ratio of MCA for fetal distress was 75% where as it was 85% for DTA . Conclusion: Doppler parameters can detect the changes of fetal hypoxia, so the mortality and Morbidity can be reduced by timely intervention.
Authors and Affiliations
Dr Vijay Thakur
Keywords
Related Articles
- EP ID EP526642
- DOI -
- Views 73
- Downloads 0
C-Reactive Protein in Thrombotic Stroke
Background: Stroke remains a major cause of human mortality and morbidity. Patients with stroke constitute 15- 20% of all admissions in medical college in spite of our increasing knowledge in the pathophysiology and epid...
Clinical and Bacteriological Profile of Patients Admitted to ICU with Community Acquired Pneumonia in a Tertiary Care Centre
Introduction: Community acquired pneumonia (CAP) causes significant mortality and morbidity all over the world, especially in developing countries like India. There is scarce data on the bacteriological profile in patien...
A Comparative Study on Awareness about Immunization in Hindu-Muslim Mothers in a Rural Area, Bankura District, West Bengal
Universal Immunization Programme aims at completing primary immunization for all infants before they complete one year of age. Preventable infections are major cause of childhood mortality and morbidity in South Asia. Re...
Cardiac and Extra Cardiac Predictors and Complications of Acute Atrial Fibrillation Complicating ST Elevation Myocardial Infarction (STEMI) ST Elevation myocardial infarction Acute Atrial Fibrillation (STAAF) Study
Study Population and Design: Acute Atrial Fibrillation (AF) is an important complication of ST Segment Elevation Myocardial Infarction (STEMI) even in the Primary angioplasty era. AF is an independent predictor of both s...
A Prospective Observational Study of Neuro Imaging in Eclampsia Patients in a Tertiary Care Institution
Hypertensive disorders complicating pregnancy is one of the major cause of maternal and perinatal mortality and morbidity worldwide. Among the Hypertensive disorders, Preeclampsia and Eclampsia are a life threatening mul...