Study of Triple Vessel Wave Pattern by Doppler Studies in Low Risk and High Risk Pregnancies and Perinatal Outcome

Mohan, Sureendhar; Natarajan, Paarthipan; Madineni, Sandeep; K.V, Rajasekhar

doi:10.9790/0853-1603061423

Cited by 5 publications

(6 citation statements)

References 2 publications

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“…Umbilical artery and middle cerebral artery Doppler ultrasound clearly depict the information about placental resistance and the changes in the fetal hemodynamics in response to it. Umbilical artery Doppler reflects the maldevelopment of the placental tertiary stem villi which increases the placental resistance [1]. Doppler evaluation of blood flow through cerebral vessels allows detection of altered cerebral circulation, much before significant fetal heart rate changes due to hypoxemia.…”

Section: Dopplermentioning

confidence: 99%

“…Preeclampsia, one of the leading causes of maternal and fetal morbidity and mortality, affecting 2-5% of pregnancies, is a specific syndrome characterized by reduced organ perfusion secondary to vasospasm and endothelial pathophysiology [1]. A diagnosis of preeclampsia is made based on the presence of systolic blood pressure greater than 140 mm Hg or diastolic blood pressure greater than 90 mm Hg on two occasions at least 4 hours apart and presence of proteinuria or severe features [2].…”

Section: Introductionmentioning

confidence: 99%

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Cerebroplacental Doppler Ratio and Cerebrouterine Doppler Ratio in Predicting Neonatal Outcome in Preeclamptic Pregnant Women

Elsharkawy

Khyat

Dakhakhni

et al. 2022

JAMMR

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Background: Umbilical artery and middle cerebral artery Doppler ultrasound clearly depict the information about placental resistance and the changes in the fetal hemodynamics in response to it. The aim of this work was to assess the role of cerebroplacental ratio and cerebrouterine ratio in prediction of neonatal outcome in preeclamptic women. Methods: This prospective observational study was carried out on 110 pre eclamptic women. Patients were divided into two groups: Preeclampsia with severe (n=58) and preeclampsia (n=52). All patients were subjected to laboratory testing (complete blood count (CBC), coagulation profile, liver and kidney function tests, 24 hours urine sample collection) and ultrasonographic scanning trans - abdominal sonographic examinations. Results: The cut off value of CP ratio was 1.09 with sensitivity 84%, specificity 89%, PPV (positive predictive value) 94%, NPV (negative predictive value) 73% and accuracy 85% while the study cut off value of CU ratio was 1.3 with sensitivity 97%, specificity 93%, PPV 95%, NPV 95% and accuracy 95%. UTA, UMBA, MCA, CP and CU were significantly higher in Preeclampsia with severe than Preeclampsia (P value <0.05). Conclusions: Most of unfavourable neonatal outcome associated with abnormal cerebroplacental and cerebrouterine ratio so cerebroplacental and cerebrouterine ratio were complementary to each other in predicting the adverse neonatal outcomes.

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Section: Dopplermentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cerebroplacental Doppler Ratio and Cerebrouterine Doppler Ratio in Predicting Neonatal Outcome in Preeclamptic Pregnant Women

Elsharkawy

Khyat

Dakhakhni

et al. 2022

JAMMR

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“…Umbilical conduit and center cerebral corridor doppler ultrasound plainly portray the data about placental opposition and the adjustments in the fetal hemodynamics because of it. Umbilical supply route Doppler mirrors the maldevelopment of the placental tertiary stem villi which expands the placental resistance [7].…”

Section: Introductionmentioning

confidence: 99%

Cerebro-Umbilical Ratio at 30-34 weeks Gestation as A Prognostic Parameter for Pregnancy and Adverse Neonatal Outcomes

