PREDICTION OF FETAL ACIDOSIS BY DOPPLER SONOGRAPHIC EXAMINATION OF UMBILICAL AND MIDDLE CEREBRAL ARTERIAL BLOOD FLOW AT 36 WEEKS OF GESTATION.

Duri S. Yatoo; Sheeraz A. Dar; Subh un Nisa Yetoo; Duri M. Yatoo; Mohammad F. Mir; Rifat Ara

Volume : X, Issue : IV, April - 2020

PREDICTION OF FETAL ACIDOSIS BY DOPPLER SONOGRAPHIC EXAMINATION OF UMBILICAL AND MIDDLE CEREBRAL ARTERIAL BLOOD FLOW AT 36 WEEKS OF GESTATION.

Duri S. Yatoo, Sheeraz A. Dar, Subh Un Nisa Yetoo, Duri M. Yatoo, Mohammad F. Mir, Rifat Ara

Abstract :

Objective: To predict fetal acidosis in high risk pregnancies who show abnormal blood flow in umbilical artery and middle cereal artery by Doppler indices Method: After a ief history Doppler ultrasound was carried out at 36 weeks of gestation to assess the Doppler parameters of PI, SD ratio and CPR of umbilical and middle cereal artery. Perinatal outcome was studied in terms of APGAR score, cord blood PH, and NICU admission. Results: Umbilical Artery SD ratio revealed sensitivity, specificity, PPV and NPV of 93.33%, 83.33%, 90.32% and 88.23% respectively in predicting the adverse perinatal outcome, while MCA SD ratio revealed sensitivity, specificity, PPV and NPV of 90%, 83.33%, 90% and 83.33% respectively in predicting the adverse perinatal outcome. Conclusion: Doppler indices like PI, SD ratio, and CPR of Umbilical and middle cereal artery as depicted in our study, could serve as reliable diagnostic methods of detecting compromised fetuses.