Role of Foetal Doppler in High Risk Pregnancy with Relation to Perinatal Outcome
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2019, Vol 7, Issue 3
Abstract
Introduction: Doppler ultrasound would be a useful in antenatal fetal well-being and timely intervention. On the basis of abnormal Doppler results, obstetrical decision makingmay improve and prevent intrauterine death because hypoxic cerebral damage may begin before labor and intrapartum asphyxia is probably more damaging when superimposed on underlying hypoxia. Aims: To evaluate the role of Foetal Doppler in high risk pregnancy with relation to perinatal outcome. Materials and methods: A total of 50 patients over a period of 16 month were screened with Doppler scans at late second and third trimester. The patients with high-risk pregnancies were volunteers recruited from women undergoing routine ultrasound examination in the late second and third trimesters. Results: intrauterine growth restriction (IUGR) (n=39); preeclampsia; preeclampsia with IUGR, obesity; and others. Most of the patients were primigravida and constituted 62% of total in each group. MCA PSV increased and PI decreased with advanced gestational age. The mean PI ratios were 0.75 ± 0.15 respectively. The values in high risk group were statistically significantly reduced from the mean in values in normal pregnancy. Of 50 patients 39 (78%) had normal flow, 4 (85) had pulsation and 7 (14%) had reversal of flow. Reversal of flow was significantly related to fetal morbidity and mortality. PV IV of Ductus Venosus in high risk group was (0.78 ± 0.54). The values were statistically significant increased as compared to pregnant women with no high risk factors. None of the patients had reversal of “A” wave. For adverse fetal outcome abnormality, fetal venous parameters were more sensitive and specific as compared to the arterial parameters. Conclusion: Fetal Doppler velocimetry studies of the foetal circulation play a crucial role in the monitoring of high risk pregnancies and henceforth, help to evaluate the optional time for delivery Keywords: High Risk Pregnancy; Perinatal; Fetal Doppler velocimetry.
Authors and Affiliations
B Aruna Kumari
Keywords
Related Articles
- EP ID EP669845
- DOI 10.21088/ijog.2321.1636.7319.16
- Views 88
- Downloads 0
Analysis of Semen Parameters in Male Partners of Infertile Couples
Approximately 10-15% of couples suffer from infertility all over the world and male factor is responsible in 45%of cases. Determining the possible etiology of male infertility is very important. The aim of this study was...
Role of Low Dose Mifepristone on Uterine Leiomyoma in Reproductive Age Group: A Prospective Study
Aim: To study the effect of low dose mifepristone on the leiomyoma volume reduction, leiomyoma-related symptoms and endocrinal profile in patients with symptomatic leiomyoma. Setting: Tertiary care hospital Material and...
Evaluation of Foetal Outcome in Pregnancy with Heart Disease in Tertiary Center in South Gujarat
Objectives: Evaluation of foetal outcome in pregnancy with heart disease in tertiary center in south Gujarat. Material & Method: This is a prospective analytic study of 30 pregnant women with heart disease attending ant...
Management and Outcome of Ectopic Pregnancy: A Retrospective Study
Background and Aim: An ectopic pregnancy occurs when a fertilized ovum implants outside the normal uterine cavity. Present reroseptive study was performed to determine the clinical features, risk factors, treatment and m...
Comparison of 25 Microgram of Sublingual Misoprostol with 25 Microgram Vaginal Misoprostol for Induction of Labour at Term
Introduction: To compare 25 microgram of misoprostol with two different routes [sublingual and vaginal] for induction of labour at term in terms of efficacy, tolerability and safety. Material and Method: After getting ap...