Doppler predictors of perinatal outcome in intra-uterine growth retarded foetuses

Authors

  • Varshika Mahesh Hingorani Department of Radiology, NHLMMC, Ahmedabad, Gujarat, India
  • Dharita S. Shah Department of Radiology, NHLMMC, Ahmedabad, Gujarat, India
  • Madhura Ghate Department of Radiology, NHLMMC, Ahmedabad, Gujarat, India
  • Sachin Patel Department of Radiology, NHLMMC, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20194846

Keywords:

APGAR, Doppler, Intrauterine growth restricted, Perinatal, Umbilical artery, Uterine artery

Abstract

Background: The study aims at early detection of intrauterine growth retarded fetuses which are at high risk of perinatal complications. It can help obstetricians take appropriate preventive steps and prevent serious perinatal complications.

Methods: The study undertaken over 100 pregnant women with pregnancy induced hypertension between 28-36 weeks subjected to umbilical artery and uterine artery doppler. The outcome data including gestational age at birth, birth height, APGAR score, admission to NICU, need for positive pressure ventilation and neonatal mortality.

Results: The study shows that 58% mothers with IUGR foetuses were primigravida; gestational age at delivery is 34.2 weeks and 82% of IUGR foetuses were delivered by C-section. Average birth weight of foetus with abnormal doppler was significantly lower and there was high incidence of NICU admission. The study also shows that oligohydroamnios was common with abnormal doppler group.

Conclusions: Umbilical artery doppler velocity in addition to uterine artery velocity doppler should be considered as a primary tool for foetal surveillance in pregnancy induced hypertension patients and for planning management of IUGR foetuses.

References

Berkowitz GS, Chitkara U, Rosenberg J. Sonographic estimation of fetal weight and Doppler analysis of umbilical artery velocimetry in the prediction of intrauterine growth retardation : A prospective study. Am J Obstet Gynecol. 1988;158:1149-53.

Rochelson B, Bracero LA, Porte J. Diagnosis of intrauterine growth retardation as two-step process with morphometric ultrasound and Doppler umbilical artery velocity. J Reprod Med. 1992;37:925-9.

Newnham JP, O’Dea MRA, Reid KP. Doppler flow velocity waveform analysis in high risk pregnancies: a randomized controlled trial. Br J Obstet Gynecol. 1992;35:317-37.

Ertan AK, He JP, Tanriverdi HA. Comparison ofperinatal outcome in fetuses with reverse or absent enddiastolic flow in the umbilical artery and/or fetaldescending aorta. J Perinat Med. 2003;31:307-12.

Park YW, Choe JS, Kim HS, Kim JS. The clinical implication of early diastolic notch in third trimester. Doppler analysis of uterine artery. J Ultrasound Med. 1996;15:47-51.

Seyam YS, Mahmeid MS, Tamimi HK. Umbilical artery Doppler flow velocimetry in intrauterine growthrestriction and its relation to perinatal outcome. Int J Gynaecol Obstet. 2002;77:131-7.

Fleischer A, Schulman H, Farmakides G. Umbilical artery velocity waveforms and intrauterine growthretardation. Am J Obstet Gynecol. 1985;151:502-5.

Vergani P, Andreotti C, Roncaglia N. Doppler predictors of adverse neonatal outcome in the growthrestricted fetus at 34 weeks of gestation or beyond. Am J Obstet Gynecol. 2003;189:1007-11.

McCowan LM, Harding JE, Stewart DW. Umbilical artery Doppler studies in small for gestation age babies reflect disease severity. BJOG. 2000;107(7):916-25.

Brodszki J, Andrade HE, Gudmundsson S. Can the degree of retrograde diastolic flow in theabnormal umbilical artery flow velocity waveforms predict pregnancy outcome? Ultrasound Obstet Gynecol. 2002;19:229-34.

Madazli R. Prognostic factors for survival of growth restricted fetuses with absent end diastolic velocity in the umbilical artery. J Perinatol. 2002;22:286-90.

Spinillo A, Bergante C, Gardella B. Interaction between risk factors for fetal growth retardation association associated with abnormal umbilical artery Doppler studies. Acta Obstet Gynecol Scand. 2004;83:431-5.

Trudinger BJ, Cook CM, Giles W. Fetal umbilical artery velocity waveforms and subsequent neonatal outcome. Br J Obstet Gynaecol. 1991;98:378-84.

Soregaroli M, Bonera R, Danti L. Prognostic role of umbilical artery Doppler velocimetry in growth restricted fetuses. J Matern Fetal Neonatal Med. 2002;11:199-203.

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Published

2019-10-23

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Original Research Articles