Volume : I, Issue : V, February - 2012

Significance Of Umbilical Artery Velocimetry In Perinatal Outcome Of Fetuses With Intrauterine Growth Retardation.

Dr G S Shekhawat

Abstract :

Background: The incidence of Intrauterine growth restriction is approximately 10%. The management depends upon diagnosis and follow up and timely delivery of the baby. Methods: Prospective cohort study was conducted at tertiary care hospital from Sep 07 to Jan 09 on 60 women with clinical suspicion of IUGR. After confirming IUGR with ultrasound these patient were followed with umbilical artery velocimetry.The neonatal outcomes – gestational age at delivery, birth weight, APGAR score, NICU admission were noted. Results: Low end diastolic velocity was present in 23 patients and 05 fetuses had absent end diastolic velocimetry. The mean age of delivery was 37.3 Weeks in normal velocimetry, 36 Weeks in high S/D ratio and 33.5 Wks (31–37.3 Wks) in absent diastolic flow group. The birth weight were of average of 1.67 kg in the low end diastolic velocity , 1.002 kg in the absent diastolic velocity group and 2.03 kg in the normal umbilical artery velocimetry group. APGAR of <7 was seen in 6 (26%) of low end diastolic velocity, 3 (60%) of absent Doppler velocimetry as compared to 3 (9.2%) in the normal Doppler velocimetry group. Conclusion: The data indicates that the umbilical artery velocimetry could distinguish the group of small for date fetuses in risk for complications. Growth restricted fetuses with normal umbilical flow velocimetry are at lower risk than those with abnormal velocimetry in terms of poor APGAR scores and neonatal intensive care admissions

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr G S Shekhawat Significance Of Umbilical Artery Velocimetry In Perinatal Outcome Of Fetuses With Intrauterine Growth Retardation. Indian Journal of Applied Research, Vol.I, Issue.V February 2012

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