scholarly journals Efficacy of doppler velocimetry of the umbilical artery in the defined high-risk groups to determine the fetal outcome

2019 ◽  
Vol 8 (5) ◽  
pp. 1724
Author(s):  
Maneesha R. Suryavanshi ◽  
Shriraj S. Katakdhond
Keyword(s):  
High Risk ◽  
Perinatal Outcome ◽  
Neonatal Intensive Care ◽  
Resistance Index ◽  
Fetal Distress ◽  
Risk Groups ◽  
Hypertensive Disorder ◽  
Doppler Velocimetry ◽  
Diastolic Flow ◽  
Doppler Study

Background: Doppler ultrasound provides a non-invasive method of studying the status of various blood vessels. It provides a spectrum analysis of the velocities of moving red blood cells. Doppler sonography can provide useful information in a variety of gynecological and obstetric conditions. In obstetrics, Doppler velocimetry of the uteroplacental and fetoplacental circulation can be used to further investigate complications of pregnancy such as fetal growth restriction, other forms of fetal distress that result from fetal hypoxemia or asphyxia.Methods: In a prospective observational study, 93 pregnancies fitting in the criteria for high risk were evaluated by doppler velocimetry between 28-40 weeks of gestation. The flow velocity time wave forms were examined and quantitated by use of systolic/diastolic (S/D) ratio, resistance index (RI), pulsatility index (PI) values. The outcome of pregnancy was noted.Results: Fetuses with abnormal velocimetry are at higher risk with regard to birth weight, Apgar score, fetal distress, need of cesarean section, need of NICU admission. The patients with absent end-diastolic flow (AEDF)/reversal of end-diastolic flow (REDF) had poor perinatal outcome. Positive predictive value for small for gestational age (SGA) and fetal distress was 75% and 60% respectively. 23.8% babies needed to be kept in neonatal intensive care unit (NICU).Conclusions: Doppler velocimetry can be useful prenatal test for the patients of hypertensive disorder of pregnancy and IUGR. Abnormal doppler waveform changes indicate adverse perinatal outcome. Appropriate and timely interventions guided by doppler study help to reduce perinatal morbidity and mortality.

scholarly journals Significance of Umbilical Artery Velocimetry in Perinatal Outcome of Growth Restricted Fetuses

2016 ◽  
Vol 33 (1) ◽  
pp. 12-17
Author(s):  
Zakia Afroze ◽  
Rokeya Begum
Keyword(s):  
Neonatal Intensive Care ◽  
Umbilical Artery ◽  
Perinatal Death ◽  
Fetal Distress ◽  
Accurate Method ◽  
Doppler Velocimetry ◽  
Average Birth Weight ◽  
Diastolic Flow ◽  
Doppler Study ◽  
Gestational Age At Delivery

Objectives: To study pregnancy outcomes in growth restricted fetuses with normal umbilical artery velocimetry, low end-diastolic umbilical flow, and absent or reversed diastolic flow. Methods: Fifty pregnant women with growth restricted fetuses were evaluated by umbilical artery velocimetry between 28 and 39 weeks of pregnancy. Outcome of pregnancy was recorded for the normal Doppler group (n=17; 34%), the low end diastolic flow group (n=23; 46%), the group with absent diastolic flow (n=8; 16%) and the group with reversed diastolic flow (n=2; 4%). Results: The average birth weight, diagnosis to delivery interval and gestational age at delivery were comparatively lower in case of abnormal umbilical Doppler velocimetry group. Again there was higher incidence of LSCS for fetal distress, Apgar score <7 at 1 minute, admission to neonatal intensive care unit and perinatal death with those of the abnormal umbilical Doppler velocimetry. Conclusion: Doppler study of umbilical artery allows a noninvasive assessment of uteroplacental insufficiency and is an accurate method for diagnosis and management of fetal growth retardation.J Bangladesh Coll Phys Surg 2015; 33(1): 12-17

scholarly journals Admission cardiotocography: Forecasting perinatal outcome

2021 ◽  
Vol 8 (2) ◽  
pp. 158-161
Author(s):  
Nity ◽  
Asima Das
Keyword(s):  
High Risk ◽  
Intrauterine Growth Restriction ◽  
Perinatal Outcome ◽  
Neonatal Intensive Care ◽  
Prospective Observational Study ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
High Risk Pregnancy ◽  
Risk Pregnancy ◽  
Admission Test

