Umbilical artery Doppler velocimetry and adverse perinatal outcome in high risk pregnancies in a tertiary care center
Journal Title: International Journal of Clinical Obstetrics and Gynaecology - Year 2018, Vol 2, Issue 5
Abstract
Background: This is a prospective study conducted at the department of obstetrics and gynecology Mgmgh, Trichy attached to K.A.P. Vishwanatham Government Medical College, Trichy, From January 2018 To December 2018.this is a Tertiary Care Center in which total number of deliveries per month is around 1000. Objective: The main goal of antenatal fetal surveillance is to identify fetal compromise, to ascertain fetal well being and to improve the perinatal outcome in normal and high risk pregnancies so as to take timely and active intervention to reduce the maternal and perinatal mortality and morbidity. Methods: Study conducted at the department of obstetrics and gynecology MGMGH, Trichy attached to K.A.P. Vishwanatham government Medical College, Trichy January 2018 TO December 2018. Sample size is 100. Results: In this study group, umbilical artery flow was abnormal in 22 patients and normal in 28 patients. When analysing the perinatal outcome with abnormal umbilical artery doppler, where the flow is abnormal, 86.36% patients had abnormal perinatal outcome compared to13.63% who had normal perinatal outcome Umbilical artery flow velocity waveform correlates with the hemodynamic changes occurring in the fetoplacental circulation. Increased resistance to umbilical artery blood flow is significantly associated with perinatal mortality and morbidity. Conclusion: Doppler velocimetry is a non invasive technique used for evaluation of status of fetus in response to alteration in the uteroplacental and fetoplacental circulation.
Authors and Affiliations
Dr. Poovathi M Poovathi
Keywords
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