Role Of Ultrasonography And Color DopplerInIntrauterine Growth Restriction For Prediction Of Adverse Perinatal Outcome- A Prospective Study
Journal Title: IOSR Journal of Pharmacy (IOSRPHR) - Year 2017, Vol 7, Issue 12
Abstract
Objectives: To determine umbilical artery PI and PI of middle cerebral artery and the MCA PI/UA PI ratio to assess the fetal hypoxia by Color Doppler study and its adverse effect on perinatal outcome. Methodology: A total 50 cases of clinically suspected IUGR pregnant mothers were enrolled in our study and all of them were evaluated by Colour Doppler study,following detailed clinical examination. In colour Doppler study umbilical artery flow Pulsatility index(PI)in regards to normal, reverse and absent end diastolic flow were recorded. PI index of Middle Cerebral artery was measured in each case and ratio of MCA PI &UA PI were calculated. All those 50 cases were followed up till early neonatal period. Fetal outcome in respect of umbilical and middle cerebral artery flow and MCA PI & UA PI ratio were recorded. Result: Out of 50clinically suspected IUGRcases, 7 were intrauterine fetal deaths and 43 live births. Out of 7 intrauterine deaths ,4(100%) cases have reversal of umbilical artery diastolic flow & 3(33%) have absent umbilical artery diastolic flow. Out of 43 live births, low Apgar score were 7cases.Emergency c/s were 12 cases & admission in NICU 8cases. Conclusion: From this study we concluded that the Cerebroplacental ratio (MCA PI/UA PI) was most sensitive(95,8%) & it was more sensitive than either UA PI (91%) or MCA PI (87.5%)alone in prediction of adverse perinatal outcome. Cerebroplacental ratio & UA PI were equally specific(specificity = 84.6%) & MCA PI have comparatively low specificity(46%).
Authors and Affiliations
Dr Paresh Bhowmik, Dr (Prof) J. K. Podder, Dr(Prof)Pardip Kumar Deb, Dr. Jaybrata Roy
Keywords
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