Umbilical Artery Doppler Indices Better Predictor for Perinatal and Obstetrics Outcone in Oligohydromnios at or Beyond 34 Weeks of Gestation
Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 7
Abstract
Aim: To compare the usefulness of umbilical artery Doppler velocimetry in predicting the obstetrical and perinatal outcome in oligohydramnnios at or beyond 34 weeks of gestation. Methods: This comperative prospective study conducted among 50 pregnant women at 34 weeks of gestation with oligohydramnios( AFI<5 cm) .They are divided in to two groups.The study group(n=21) consist of oligohdramnios at or beyond 34 weeks gestation with abnormal doppler and control group (n=29) with oligohydramnios with normal doppler. Results were statistically analyzed and compared using various variables of perinatal outcome. Results: In the study group the 28% cases in the AFI range of 1-2cm and none in control and 46.6% cases in study group were 4-5cm where as 79% of cases in control group.Among control group 65.5% had a LSCS while 34.5% delivered vaginaly and in study group 85.7% had LSCS and 14.3% devilered vaginaly.LSCS for fetal distress in study group were 42.8% and in control group 32.4% In study group IUGR were 80.9% , NICU admission were 76.19% where as in control group IUGR were 34.48% & NIUC admission were 44.88%. Conclusion:oligohydramnios with normal flow velocimetry are at lower risk than those with abnormal umbilical artery Doppler velocimetry.Cases with anbnormal Umbilical artery Doppler velocimetry were taken directly for LSCS ,which reduced , the perinatal morbidity and mortality.Hence in all patients with oligohydramnios, Umbilical artery Doppler velocimetry should be done to recognize the compromised fetus.
Authors and Affiliations
Dr. Bhati Balgopal Singh, Dr. Shaheen Ara, Dr. Nandani Birla, Dr. Jyothi D, Dr. Sandhya chodhary
Keywords
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