The Admission test (AT) in high risk pregnancy for continuous monitoring of FHR (fetal heart rate) has become crucial in the modern day obstetric practice. As it senses the presence of fetal intrapartum hypoxia and assist the obstetrician in making decision on the mode of delivery to improve perinatal outcome in high risk pregnancy.A prospective observational study was carried out in 230 pregnant women with high risk pregnancy in KIMS BBSR, Odisha during period of 2018-2020 who were admitted to labor room with gestational age more than 33 weeks for continuous FHR monitoring with CTG (cardiotocography) for 20 minutes.Among 230 patients majority of them were primigravida in age group of 21-25 years. About 39.1% were postdated pregnancy followed by Pregnancy Induced Hypertension (PIH) (21.1%), Premature Rupture of the Membranes (PROM) (10.4%), Bad Obstetric History (BOH) (6.9%), PIH with IUGR (Intrauterine Growth Restriction) (6.5%), IUGR (5.6%), Oligohydramnios (4.3%), Diabetes (3.5%) and Rh negative pregnancy (2.6%). The admission test were normal in (68.7%), suspicious in (21.7%) and pathological in (9.6%). The incidence of fetal distress, meconium stained liqour, NICU (Neonatal Intensive Care Unit) admission and APGAR score less than 7 was significantly higher with pathological AT as compared with suspicious and normal AT.The admission CTG appears to be simple noninvasive tool for screening the high risk pregnancy and prioritizing fetuses and deciding the mode of delivery.

NORMALAND ABNORMAL LIQUOR VOLUME AND ITS CORRELATION WITH PERINATAL OUTCOME

2021 ◽  
pp. 4-6
Author(s):  
Kumari Nisha ◽  
Renu Jha ◽  
Kumudini Jha ◽  
Debarshi Jana
Keyword(s):  
Apgar Score ◽  
Perinatal Outcome ◽  
Neonatal Intensive Care ◽  
Fetal Distress ◽  
Special Unit ◽  
Group I ◽  
Group Ii ◽  
The Difference ◽  
One Year ◽  
Four Quadrant

Aim:To assess and compare the perinatal outcome among mothers with normal and abnormal amniotic uid volume. Method: A prospective comparative study was conducted for a period of one year from January 2020 to December 2020. Group I consist of 50 patients with normal amniotic uid and group II consists of 50 patients with either oligohydramnios or polyhydramnios. Amniotic uid index (AFI) was calculated using Phalen's four quadrant technique using ultrasound. The perinatal outcome was judged by assessing the fetal distress predicted by abnormal fetal heart rate (FHR) or meconium stained liquor, one minute and 5 minute Apgar score, frequency of admission to neonatal intensive care unit (NICU), baby weight of less than 10th percentile for gestation age and perinatal mortality. Results: Induction of labour, caesarean section and meconium stained liquor was found to be most common among the patients in group II (abnormal AFI) in comparison with normal AFI subjects and similarly the perinatal outcome measures like low birth weight, increased frequency of admission to NICU due to respiratory distress and a low APGAR score was more commonly found in abnormal AFI group and the difference was found to be statistically signicant. Conclusion: AFI measurement in antepartum or intrapartum period can help to identify women who need increased antepartum surveillance for pregnancy complications and such women should be managed in a special unit to combat the complications effectively.

Study of triple vessel wave pattern by doppler study in high risk and normal pregnancies and perinatal outcome

2019 ◽  
Vol 11 (3) ◽  
pp. 102-109
Author(s):  
Hindumathi M ◽  
◽  
Siva Jyothi I ◽  
Saritha A ◽  
◽  
...  
Keyword(s):  
High Risk ◽  
Perinatal Outcome ◽  
Wave Pattern ◽  
Doppler Study

scholarly journals UMBILICAL ARTERY DOPPLER VELOCIMETRY AND ITS RELATION TO PERINATAL OUTCOME IN NORMAL AND HIGH-RISK PREGNANCIES

2019 ◽  
Vol 8 (17) ◽  
pp. 1408-1411
Author(s):  
Kavya G. Venkatappa ◽  
Sowbhagyalakshmi K. S. ◽  
Shivaprasad Shivaprasad ◽  
Kavana G. V ◽  
Geetha H. N
Keyword(s):  
High Risk ◽  
Perinatal Outcome ◽  
Umbilical Artery ◽  
Doppler Velocimetry ◽  
Umbilical Artery Doppler

scholarly journals Comparison of Perinatal Outcomes between Borderline and Normal Amniotic Fluid Index in Term Singleton Pregnancies

