STUDY OF RELATIONSHIP OF DOPPLER INDICES TO THE PERINATAL OUTCOME IN HIGH RISK PREGNANCIES
| Autor: | Bhagya Lakshmi A, Usha P, Uma N, Jyotsna D, Hemalata Devi D |
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| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Journal of Evidence Based Medicine and Healthcare, Vol 2, Iss 6, Pp 705-713 (2015) |
| ISSN: | 2349-2570 2349-2562 |
| DOI: | 10.18410/jebmh/2015/99 |
| Popis: | BACKGROUND: The Doppler velocimetry has become an important tool in the evaluation and management of high - risk pregnancies. The umbilical and uterine artery Doppler abnormalities can detect abnormal feto - placental circulat ion. Recently MCA to Umbilical Artery (UA) pulsatility index (PI) ratio have been described to be good predictors of neonatal outcome in high risk pregnancies in the third trimester and have been proposed to identify fetuses at risk of morbidity and mortal ity. AIM: To know the relationship of MCA - PI (Middle cerebral artery - Pulsatility Index) , UA - PI (Umbilical artery - Pulsatility Index) and ratio of MCA - PI/UA - PI on the outcome of pregnancy in high risk cases. METHOD OF STUDY: Analytical study at tertiary ca re centre on 60 pregnant women in third trimester of pregnancy with associated risk factors of intrauterine growth retardation, pregnancy induced hypertension or preeclampsia were included in the study. Doppler evaluations were performed from diagnosis to delivery with weekly follow up. MCA - PI (Middle cerebral artery - Pulsatility Index) , UA - PI (Uterine artery - Pulsatility Index) were recorded. The perinatal out - come were noted and calculated for level of significance . RESULTS: Abnormal UA – PI is significantly associated with operative intervention and poor perinatal outcome. But UA - PI is not sensitive. Abnormal MCA - PI though, moderately significant in association with operative intervention; association with perinatal complications is not signif icant. The ratio of MCA - PI/UAPI; those with ratio of |
| Databáze: | OpenAIRE |
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