scholarly journals Role of Cardiotocography in predicting perinatal outcome in high-risk pregnancy

2021 ◽  
Vol 12 (03) ◽  
Keyword(s):  
High Risk ◽  
Perinatal Outcome ◽  
High Risk Pregnancy ◽  
Risk Pregnancy

Role of Colour Doppler in High Risk Pregnancy

2021 ◽  
Vol 6 (2) ◽  
pp. 185-191
Author(s):  
Hiral Parekh ◽  
Sneha Chaudhari
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Perinatal Outcome ◽  
Umbilical Artery ◽  
High Risk Pregnancy ◽  
Colour Doppler ◽  
High Risk Factors ◽  
Risk Pregnancy ◽  
A Prospective Study

This was a prospective study conducted in pregnant patients with high risk factors who got admitted in the Department of Obstetrics and Gynaecology at Care Hospital, Jamnagar during the period from May 2018 to September 2020. Background: High-risk pregnancies causes many adverse perinatal outcomes. Doppler ultrasound is a non-invasive technique to study the feto-maternal circulation to guide the clinical management. Objective: This study aims at evaluating the role of colour Doppler in high-risk pregnancies and their perinatal outcome. Materials and Methods: This was a prospective study carried out for 29 months in the Department of Radiology with antenatal women in the age group of 18-35 years with singleton pregnancy of gestational age of <28 weeks to >35 weeks having high-risk factors considered in study. The risk factors considered were pregnancy induced hypertension (PIH), gestational diabetes, anemia, oligohydramnios, polyhydramnios and IUGR. Doppler study of umbilical artery and fetal middle cerebral artery (MCA) arteries was done and amniotic fluid index (AFI) was measured. Parameters in the form of resistive index, pulsatility index, and systolic/diastolic ratio were taken. obstetric history was taken with regular interval follow up. Results: The study was carried out with 50 patients. High-risk pregnancy was more common in the age group of 21-25 years. The most common high-risk factor in pregnancy was oligohydramnios which accounted for 30% of cases. Out of 50 high-risk pregnancies, 5 (10 %) of cases resulted in intrauterine growth restriction (IUGR). Out of 50 high-risk cases, in 36 cases, umbilical artery findings were abnormal. 3 patients had intrauterine death (IUD) and 27 patients had poor perinatal outcome. Umbilical artery abnormality showed significant sensitivity and negative predictive value for adverse (poor + IUD) perinatal. Correlation was seen between high risk pregnancy and need of emergency caesarean section and induction and associated adverse perinatal outcome. Conclusion: Combination of different arterial waveform study enhance the diagnostic accuracy in identifying those intrauterine growth restricted foetuses that were at risk. Keywords: Colour Doppler, high risk pregnancy, perinatal outcome.

Role of Non-Stress Test and Doppler in Assessment of Perinatal Outcome in High-Risk Pregnancy

2012 ◽  
Vol 2 (8) ◽  
pp. 379-380
Author(s):  
Dr. Latika Mehta ◽  
◽  
Dr. Monark Vyas ◽  
Dr. Nilesh chauhan ◽  
Dr. Abhas Shah ◽  
...  
Keyword(s):  
High Risk ◽  
Perinatal Outcome ◽  
Stress Test ◽  
High Risk Pregnancy ◽  
Risk Pregnancy

scholarly journals ROLE OF TRIPLE VESSEL DOPPLER ULTRASONOGRAPHY IN PREDICTION OF PERINATAL OUTCOME IN HIGH RISK PREGNANCY

2020 ◽  
pp. 19-23
Author(s):  
Manasa R ◽  
Priyanka Priyanka
Keyword(s):  
Birth Weight ◽  
High Risk ◽  
Perinatal Outcome ◽  
Pulsatility Index ◽  
Uterine Artery ◽  
Doppler Ultrasonography ◽  
Umbilical Artery ◽  
High Risk Pregnancy ◽  
Risk Pregnancy

Background and Objectives: To evaluate the role of Doppler ultrasonography in predicting the perinatal outcome in high-risk pregnancy and to establish its role in management of high-risk pregnancy. Materials and Methods: The present study is a prospective study of Doppler ultrasound evaluation of uterine artery, umbilical artery and middle cerebral artery in 100 high-risk pregnant women, performed between 28 and 34 weeks of gestation. Doppler index Pulsatility index (PI) for each above mentioned artery and cerebro-placental ratio (CPR) will be calculated. Doppler Pulsatility index for the corresponding gestational age were compared with the reference values. The results of the Doppler ultrasound and AFI will be used for analysis of mode of delivery and perinatal outcome in the form of birth weight, APGAR score, NICU admission, perinatal mortality. Results: Among newborns 46(46%) were admitted to NICU, 64(64%) of neonates had birth weight less than 2.5kg, there were 17 perinatal deaths. Of the 17 perinatal deaths, 2 cases had reverse end diastolic Flow (REDF) and 12 had absent end diastolic Flow (AEDF). Uterine artery PI was most sensitive(72.3%) than Umbilical artery PI(sensitivity 59.6%) and MCA PI(sensitivity 68.1%). Diagnostic accuracy of Cerebroplacental ratio (accuracy71%) was better than Umbilical artery PI (accuracy 65%) and MCA PI(accuracy 70%) in predicting adverse outcomes. Conclusion: Triple vessel colour Doppler sonography is very useful in high-risk pregnancy diagnosis and in predicting perinatal outcome.

