Role of Uterine, Umbilical and Middle Cerebral Artery Doppler Velocimetry in The Analysis of Pregnancy With Pre- Eclampsia
Journal Title: IJAR-Indian Journal of Applied Research - Year 2016, Vol 6, Issue 7
Abstract
Objectives: - The aim of the study is to evaluate the role of doppler in predicting foetal outcome in patients with pre-eclampsia. Materials and Methods: - Result: The study was carried out in the department of Radio-Diagnosis, JLMMCH Bhagalpur, over a period of four years on 200 women with clinical diagnosis of Pre-eclampsia. Colour Doppler study was done between 20 to 36 wks of gestational age. Both second trimester and third trimester Doppler velocimetry of uterine artery, umbilical artery & middle cerebral artery was done and results of S/D ration PI, RI, absent or reversed diastolic flow was correlated with foetal outcome. Out of 200 patients studied in third trimester uterine artery doppler showed 90% with persistent diastolic notch, 95.5% with elevated S/D ratio, 93% had elevated RI and 92% with elevated PI. Umbilical artery Doppler at third trimester reveals 95% with elevated S/D ratio, 93.5 % with elevated PI. Reversal or absence of end diastolic velocity in 32%. Doppler velocimetry of MCA showed decreased PI in 18% of patients. Conclusion: - Doppler velocimetry of uterine artery, Umbilical artery and Middle cerebral artery in patients of pre-eclampsia gives prognosis of foetal outcome. It helps to guide Gynaecologists to take timely action and plan correct treatment.
Authors and Affiliations
Sachin Kumar Singh, Geeta Rani
Keywords
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