ROLE OF COLOUR DOPPLER IN THE EVALUATION OF FETAL GROWTH RESTRICTION: A PROSPECTIVE STUDY
Journal Title: IJSR-International Journal Of Scientific Research - Year 2017, Vol 6, Issue 11
Abstract
Foetal growth restriction is responsible for several fold increase in pregnancy wastage in the form of preterm labour, birth asphyxia, perinatal mortality etc. A prospective observational longitudinal study was conducted on antenatal women diagnosed with foetal growth restriction at/after 26 weeks of gestation. Doppler flow studies of the umbilical artery (UA) and middle cerebral artery (MCA) were done on all patients. Significant number of women with fetal growth restriction had abnormal doppler flow studies. AREDFV was seen in 16% women and brain sparing effect was seen in 58% fetuses. In umbilical artery doppler examination; PI (pulsatility index) had the highest sensitivity (75%), PI of middle cerebral artery had the highest specificity and the resistivity index (RI) had the highest positive predictive value in prediction of adverse perinatal outcome. In growth restricted fetuses early Doppler changes were seen in the umbilical artery followed by centralization of blood flow (brain sparing effect). We suggest that all the Doppler indices (S/D, PI, RI) should be considered while optimizing the time of delivery because as per our study umbilical artery PI had the highest sensitivity, middle cerebral artery, PI had the highest specificity while RI had the highest positive predictive value in the prediction of adverse foetal outcome.
Authors and Affiliations
Dr. Amita Mahajan, Dr. Sunil Seth
Keywords
Related Articles
- EP ID EP512878
- DOI -
- Views 25
- Downloads 0
EVALUATION OF BIOMEDICAL WASTE MANAGEMENT PRACTICES IN MULTISPECIALITY TERTIARY HOSPITAL
BACKGROUND : Biomedical waste collection and proper disposal has become signicant concern for medical and general community.e scientific hospital waste management is a vital importence as its improper management poses r...
PENTOXIFYLLINE – A BOON IN MEDICAL MANAGEMENT OF ORAL SUBMUCOUS FIBROSIS ??
AIM- OSMF is very prevalent and most premalignant condition in South East Asian population especially in India now days. There is numerous management modalities documented but still it is challenging to come up with defi...
AN INSTALLATION OF APHERESIS KIT PRIMING PROCEDURE HAD MET WITH AN ACCIDENT AND MANAGED PROPERLY.
I would like to illustrate the observational case report of therapeutic plasma phresis kit installation and priming of kit had met a fall out as consequence of leaked of normal saline. We would like to get notified, rega...
MIND MAPPING- A LEARNING STRATEGY‼ AMONG DENTAL STUDENTS: A COMPARATIVE STUDY
Aim: To evaluate the effectiveness and retention of knowledge of two educational methods such as Mind Mapping and conventional teaching method among dental undergraduates. Materials and Methods: This cross sectional comp...
TITANIUM ALLERGY IN IMPLANT DENTISTRY : LITERATURE REVIEW
Titanium use for making implants to replace the teeth and associated structures is now in common Dental practice. Owing to its high resistance to corrosion in a physiological environment and the excellent biocompatibilit...