scholarly journals Color doppler evaluation of cerebral-umbilical pulsatility ratio and its usefulness in the diagnosis of intrauterine growth retardation and prediction of adverse perinatal outcome

2010 ◽  
Vol 20 (1) ◽  
pp. 20 ◽  
Author(s):  
Shahina Bano ◽  
Vikas Chaudhary ◽  
Sanjay Pande ◽  
VL Pande ◽  
AK Sharma
Keyword(s):  
Growth Retardation ◽  
Perinatal Outcome ◽  
Intrauterine Growth Retardation ◽  
Color Doppler ◽  
Intrauterine Growth ◽  
Adverse Perinatal Outcome ◽  
Doppler Evaluation

scholarly journals Color Doppler Evaluation of Cerebral - Umbilical Pulsatility Ratio and its Usefulness in the Diagnosis of Intrauterine Growth Retardation and Prediction of Adverse Perinatal Outcome

2017 ◽  
Vol 34 (3) ◽  
pp. 145-150
Author(s):  
Sharmeen Mahmood ◽  
Shiuly Chowdhury ◽  
Saleha Begum Chowdhury
Keyword(s):  
Growth Retardation ◽  
Predictive Value ◽  
Perinatal Outcome ◽  
Intrauterine Growth Retardation ◽  
Color Doppler ◽  
Birth Asphyxia ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
Intrauterine Growth ◽  
Adverse Perinatal Outcome

The purpose of this study is Evaluation of cerebral umbilical pulsatility ratio by color Doppler and to estimate the value of pulsatility index ratio of cerebral umbilical vessels in the diagnosis of small-for-gestational-age (SGA) fetuses and in the prediction of adverse perinatal outcome . Validity of the test were confirmed by determining sensitivity, specificity, accuracy, positive predictive value, negative predictive value. The study population comprised 40 pregnancies of 30-41 weeks gestation that had been diagnosed clinically as intrauterine growth retardation (IUGR) over a period of 1 year. The cerebral - umbilical pulsatility ratio (C/U ratio) were calculated. The pregnancies were followed up and the final perinatal outcome of each case were noted. Various intraparum and neonatal indicators were used to assess the outcome, with an adverse outcome being defined as the presence of one or more of these indicators. The most common adverse perinatal outcome was birth asphyxia, low apgar score, stay at NICU, still birth and caesarean section for fetal distress. Of the 40 pregnancies in the study, 30 (75%) showed abnormal C/U ratio. Among these, 32 (80%) were SGA and 32 (80%) had adverse perinatal outcome. Of the 30 out of 40 pregnancies that showed abnormal C/U ratio (<1.08), all 30 (80%) were SGA and had adverse perinatal outcome. The results were correlated with parameters of fetal outcome. Inferences drawn from the study was that C/U ratio is a tools for prediction of SGA fetuses and adverse perinatal outcome.J Bangladesh Coll Phys Surg 2016; 34(3): 145-150

scholarly journals Color Doppler Imaging of Cerebral-Umbilical Pulsatility Ratio in Intrauterine Growth Retardation

2017 ◽  
Vol 7 (3) ◽  
pp. 140-145
Author(s):  
Iftadul Islam ◽  
Tarana Yasmin ◽  
Laila Rubaiat ◽  
Syed Shamsul Arephin ◽  
Mohammad Mahbub Hossain ◽  
...  
Keyword(s):  
Birth Weight ◽  
Gestational Age ◽  
Growth Retardation ◽  
Intrauterine Growth Retardation ◽  
Color Doppler ◽  
Color Doppler Imaging ◽  
Doppler Imaging ◽  
College Hospital ◽  
Intrauterine Growth ◽  
Doppler Evaluation

