ASSESSMENT OF THE POTENTIAL OF DOPPLER MEASUREMENTS OF FETAL AND UTEROPLACENTAL CIRCULATIONS IN THIRD TRIMESTER OF PREGNANCY.

Author:

Virendra Singh1,Shikha Sahay2,Dev Kumar Yadav3

Affiliation:

1. Professor & Head, Department of Radiation Oncology, MLN Medical College, Prayagraj.

2. Assistant Professor, Department of Obstetrics and Gynaecology, MLN Medical College, Prayagraj.

3. Assistant Professor, Department of Radiation Oncology, MLN Medical College, Prayagraj

Abstract

Background: Color Doppler measurements of fetal and uteroplacental circulation in intrauterine growth retardation (IUGR) and hypoxia have revealed a redistribution of arterial blood ow with the increased ow to the cerebrum and myocardium and decreased ow to the periphery. This study aimed to evaluate the signicance of changes in fetal Doppler parameters in IIIrd trimester and correlate it to the fetal outcome. Method & Results: This cross-sectional study consisted of 50 pregnancies with clinical suspicion of IUGR. The mean birth weight at delivery was 2.43 Kg +/- 0.26kg (SD). 60% of neonates (n=30) had a birth weight of less than 2.5kg. 48% of fetuses (n=24) had adverse outcomes while the remaining 26 fetuses had a favorable outcome. There were 7 intrauterine deaths (IUDs) and 43 live births. Eight neonates out of 43 live births were admitted to the neonatal intensive care unit (NICU). 7 neonates had a "5 minute Apgar score of less than 7" and 12 babies were borne by emergency caesarian section. Our studies conrm that best results are obtained when we used M Conclusion: CA /UA PI Ratio, rather than PIs of MCA and UA separately. The diagnostic accuracy of the MCA/UA PI ratio is 84% when compared to 80 for UAPI and 68.8% for MCA PI. There were 7 IUDs in whom 4 cases had a reversal of diastolic ow in the umbilical artery and 3 had absent diastolic ow

Publisher

World Wide Journals

Subject

Economics and Econometrics,Education,Earth-Surface Processes,Geography, Planning and Development,Clinical Biochemistry,General Biochemistry, Genetics and Molecular Biology,Molecular Biology,General Chemistry,Linguistics and Language,Language and Linguistics,General Medicine,Computer Science Applications,Linguistics and Language,Education,Language and Linguistics,History,Cultural Studies,Physiology,Literature and Literary Theory,Linguistics and Language,Language and Linguistics,Cultural Studies

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