Perinatal Outcome in Growth Restricted Fetus: Middle Cerebral Artery Vs Umbilical Artery Doppler
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 2
Abstract
Foetal growth restriction is associated with increased perinatal mortality and mobidity, possibly extending also into the adult life. A prospective observational longitudinal study was conducted on antenatal women diagnosed with foetal growth restriction at/after 26 weeks of gestation to compare the diagnostic efficacy of the umbilical artery (UA) and middle cerebral artery (MCA) doppler in predicting the foetal outcome. PI (pulsatility index) of umbilical artery had the highest sensitivity, PI of middle cerebral artery had the highest specificity and the umbilical artery SD ratio had the highest positive predictive value in prediction of adverse perinatal outcome. In growth restricted fetuses early doppler changes were seen in the umbilical artery followed by centralization of blood flow (brain sparing effect).
Authors and Affiliations
Dr. Sunil Seth
Keywords
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