Doppler Prediction of Adverse Perinatal Outcome in Intrauterine Growth Restriction

Mahale, Nina; Khanal, Bandana; Mahale, Ajit; Fernandes, Merwyn; Rao, P. L. N. G.; Chavadi, Chanabasappa

doi:10.5455/2320-1770.ijrcog20150223

Cited by 6 publications

(9 citation statements)

References 18 publications

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“…The current study found that the maximum gestational age at which the delivery occurred was preterm (59%) and this agrees with BN Lakhkar who found that the preterm (51.7%) of the sample. The current study revealed that (66%) of neonates had admission to neonatal intensive care unit, and this agrees with Mahale N et al [7] found it 27.24 years. BN Lakhkar who found that 35 babies were admitted into neonatal intensive care unit for treatment.…”

Section: Discussionsupporting

confidence: 92%

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Ultrasound in Prediction of Perinatal Outcomes in Fetuses with Restriction of Intrauterine Growth

Abdulhameed

Al-Karim

Hameed

2023

Al-Kitab J. Pure Sci.

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Studies of Doppler flow velocimetry have been proceeding as a principle mechanism for identification the compromised small fetus from a small fetus that is improbable to suffer from dangerous perinatal complications. The aim of this study is the Prediction of Perinatal Outcome in Fetuses Suspected to Have Intrauterine Growth Restriction: Doppler US Study of Fetal Cerebral, and Umbilical Arteries. This is a longitudinal prospective study done at department of Obstetrics and Gynecology in Salah Al-Deen General Hospital in Tikrit city between February-July 2020. The study included a convenient sample 100 pregnant women in 3rd trimester suspected of IUGR (n=100). Studies of various fetal vessels were performed using color Doppler ultrasound curvilinear probe with a high pass filter. The following vessels were studied with the mother in a recumbent position during fetal inactivity and apnea. 1st Umbilical Artery (UA), 2nd Middle Cerebral Artery (MCA). Fetal outcome was studied under major and minor adverse outcomes. The current study found that the umbilical artery systolic/diastolic ratio was concordant with major and minor adverse outcome among 55 cases regarding of abnormal finding, and among 25 case regarding negative findings. The umbilical artery RI was concordant with major and/or minor adverse outcome among 34 cases regarding of abnormal finding, and among 28 case regarding negative findings. The umbilical artery PI was concordant with major and/or minor adverse outcome among 52 cases regarding of abnormal finding, and among 29 case regarding negative findings. Serial Doppler examinations of fetal (S/D ratio, UA RI, & UA PI), and (MCA PI, & MCA/UA PI) provide better information than does a single measurement.

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Section: Discussionsupporting

confidence: 92%

“…One patient had normal Doppler parameters but still there was neonatal death. [8] Mahale N et al [7] found that adverse effect was LSCS (44%), admission to the neonatal care unit (76%), APGAR score <7 (47%).…”

Section: Discussionmentioning

confidence: 99%

Ultrasound in Prediction of Perinatal Outcomes in Fetuses with Restriction of Intrauterine Growth

Abdulhameed

Al-Karim

Hameed

2023

Al-Kitab J. Pure Sci.

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“…29 For this reason, several authors have suggested that CPR could be a better index for predicting adverse outcome in FGR than either UA or MCA Doppler studies alone and that among pregnancies complicated by FGR, low values of this ratio are statistically associated with an increased risk of adverse neonatal outcome. [30][31][32][33][34][35] These results agree with that of the current study where adverse neonatal outcomes are present in 26.4% in FGR group with the lowest CPR ratio and in 5.8% in SGA group in which CPR ratio was significantly lower than AGA group. In this study, CPR below 1.25 had a sensitivity and specificity of 81 and 91.2%, respectively, for prediction of adverse neonatal outcome.…”

Section: Discussionsupporting

confidence: 92%

Brain Volume and Doppler Velocimetry in Growth-Restricted, Small-for-Gestational-Age, and Appropriate-for-Gestational-Age Fetuses

et al. 2016

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This study aims to detect possible differences in fetal brain volumes between growth-restricted fetuses (FGR), small-for-gestational-age (SGA) fetuses with normal Doppler indices, and appropriate-for-gestational-age fetuses (AGA). Three-dimensional measurements of fetal brain volume and umbilical artery and middle cerebral artery (MCA) pulsatility index (PI) and resistance index (RI) were made in 80 AGA fetuses, 68 SGA fetuses with normal Doppler indices, and 68 FGR with brain-sparing effect between 32 and 36 weeks of gestation. MCA-PI and MCA-RI were significantly lower in FGR group compared with the other two groups ( < 0.001). Brain volume was significantly lower in SGA and FGR groups compared with AGA group ( < 0.001). Brain volume is significantly lower in SGA and FGR groups compared with AGA group.

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“…Near term when umbilical artery Doppler findings maybe subtler, decrease in middle cerebral artery Doppler index or the cerebroplacental ratio increases the suspicion for foetal growth restriction, even if the umbilical artery blood flow resistance index remains within the normal range. 8 Measurements of the cerebroplacental ratio are affected by the indices used in calculation and a standardised approach with gestational references ranges rather than single cut-off values should be used.…”

Section: Introductionmentioning

confidence: 99%

Study of Perinatal Outcome of Pregnancies With Intrauterine Growth Restriction in a Tertiary Care Centre in North Kerala

Sathyavrathan¹,

Ahmed²,

Sundarappa³

2017

jebmh

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BACKGROUND Intrauterine Growth Restriction (IUGR) remains one of the main challenges in maternity care. Intrauterine Growth Restriction (IUGR) is commonly defined as an estimated foetal weight of less than the 10th percentile. While 70% of these are small for normal reasons and not at risk, 30% are pathologically small at risk for numerous complications including foetal death. The study was conducted with the objective to study the perinatal outcome in cases of pregnancies with intrauterine growth restriction and to determine the factors affecting their outcome. MATERIALS AND METHODS The study was conducted in 150 patients of clinically diagnosed cases of intrauterine growth restriction in the Department of Obstetrics and Gynaecology, IMCH, Kozhikode. The study was conducted during 1 year period from June 2014 to June 2015. RESULTS Most of the IUGR cases occurred in the age group of 20-34 years. Gestational hypertension is the leading risk factor. Majority of the cases with abnormal Doppler and reduced AFI had poor outcome. The perinatal outcome was good in 68.7% cases. There were 4 neonatal deaths and 2 intrauterine deaths. They had severe oligohydramnios and abnormal doppler. Among the 4 NND, three had absent diastolic flow and one had flow reversal in umbilical artery. Among the IUD, one had absent diastolic flow and one had flow reversal. CONCLUSION AFI and Doppler velocimetry are the best noninvasive tools in detecting foetal growth restriction and predicting perinatal complications, which help the obstetrician in effective antenatal management and timely intervention.

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Doppler Prediction of Adverse Perinatal Outcome in Intrauterine Growth Restriction

Cited by 6 publications

References 18 publications

Ultrasound in Prediction of Perinatal Outcomes in Fetuses with Restriction of Intrauterine Growth

Ultrasound in Prediction of Perinatal Outcomes in Fetuses with Restriction of Intrauterine Growth

Brain Volume and Doppler Velocimetry in Growth-Restricted, Small-for-Gestational-Age, and Appropriate-for-Gestational-Age Fetuses

Study of Perinatal Outcome of Pregnancies With Intrauterine Growth Restriction in a Tertiary Care Centre in North Kerala

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