ISOLATED UMBILICAL ARTERY DOPPLER VELOCIMETRY IN INTRAUTERINE GROWTH RESTRICTED FOETUSES WITH CORRELATION OF FOETAL OUTCOME
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 65
Abstract
BACKGROUND Intrauterine Growth Restriction (IUGR) is the condition of a foetus whose size or growth is subnormal and defined on the basis of foetal weight below 10th percentile for corresponding gestational age. The present study was an effort to determine the isolated umbilical artery Doppler velocimetry in such pregnancies. The objective of the study is to determine the umbilical artery velocimetry in IUGR. MATERIALS AND METHODS The descriptive study included 30 antenatal women attending the Department of Radiodiagnosis who were referred by Obstetric Department for Doppler evaluation. Umbilical artery Doppler velocimetry was done to assess the foetal outcome. RESULTS Out of 30 cases Umbilical Artery (UmbA), Pulsatility Index (PI) was elevated in 18 foetuses (60%), absent diastolic flow in 5 and reversal of end diastolic flow in one foetus. Perinatal outcomes were 3 intrauterine deaths and 27 live births. Out of 27 neonates, 7 were admitted to Neonatal Intensive Care Unit (NICU) and 9 had low Apgar score (5 min. Apgar score of < 7) and 11 neonates were uneventful. 9 babies were delivered by emergency caesarean section. Out of 30 cases, 19 foetuses had at least one adverse perinatal outcome. CONCLUSION Umbilical Artery Doppler velocimetry is a valuable modality in evaluating the perinatal outcome in pregnancy with IUGR.
Authors and Affiliations
Bakka Sarada, Nagireddy Vasundhara
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