The role of antioxidants in high risk pregnancy

GYNECOLOGY ◽  
2014 ◽  
Vol 16 (1) ◽  
pp. 86-92
Author(s):  
I.V. Bakhareva ◽  
Keyword(s):  
High Risk ◽  
High Risk Pregnancy ◽  
Risk Pregnancy

scholarly journals Role of second trimester uterine artery doppler for the prediction of preeclampsia in high risk pregnancy

2019 ◽  
Vol 8 (3) ◽  
pp. 906
Author(s):  
Madhuri Thakur ◽  
Reeti Mehra
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Uterine Artery ◽  
High Risk Pregnancy ◽  
Second Trimester ◽  
Uterine Artery Doppler ◽  
Risk Pregnancy ◽  
Doppler Study ◽  
Doppler Indices

Background: The uterine artery Doppler has potentials for screening for complications of impaired placentation. The purpose of study was to assess the role of uterine artery color Doppler waveform analysis in second trimester for the prediction of preeclampsia in a high-risk pregnancy between 18-24 weeks of gestation.Methods: 100 women with moderate or high-risk factors for developing preeclampsia reporting to Obstetrics and Gynaecology department of Government Medical College and Hospital, Sector 32, Chandigarh were enrolled for present study. Transabdominal uterine artery doppler measurements was done at 18-24weeks of gestation in these patients. Doppler . The Doppler indices generated automatically from the machine , the Pulsatility Index (PI), Resistance Index (RI) , presence or absence of diastolic notch and S/D Ratio were recorded, and average was calculated.Results: Out of 100 patients there were 46 primigravidas with no additional risk factors, 22 pateints with two or more risk factors and there were no patients who had three or more risk factors in present study population. Preeclampsia is seen more commonly in primigravida and primigravida is considered as moderate risk factor for preeclampsia. It was found that an elevated second trimester uterine artery RI was significantly associated with developing preeclampsia later in pregnancy. The sensitivity and specificity of uterine artery Doppler velocimetry were found to be 84% and 55% respectively. Receiver operator characteristics (ROC) curves were created to demonstrate the prognostic value of RI and PI of uterine artery doppler indices at 18-24 weeks of gestation for the development preeclampsia. In addition, there were statistically significant positive correlations between mean RI of uterine artery doppler study and patients who developed preeclampsia. With a sensitivity of 84.21% it could identify 31% of the cases of preeclampsia at a false positive rate of 44.4%.Conclusions: Uterine artery doppler study can be used as a predictor of moderate strength for preeclampsia.

scholarly journals A Randomized Controlled Study to assess the Role of Routine Third Trimester Ultrasound in Low-risk Pregnancy on Antenatal Interventions and Perinatal Outcome

2014 ◽  
Vol 6 (3) ◽  
pp. 139-143 ◽  
Author(s):  
Hema Dhumale ◽  
Yeshita Pujar ◽  
Komal Gurunath Revankar
Keyword(s):  
High Risk ◽  
Perinatal Outcome ◽  
Low Risk ◽  
Controlled Study ◽  
Third Trimester ◽  
Randomized Controlled ◽  
Risk Pregnancy ◽  
Low Risk Pregnancy ◽  
And Control

ABSTRACT Objective To assess the role of routine third trimester ultrasound in low-risk pregnancy on antenatal interventions and perinatal outcome. Design Randomized controlled study. Setting KLES Dr Prabhakar Kore Hospital and Medical Research Center, Belgaum. Subjects A total of 290 low-risk pregnant women between 34 and 37 weeks attending antenatal clinic and fulfilling inclusion criteria were allotted using computer-generated randomization numbers into study and control groups. Intervention In study group, third trimester ultrasound was performed to assess fetal growth, amniotic fluid index (AFI), malpresentations, and late onset fetal anomalies. In control group, no routine ultrasound was performed, unless indicated by clinical suspicion during subsequent visits. High-risk fetuses identified were managed as per the standard protocol. All women were followed to assess antenatal interventions, intrapartum events and perinatal outcome. Results Detection of high-risk fetuses antenatally in study and control groups was 17.25 and 2.07% respectively. This difference was statistically significant (p = —0.0001). Rates of antenatal interventions among study and control were 24.8 and 4.44% respectively. Prevalence of small for gestational age (SGA) fetuses among study and control was 6.9 vs 11.03% respectively. This difference was not statistically significant (p = —0.253). There was no statistical difference in adverse intrapartum events, cesarean section rate for nonreassuring cardiotocography (CTG), low Apgar score and neonatal intensive care unit (NICU) admissions among study and controls. Conclusion Routine third trimester ultrasound is a logical solution for detection of high-risk fetuses in low-risk pregnancies which would otherwise be missed by clinical examination. However, this leads to an increase in antenatal interventions without significantly influencing the perinatal outcome. How to cite this article Revankar KG, Dhumale H, Pujar Y. A Randomized Controlled Study to assess the Role of Routine Third Trimester Ultrasound in Low-risk Pregnancy on Antenatal Interventions and Perinatal Outcome. J South Asian Feder Obst Gynae 2014;6(3):139-143.