2021 ◽  
Vol 18 (4) ◽  
pp. 709-713
Author(s):  
Nishma Bajracharya ◽  
Ganesh Dangal ◽  
Rekha Poudel ◽  
Kenusha Devi Tiwari ◽  
Sonu Bharati ◽  
...  
Keyword(s):  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Neonatal Intensive Care ◽  
Perinatal Outcomes ◽  
Fetal Distress ◽  
Normal Group ◽  
Amniotic Fluid Index ◽  
Safe Delivery ◽  
Meconium Stained Amniotic Fluid ◽  
Singleton Pregnancies

Background: Amniotic fluid provides necessary fluid and growth factors for normal development of fetal lungs, cushions the umbilical cord from compression and protects the fetus. This study aims to compare the perinatal outcome between pregnancy with borderline and normal Amniotic Fluid Index that provide greatest chance for appropriate safe delivery with least maternal fetal and neonatal risk.Methods: A total of 94 singleton full term pregnant women were included in the study-at Kathmandu Model Hospital from February to August 2020. Forty Seven women each with Amniotic Fluid Index 5-8 cm was taken as borderline oligohydramnios group and Amniotic Fluid Index 8.1-24 cm was taken as normal group. Ultrasonography was taken as the medium for measuring Amniotic Fluid Index.Results: The rate of intra-partum fetal distress, meconium-stained amniotic fluid, low birth weight and neonatal intensive care unit admission were not statistically significant between the two groups while rate of cesarean section was noted to be 76.6% in exposed groups as compared to 44.7% among women with non-exposed normal group [RR=1.71; 95%CI: 1.2-2.44 p=0.006]. Conclusions: We concluded that in cases of borderline oligohydramnios there was higher risk of operative delivery.Keywords: Adverse perinatal outcome; amniotic fluid; borderline oligohydramnios; meconium-stained amniotic fluid

scholarly journals Prediction of perinatal outcome with umbilical artery Doppler in IUGR fetuses- a prospective analytical study in a tertiary medical college in Tamilnadu, India

2017 ◽  
Vol 6 (3) ◽  
pp. 1097
Author(s):  
Rajarajeswari R. ◽  
V. Thendral
Keyword(s):  
Birth Weight ◽  
Perinatal Mortality ◽  
Perinatal Outcome ◽  
Umbilical Artery ◽  
Uncontrolled Hypertension ◽  
Medical College ◽  
Diastolic Flow ◽  
Lower Segment Cesarean Section ◽  
Doppler Study ◽  
Umbilical Artery Doppler

Background: Umbilical artery Doppler blood flow studies were a better predictor of neonatal outcome than estimated fetal weight alone in intrauterine growth restricted (IUGR) fetuses. Perinatal mortality and morbidity are increased if the umbilical artery Doppler abnormality worsens.Methods: This study was conducted in Department of Obstetrics and Gynaecology, Thanjavur medical college from August 2015 to August 2016. One hundred singleton pregnancies complicated by IUGR beyond 32 weeks were subjected for Doppler study of umbilical artery. Perinatal outcome in terms of baby outcome, birth weight, early neonatal death, admission in NICU and duration of admission in NICU were analysed.Results: The main indication of termination of pregnancy was oligohydramnios (70%). The other causes of termination were 8% for uncontrolled hypertension and 4 % for post term. 60 % were delivered vaginally and 40% by lower segment cesarean section. Various indication for LSCS were Non-reactive CTG, fetal distress, severe oligohydramnios and failed induction. 92% were delivered alive babies and 8% still born babies. Birth weight of the babies varied from 900gm to 2.5Kg. But patients with absent or reversed end diastolic flow in umbilical artery Doppler, 80% of the babies weighed less than 1.5Kg. Perinatal mortality in our study is 19% which includes 8% of intrapartum mortality and 11% of neonatal mortality and perinatal morbidity is 24%. When the diastolic flow in the umbilical artery is, absent or reversed, it is associated with increased perinatal mortality of 80%.Conclusions: The results of present study clearly demonstrated the efficacy of umbilical artery Doppler in predicting the fetal outcome. To improve the predictive value of this tool, a better method is needed to assess the wellbeing of the IUGR fetuses such as integrated antenatal test which combines BPP and Doppler study employing other vessels. 

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