COLOR DOPPLER IN EVALUATION OF INTRAUTERINE GROWTH RETARDATION AND FETAL OUTCOME

Dr. SUSHIL PANDEY; Dr. SHAILENDRA RAGHUVANSHI; Dr. MAMTA GOYAL; Dr. HINA MITTAL

Volume : X, Issue : IV, April - 2020

COLOR DOPPLER IN EVALUATION OF INTRAUTERINE GROWTH RETARDATION AND FETAL OUTCOME

Dr. Sushil Pandey, Dr. Shailendra Raghuvanshi, Dr. Mamta Goyal, Dr. Hina Mittal

Abstract :

INTRODUCTION– Intra uterine growth retardation (IUGR) most commonly caused by placental insufficiency is rampant in developing countries like India. With the development of ultrasound along the the Doppler, antenatal diagnosis of IUGR is simplified with early detection of the abnormal waveform and Doppler indices of uterine artery, umbilical artery and middle cereal artery. MATERIAL AND METHOD– A total of 35 high risk patients, presenting to the Himalayan Hospital were recruited in the study. Color Doppler indices of Uterine, Umbilical and Middle cereal arteries were taken using Philips EPIQ 5G/ EPIQ 7G ultrasound machine with 3.5/5 MHz curvilinear transducer with follow up of the pregnant women up to delivery. RESULT– 35 patients were enrolled in the study with majority (45.7 %) patients was between 26–30 years followed by 34.3 % of women <26 years of age. Most common high risk factor in our study being hypothyroidism. Neonatal death/Still birth as the fetal outcome was seen in 14.3% of pregnancies. There was a significant association between abnormal umbilical and middle cereal artery Doppler indices with adverse fetal outcome. CONCLUSION– Abnormal Doppler indices of umbilical and middle cereal artery was significantly associated with adverse fetal outcome, however no significant association with the uterine artery seen.