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 98
- Downloads 0
Study of Serum Homocysteine Levels in Preeclampsia and Relation to Its Severity and Obstetric Outcome
Hypertensive disorder in pregnancy is a common disease. The incidence of pregnancy induced hypertension (PIH) in India range from 5 -15%. Though the exact cause of PE is still undecided, endothelial dysfunction with asso...
Awareness on Complications of Fever in Early Pregnancy
Background: Fever is the most common way of presenting any type of infections, which when left without appropriate treatment can result in adverse foetal as well as maternal outcomes. Fever can easily be presented during...
Factors Affecting the Expulsion and Continuation Rates of Post Placental Insertion of Cu 375 and Cut380a in Indian Women at a Premier Hospital in New Delhi
This Study evaluates the factors affecting the expulsion, removal and continuation of post placental insertion of Cu 375 and CuT380A in women according to their socioeconomic profile, literacy status parity and the compl...
Cell-free DNA Results in Low Risk Pregnancy Screenings for Aneuploidies
Introduction: Chromosomal aneuploidies are a common type of chromosomal defect that may impose heavy burdens on society and families. The most common chromosomal aneuploidies among the embryos are trisomies 21, 18, and 1...
Neonatal Outcomes in Women with Isolated Oligohydramnios
Introduction: Oligohydramnios is a serious complication of pregnancy that is associated with a poor perinatal outcome. Isolated oligohydramnios at term is defined as AFI <5 cm without any maternal or fetal cause. Inciden...