RECENT ADVANCES IN ULTRASOUND AND COLOR DOPPLER INDICES IN DETECTION & MANAGEMENT OF IUGR

Dr. Vijay Kulshrestha; Dr. Rupali Sharma; Dr. Neeraj Prajapati; Dr. Mohammad Zakiuddin

Volume : VIII, Issue : V, May - 2019

RECENT ADVANCES IN ULTRASOUND AND COLOR DOPPLER INDICES IN DETECTION & MANAGEMENT OF IUGR

Dr. Vijay Kulshrestha, Dr. Rupali Sharma, Dr. Neeraj Prajapati, Dr. Mohammad Zakiuddin

Abstract :

Objective: Our aim is to evaluate the fetal biometry with modifications of velocimetric (UA, MCA, DV) using color Doppler, CTG and BPP parameters in fetal monitoring for early antenatal detection and proper management of IUGR so as to reduce perinatal mortality and morbidity. Methods: This retrospective longitudinal study was carried out at the G.S Medical College and Hospital, Pilkhuwa (U.P) from October 2016 to Feuary 2019. The study was conducted on a sample of 385 pregnant women assisted from the 32nd weeks and more with full clinical examination, laboratory assessment followed by detailed ultrasound and colour Doppler, CTG to delivery. Results: 88 patients had IUGR. The patients with abnormal indices had a higher incidence of Caesarean delivery (42.33%), low Apgar score (7cases), need for admission to NICU (66%) and neonatal complications (30.9%) as compared to those with normal indices. Conclusions: The CTG parameters and Doppler velocimetry integrated with fetal biometry can be used as valuable methods in antenatal detection of early signs of fetal compromise in IUGR foetuses and proper management by fetal monitoring resulting timely delivering a preterm foetus so as to avoid adverse fetal outcome .There is need of further advancement in the understanding of complex mechanism of aetiology and pathophysiology of IUGR foetuses in detection of placental insufficiency level , and management by using multiple fetal monitoring tools.