Umbilical Artery Doppler as the Signature Vessel and Predictor of Perinatal Outcome in IUGR
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Role of Doppler analysis of uteroplacental and fetal circulation in IUGR with respect to analyzing the immediate neonatal outcome and optimizing the time of delivery . Introduction: The most common method to evaluate health in fetuses identified as small for gestational age(SGA) are the BPP and NST. Neither of these are sensitive in producing poor outcome in IUGR. So we use color Doppler for this. It has become the gold standard in the management of the growth restricted fetus13,14 . In this study we use Doppler studies of umbilical artery, middle cerebral artery, uterine artery, and fetal aorta to identify IUGR fetuses and to avoid iatrogenic harm to them or their mothers Materials and methods: This is a prospective study conducted at Government Medical College, Thrissur Kerala between July 2003 to September 2004. 100 singleton pregnancies were prospectively examined with Doppler ultrasound of UA, MCA, Ut A , FA. Results: Of the 100 patients studied with clinical IUGR 83 had abnormal fetometry on ultrasound and abnormal Doppler findings. The res,t that is 17 patients had abnormal fetometry but normal Doppler findings on serial follow up .The most common risk factor detected was PIH Umblical Artery: 99% of Doppler cases showed high indices in the umbilical artery followed by 59% in the uterine artery. Brain sparing effect was seen in 57%. MCA PI was highly correlated with perinatal outcome. The sensitivity and specificity for Doppler test in relation to abnormal outcome in 82.3% and 44.5%. Thus abnormal Doppler is associated with and is helpful in predicting adverse perinatal outcome. Conclusion: The abnormal Doppler is associated with and is helpful in predicting adverse perinatal outcome
Authors and Affiliations
Dr. Anjali Dathan, Dr. Biju. P. R
Keywords
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- EP ID EP594757
- DOI 10.9790/0853-1603045863
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