Mashad

Mahmoud

Ebrahem

et al. 2020

Benha Journal of Applied Sciences

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Fetal cerebral dissemination normally shows a high opposition example of stream in the MCA. There is a typical physiologic reaction of MCA enlargement in babies presented to intense or ceaseless hypoxia, bringing about a reductionin fetal MCA PI. Umbilical corridor and center cerebral conduit Doppler ultrasound unmistakably delineate the data about placental obstruction and the adjustments in the fetal hemodynamics in light of it. The cerebral-umbilical proportion stays steady during the most recent 10 weeks of incubation and gives preferred symptomatic precision over either vessels pulsatility list (PI) alone. The current examination is forthcoming associate investigation which was completed at Benha University Hospital (outpatient center). The investigation included 90 pregnant ladies at 30-multi week incubation introduced for antenatal consideration and afterward followed till conveyance. There are factually huge relations between CUR level and gestational age, nearness of comorbid diabetes and hypertension, method of conveyance, APGAR score and NICU affirmation. There is measurably critical positive relationship among's CUR and both maternal age and APGAR score. The best cutoff of CUR in expectation of nonattendance of requirement for crisis CS is ≥ 0.94. Additionally, the best cutoff of CUR in expectation of nonappearance of requirement for NICU affirmation is ≥1.0075. Mutt is prescient of expanded obstetric intercession rates and unfriendly perinatal and neonatal results and might be helpful in certain high danger gatherings. Cerebro_umbilical proportion shows high exactness in contrast with center cerebral supply route and umbilical conduit Doppler alone so it is proficient test for anticipation and mediation.

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“…3 Fetal hemodynamics can be assessed noninvasively with ultrasound Doppler. 4 Doppler investigations of the umbilical arteries (UA) offer information about perfusion of the fetoplacental circulation, and specific fetal organs which are valuable in detecting hemodynamic changes occurring in response to fetal hypoxia and anemia. 4 Clinicians must be aware of temporal variations in the fetal circulation.…”

mentioning

confidence: 99%

“…4 Doppler investigations of the umbilical arteries (UA) offer information about perfusion of the fetoplacental circulation, and specific fetal organs which are valuable in detecting hemodynamic changes occurring in response to fetal hypoxia and anemia. 4 Clinicians must be aware of temporal variations in the fetal circulation. These variations are connected with changes in fetal size as well as other tests of wellness, in order to maximize the Doppler information of the fetal circulation.…”

mentioning

confidence: 99%

Hemodynamic Changes in Umbilical Artery and Middle Cerebral Artery With Oligohydramnios in Third Trimester of Pregnancy

Jabeen

Bacha

Zain-ul-Hassan

et al. 2021

Journal of Diagnostic Medical Sonography

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Objective: The objective of this study was to determine the hemodynamic changes in the umbilical artery (UA) and middle cerebral artery (MCA) with oligohydramnios, during third trimester of pregnancy. Materials and Methods: A cross-sectional descriptive study was done in a perinatal ultrasound center, over a 9-month period. The participant sample size was 64, and all of the women were conveniently consented and selected for the study. All individuals were referred for obstetrical sonography in the third trimester, with oligohydramnios. All fetal anomalies, such as a neural tube defect, dwarfism, an abdominal wall defect, were excluded from the study. Results: The mean systolic to diastolic (S/D) ratio for the UA was 3.01, within a range of 1.49 to 5.60 (± 0.79 SD). The mean pulsatility index (PI), of the UA, was 1.11, within a range of 0.41 to 5.51 cm (± 0.64 SD). The mean resistive index (RI) of the UA was 0.66, within a range of 0.33 to 1.25 cm (± 0.13 SD). The mean S/D ratio of the MCA was 5.68, within a range of 2.05 to 26.10 (± 3.10 SD). The mean PI of the MCA was 1.67 within a range of 0.75 to 2.55 cm (± 0.45 SD). The mean resistive index (RI), of the UA, was 0.82 within a range of 0.51 to 1.77 cm (± 0.82 SD). Conclusion: The Doppler indices may rise as pregnancy advances, especially in fetuses with oligohydramnios. In these types of patients, the flow within the MCA may decrease, with an increase in the gestational age. Consequently, it appears that oligohydramnios may lead to vascular remodeling of the UA and MCA.

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Study of Triple Vessel Wave Pattern by Doppler Studies in Low Risk and High Risk Pregnancies and Perinatal Outcome

Cited by 5 publications

References 2 publications

Cerebroplacental Doppler Ratio and Cerebrouterine Doppler Ratio in Predicting Neonatal Outcome in Preeclamptic Pregnant Women

Cerebroplacental Doppler Ratio and Cerebrouterine Doppler Ratio in Predicting Neonatal Outcome in Preeclamptic Pregnant Women

Cerebro-Umbilical Ratio at 30-34 weeks Gestation as A Prognostic Parameter for Pregnancy and Adverse Neonatal Outcomes

Hemodynamic Changes in Umbilical Artery and Middle Cerebral Artery With Oligohydramnios in Third Trimester of Pregnancy

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