Background: Intrauterine growth retardation (IUGR) refers to a condition in which a fetus is unable to achieve its genetically determined potential size. IUGR may also be defined as growth at the 10th or less percentile for weight of the all fetuses at that gestational age. It has long been recognized that impaired fetoplacental perfusion is associated with intrauterine growth retardation. Ultrasonography with Color Doppler has provided a new tool for this purpose.Objective: To evaluate the role of Color Doppler ultrasonography in the diagnosis of IUGR.Materials and Methods: This prospective study was carried out in the department of Radiology & Imaging of Dhaka Medical College Hospital within a period of January 2010 to September 2011 on 90 patients aged between 17?35 years who were clinically suspected as cases of IUGR or previously USG diagnosed cases of IUGR.Results: The highest incidence of IUGR was found in the age group between 21?25 years. The mean gestational age at birth was 33.2 ± 3.5 weeks and mean birth weight 1.3 ± 6.2 kg in case of abnormal cerebral-umbilical (C/U) ratio group. According to cerebral-umbilical pulsatility index (PI) value 65 cases (72.2%) were diagnosed as abnormal and 25 (27.8%) as normal flow pattern. Perinatal findings showed that 67 were small for gestational age (SGA) and 23 had normal birth weight. The validity of cerebral-umbilical PI ratio for diagnosis of IUGR was studied by calculating sensitivity, specificity, accuracy, PPV and NPV.Conclusion: In this study Color Doppler findings of cerebral-umbilical vessels and the validity tests reveal that Color Doppler evaluation of middle cerebral artery (MCA) and umbilical artery (UA) PI ratio is an useful modality in diagnosis of IUGR.J Enam Med Col 2017; 7(3): 140-145

Color doppler monitoring of changes of utero-placental-fetal circulation in normal pregnancy and intrauterine growth retardation

1997 ◽  
Vol 17 (2) ◽  
pp. 110-114
Author(s):  
Xu Jianping ◽  
Wen Liangzhen ◽  
Ma Tingyuan ◽  
Zhang Yougeng ◽  
Zhang Qingping ◽  
...  
Keyword(s):  
Growth Retardation ◽  
Intrauterine Growth Retardation ◽  
Color Doppler ◽  
Normal Pregnancy ◽  
Fetal Circulation ◽  
Intrauterine Growth

scholarly journals A prospective study to evaluate the role of routine early third trimester ultrasound in the diagnosis of intrauterine growth restriction and prediction of adverse perinatal outcome using color Doppler

2020 ◽  
Vol 9 (11) ◽  
pp. 4506
Author(s):  
Shabd Singh Yadav ◽  
Aditi Singh ◽  
Kalpana Yadav
Keyword(s):  
Intrauterine Growth Restriction ◽  
Perinatal Outcome ◽  
Pulsatility Index ◽  
Color Doppler ◽  
Study Group ◽  
Third Trimester ◽  
Intrauterine Growth ◽  
Adverse Perinatal Outcome ◽  
Control Study

Background: Intrauterine growth restriction (IUGR) is a major and silent cause of perinatal morbidity and mortality. Rate of IUGR in developing countries is 6 times higher than that of developed countries. 14 to 20 million infants are affected with IUGR in developing countries annually. The highest incidence is found in south central Asia (33%) and India (21%). Aim of study was to evaluate the role of early 3rd trimester ultrasound in diagnosis and role of color Doppler in prediction of adverse perinatal outcome in IUGR.Methods: A prospective case-control study was conducted on 720 women admitted in GMH Rewa for one year. 360 antenatal cases diagnosed as IUGR on ultrasound were taken as study group, same number of non IUGR cases were taken as control. Study cases were followed with Doppler. The umbilical artery pulsatility index (UA PI), middle cerebral artery pulsatility index (MCA PI) and cerebro-placental ratio were calculated and the results were analysed.Results: Inferences drawn from the study were: rate of caesarean section was significantly higher (31%) in study group, perinatal outcome was poor in more number of cases (10.8%) in study group than the control group (3.4%), and the sensitivity and specificity of cerebroplacental ratio was more reliable indicator in comparison to that of UA PI and MCA PI in prediction of adverse perinatal outcome.Conclusions: Looking at the high burden of IUGR cases in our country and its adverse effects on perinatal outcome, if early third trimester ultrasound is made mandatory for all pregnant women, most of the IUGR cases can be detected and managed timely and perinatal outcome can be significantly improved.

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