Perinatal outcome of foetuses with Absent End Diastolic Flow on Umbilical artery Doppler

Paapa Dasari; Rashmi

Volume : VIII, Issue : IV, April - 2019

Perinatal outcome of foetuses with Absent End Diastolic Flow on Umbilical artery Doppler

Paapa Dasari, Rashmi

Abstract :

A retrospective cohort study of 76 pregnant women diagnosed with fetuses with absent end–diastolic flow (AEDF) on umbilical artery Doppler was carried out at a tertiary care teaching Institute in South India to find out the causes of AEDF and perinatal outcome. The majority of women were young primigravidae with a mean age of 28.5 years. Medical disorders complicating pregnancy are the common etiological factors for AEDF among which hypertension complicating pregnancy was the commonest (46%). In 19% the cause was unexplained. The gestational age at diagnosis was between 30 to 32 weeks in majority (35.5%) followed by 32+1 to 34 weeks in 21%. Induction of labour was undertaken in 31% and among these 50% required emergency Caesarean for fetal distress and the mean birth weight was 1378 gms. Elective Caesarean section was performed in 9.2% and the mean birth weight was 1467 gms. The rate of Emergency Caesarean section was 48.6% for antepartum fetal compromise and the mean birth weight was 1414 gms. The PNMR was 302 /1000births with a still birth rate of 18% and neonatal mortality of 13 %. The live birth rate was 80% percent with a take home baby rate of 86%. This shows the optimum perinatal care and this analysis is useful to counsel the women regarding mode of delivery when AEDF is diagnosed beyond 28 weeks of pregnancy and the neonatal outcome of such foetuses.