scholarly journals COLOUR DOPPLER EVALUATION IN HIGH-RISK PREGNANCY AND PERINATAL OUTCOME

2018 ◽  
Vol 7 (43) ◽  
pp. 4603-4608
Author(s):  
Harshika Singh ◽  
Manjusha Agrawal ◽  
Arvind Bhake ◽  
Nihar Gupta
Keyword(s):  
High Risk ◽  
Perinatal Outcome ◽  
High Risk Pregnancy ◽  
Colour Doppler ◽  
Risk Pregnancy ◽  
Doppler Evaluation

scholarly journals COMPARISON OF INTRAPARTUM CARDIOTOCOGRAPHY & OBSTETRIC DOPPLER IN PREDICTING PERINATAL OUTCOME IN HIGH RISK PREGNANCY

2020 ◽  
pp. 1-3
Author(s):  
Karishma Gandhi ◽  
Ishit Shah ◽  
Ram Kumar Patidar
Keyword(s):  
High Risk ◽  
Perinatal Outcome ◽  
Color Doppler ◽  
Color Doppler Ultrasound ◽  
Fetal Outcome ◽  
High Risk Pregnancy ◽  
Normal Delivery ◽  
Risk Pregnancy ◽  
Fetal Wellbeing ◽  
Adverse Fetal Outcome

Background: High risk pregnancy needs special antepartum as well as intrapartum care and investigations. CTG is aadmissionscreening test to monitor fetal wellbeing by use of cardiotocograph. It monitors fetal heart rate and uterine contractions. Color Doppler is ultrasound dependent test which uses vascular flow velocities and Doppler waveform to predict fetal outcome. Objective: Comparison of efficiency of CTG & Color Doppler ultrasound for intrapartum fetal surveillance in high risk pregnancy. Methods: Retrospective study of 100 high risk pregnancies of ≥ 34 weeks POG in labor with CTG and color Doppler findings were done on admission at Gujarat Adani Institute of Medical Sciences, Bhuj. Subjects were classified into 4 groups based on CTG and color Doppler findings. Maternal and fetal outcome were recorded and correlated with CTGand color Dopplerfindings. Results: Most common cause of high-risk pregnancy was preeclampsia(n=60/100,60%).In our study, rate of normal delivery was 40% and c-section was 60% (31% elective & 29% emergency). Out of 100 fetuses, 76 were healthy, 22 were admitted in NICU (6 NICU deaths) and 2 were still birth. Perinatal outcome was most favorable with normal CTG and Color doppler and was least favorable with both of them abnormal. Outcome was intermittent in other two groups. CTG found to have sensitivity 62.5% and specificity 82.5% in detection of adverse fetal outcome. Similarly,sensitivity and specificity of color doppler was 48.8% and 98.6% respectively. Conclusions: In our study it was found that CTG is more sensitive and color Doppler is more specific in detection of adverse fetal outcome.

scholarly journals Role of Usual Healthcare Combined with Telemedicine in the Management of High-Risk Pregnancy in Hangzhou, China

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Xu-Hong Zhu ◽  
Jing Tao ◽  
Li-Yuan Jiang ◽  
Zhi-Feng Zhang
Keyword(s):  
Risk Factor ◽  
High Risk ◽  
Maternal Health ◽  
Pregnant Women ◽  
High Risk Pregnancy ◽  
Risk Scores ◽  
Public Health Services ◽  
Risk Pregnancy ◽  
High Risk Factor

Background. Maternal health is an important part of basic public health services in China’s medical reform. Effective management is an important guarantee of maternal health. Telemedicine has been widely used in maternal health management. Objective. This study explores the role of usual healthcare combined with telemedicine in the management of high-risk pregnancy. Methods. The study was a retrospective. Data were obtained from Hangzhou Maternity Hospital between October 2012 and September 2016, including 93465 pregnant women who were in usual high-risk pregnancy management (usual group) and 134884 pregnant women who were in telemedicine combined with usual high-risk pregnancy management (telemedicine group). The differences in high-risk scores and pregnancy outcomes between the usual and the telemedicine groups were compared. Results. The high-risk factors were analyzed, and the results showed that the first fixed high-risk factor was scar uterus and the first dynamic high-risk factor was hepatitis B. Comparing the data of two groups, the number of prenatal visits increased significantly in the telemedicine group (p value <0.05). Although the critical proportion of high-risk women was 2.13% in the usual group and 5.88% in the telemedicine group, respectively (p value <0.01), maternal mortality decreased in the telemedicine group (p value <0.05). Conclusion. The combination of telemedicine and usual healthcare can urge the pregnant women to carry out antenatal visits on time, which is one of the important factors to improve the outcome of high-risk pregnancy.

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