Role of colour doppler in evaluation of intra uterine growth restriction with clinical correlation

Authors

  • Shriram V Iyer Associate Professor, Department of Radiology, Ashwini Rural Medical College, Hospital and Research Centre, Kumbhari, Solapur, India
  • Ajey Bhagwat Associate Professor, Department of Radiology, Ashwini Rural Medical College, Hospital and Research Centre, Kumbhari, Solapur, India

Keywords:

Colour Doppler, Intra uterine growth restriction, adverse preinatal outcome, umbilical artery

Abstract

Background: Ductus venosus flow deteriorates earlier than does umbilical artery and uterine artery and could be a more sensitive parameter for the prediction of perinatal mortality in IUGR cases. However, not much attempt has been made to estimate the potential contribution of this parameter alone or in combination with other Doppler indices as predictors of adverse perinatal outcome. Therefore, the present study was undertaken to evaluate the correlation of fetal adverse perinatal outcome with changes of the umbilical artery, uterine artery, fetal middle cerebral artery and ductus venosus flow pattern. Method: The study was conducted over a period of nine months. Data for the study was collected from patients attending the Department of Radiology, referred by Department of Obstetrics and Gynaecology at our hospital. The study included 50 antenatal women who were diagnosed as having a fetus with intra uterine growth restriction based on grey scale ultrasound findings and referred for obstetric Doppler ultrasound. Result: The sensitivity of uterine artery Doppler study to detect adverse perinatal outcome was 84.37% and 81.25% when UA Rl and UA diastolic notch respectively were considered as Doppler parameters. The sensitivity of Doppler examination of the umbilical artery using Pl in predicting perinatal outcome was 81%. The cerebral umbilical ratio provided a better predictor of intrauterine growth restriction and adverse perinatal outcome than either the middle cerebral artery or umbilical artery alone. Conclusion: Doppler imaging is of value for monitoring the pregnancy because it can provide indirect evidence of fetal compromise and is known to improve outcomes of high risk pregnancies with Intrauterine growth restriction.

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Published

2021-09-17

How to Cite

Shriram V Iyer, & Ajey Bhagwat. (2021). Role of colour doppler in evaluation of intra uterine growth restriction with clinical correlation. International Journal of Health and Clinical Research, 4(16), 193–196. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/2634