A study of fetal umbilical artery and middle cerebral artery doppler velocimetry before and after treatment of severe maternal iron deficiency anaemia

Rafiq, Suhail; Posh, Sheema; Jeelani, Irtifa; Dar, Musaib Ahmad; Tang, Shahnaz

doi:10.21276/obgyn.2022.8.2.5

Cited by 2 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results are in consonance with the findings obtained in Abdel Mageed et al and Abdel Samie et al study 10,16. Also, the results correlated well with the study done by Rafiq et al where mean UmA RI was more in severe anaemia group (0.64±0.01) than moderate anaemia group (0.617±0.03) which decreased after treatment (p<0.05) 12. Similar decrease in UmA RI after treatment of maternal anaemia was found in study done by Mohamad Ihab et al and Ghada A et al11 Mean value of umbilical artery pulsatility index in mild anaemia group was found to be 0.89±0.13, 0.96±0.14 in moderate anaemia and 1.15±0.21 in severe anaemia group.…”

supporting

confidence: 91%

Effect of maternal anaemia on foetal Doppler indices during third trimester of pregnancy

Agrawal

Atram²,

Chaudhary³

2022

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Anaemia is amongst the most common medical disorders encountered during pregnancy all over the world. India has a high rate of anaemia in pregnant women. Anaemia has a recognizable effect on both maternal and foetal health during pregnancy and on perinatal outcome, contributing remarkably to maternal morbidity and mortality. Routine foetal monitoring is an essential investigation for such females with special emphasis on obstetrics Doppler ultrasonography. Various changes due to foetal hypoxia due to maternal anaemia can be remarkably appreciated on Doppler helping in timely management. The objective of this study was to evaluate the effect of maternal anaemia on foetal Doppler indices.Methods: 400 pregnant women were assessed in a cross-section observational study done in the department of Radiodiagnosis in MYH, Indore, India. These women were divided into three groups of mild, moderate and severe anaemia based on the level of haemoglobin.Results: Umbilical artery resistive and pulsatility indices were found to be increased with the increasing severity of anaemia while middle cerebral artery indices and CPR showed a decreasing trend with the increasing severity of anaemia.Conclusions: We found that severe maternal anaemia is associated with marked adaption in foetal haemodynamics. Obstetrics Doppler can be used as an accurate measure of surveillance for foetal monitoring and will help in appropriate management.

show abstract

supporting

confidence: 91%

Effect of maternal anaemia on foetal Doppler indices during third trimester of pregnancy

Agrawal

Atram²,

Chaudhary³

2022

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…In pregnancies complicated by anaemia, the end-diastolic flow is reduced causing a rise in resistance of placental flow. Studies done by Rafiq S et al ,[ 8 ] Abdel-Megeed AM et al [ 9 ] and Abdel Samie AS et al [ 5 ] reported similar results.…”

Section: Discussionsupporting

confidence: 57%

“…Similar results were seen in a study done by Abdel Samie AS et al [ 5 ] with mean UmA PI higher in the severe anaemia group at 1.11 ± 0.27 than the mild or moderate anaemia groups ( P < 0.000). Studies done by Mohamad Ihab Md et al ,[ 6 ] Ghada A et al [ 7 ] and Rafiq S et al [ 8 ] showed similar results.…”

Section: Discussionsupporting

confidence: 55%

Role of colour Doppler in predicting foetal outcome in maternal anaemia

Agrawal,

Bhandari,

Taya

et al. 2023

Journal of Family Medicine and Primary Care

View full text Add to dashboard Cite

Context: Anaemia is the most common nutritional deficiency in Indian pregnant females. It ensues foetal hypoxia resulting in different compensatory mechanisms in the foetus which may result in adverse perinatal outcomes. Colour Doppler can be used to measure these hemodynamic changes of the foetus ahead of the clinical manifestations, guiding the obstetrician for the appropriate management and circumventing any dire complication. Aims: The aim of this study is to detect foetal haemodynamic changes associated with maternal anaemia and assess the parameters which predict these changes accurately. Settings and Design: Prospective cohort study. Materials and Methods: Two hundred and forty pregnant females in the third trimester, divided into four groups based on their haemoglobin levels in the non-anaemic, mild, moderate and severe anaemic groups, were included in the study. These patients were followed up for foetal outcome in terms of effective foetal weight, APGAR score and neonatal intensive care unit admission. Statistical Analysis Used: Analysis of Variance Appearance, Pulse, Grimace, Activity and Respiration (ANOVA) test was used to compare the quantitative variables. SPSS software was used. Results: The middle cerebral artery (MCA) Doppler indices and cerebroplacental ratio (CPR) values were increasing while umbilical Doppler indices were decreasing with the increasing severity of anaemia. CPR was found to be the most sensitive predictor for foetal outcome. Conclusions: Maternal anaemia results in foetal hypoxia which can be measured in terms of foetal Doppler indices. CPR was found to be more sensitive than the umbilical or MCA in predicting foetal hypoxia and in turn the perinatal outcome of foetuses of anaemic pregnant females. The foetuses with low CPR values will require urgent intervention to improve the outcomes.

show abstract

A study of fetal umbilical artery and middle cerebral artery doppler velocimetry before and after treatment of severe maternal iron deficiency anaemia

Cited by 2 publications

References 0 publications

Effect of maternal anaemia on foetal Doppler indices during third trimester of pregnancy

Effect of maternal anaemia on foetal Doppler indices during third trimester of pregnancy

Role of colour Doppler in predicting foetal outcome in maternal anaemia

Contact Info

Product

Resources

About