Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Research Article Volume 3 Issue 8

Role of Doppler in Fetal Growth Restriction and its Relation with Neonatal Outcome

Harpreet Kaur1, Balpreet Kaur2* and Anamika Garg3

1Associate Professor, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
2Assistant Professor, All India Institute of Medical Sciences, Bathinda, Punjab, India
3Junior Resident, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India

*Corresponding Author: Balpreet Kaur, Assistant Professor, All India Institute of Medical Sciences, Bathinda, Punjab, India.

Received: June 23, 2021; Published: July 09, 2021

Abstract

Introduction: Fetal growth restriction effects 10% of total pregnancies.20% of still born infants have fetal growth restriction. Doppler ultrasound has an important contribution to monitor the surveillance of growth restricted fetuses.

Method: It is a retrospective longitudinal study conducted on antenatal women diagnosed with fetal growth restriction after 26 weeks of gestation who are admitted in G.G.S medical college from January 2017 to December 2018 with fetal growth restriction. Doppler indices were evaluated and correlated with fetal outcome.

Results: 87.5% of women with growth restricted fetuses had abnormal Doppler findings. Abnormal Doppler finding in patients who underwent caeseran section were significantly more.

Conclusion: To protect fetuses from sudden demise in a hostile intrauterine environment Doppler ultrasound provides an important contribution. Doppler changes reveal fetal hypoxia atleast a week before the non-stress test or the biophysical profile. It has therefore become the gold standard in the management of fetal growth restriction.

Keywords: Doppler; Women; Middle Cerebral Artery

References

  1. Malhotra N., et al. “Maternal –foetal work up and Management in intrauterine growth restriction”. Donald School Journal of Ultrasound in Obstetrics and Gynecology 4 (2010): 427-432.
  2. “ACOG Practice Bulletin: Clinical Management Guidelines for obstetrician”. Gynaecologists 95 (2000).
  3. Gogat S. “Intrauterine Growth Restriction-Obstetrician’s perspective”. International Journal of Diabetes in Developing Countries 21 (2001): 51-5.
  4. ACOG Practice bulletin. Intrauterine Growth Restriction. “Clinical management Guidelines for Obstetrician-Gynaecologists”. International Journal of Obstetrics and Gynaecology 72 (2001): 85-89.
  5. Cunningham GF., et al. Obstetrics’ 20th Edition. Prentine Hall international chapter 5,7 and 36 (1997).
  6. Krishna U and Bhalearao S. “Placental Insufficiency and Foetal Growth Restriction”. Journal of Obstetrics and Gynaecology India 61 (2011): 505-511.
  7. Baschat AA., et al. “Relationship between arterial and venous Doppler and perinatal outcome in Foetal growth restriction”. Ultrasound in Obstetrics and Gynecology 6 (2000): 407-413.
  8. Lulla C and Garg S. “Colour Doppler in IUGR-Where are we and where do we go?” Journal of Obstetrics and Gynaecology 60 (2010): 301-311.
  9. Tekay A and Campbell S. “Doppler ultrasonography in Obstetrics and Gynaecology”. 4th edn; Callen PW; WB Saunders Company (2000): 677-718.
  10. David Peleg., et al. “Intrauterine growth restriction. Identification and Management”. American Journal of Obstetrics and Gynaecology2 (1998): 453-460.
  11. Baschat AA and Weiner CP. “Umbilical artery Doppler Screening for detection of small foetus in need of antepartum surveillance”. American Journal of Obstetrics and Gynaecology 182 (2000): 154-842.
  12. FitzGerald DE and Drumm JE. “Non-invasive measurement of human fetal circulation using ultrasound: a new method”. BMJ 2 (1997): 450-451.
  13. Mieko R., et al. “Doppler velocimetry of the fetal middle cerebral artery and other parameters of fetal well-being in neonatal survival during during pregnancies with placental insufficiency”. Revista da Associação Médica Brasileira 4 (2013): 392-399.
  14. Danish N., et al. “Assessment of pregnancy outcome in primigravida: comparison between booked and unbooked patients”. Journal of Ayub Medical College Abbottabad 2 (2010): 23-25.
  15. Deshmukh A., et al. “Significance of umbilical artery Doppler velocimetry in the perinatal outcome of growth restricted foetuses”. Journal of Obstetrics and Gynaecology1 (2010): 38-43.
  16. Manning FA., et al. “Antepartum foetal evaluation:Development of a foetal biophysical profile”. American Journal of Obstetrics and Gynaecology 136 (1980): 787-795.
  17. Chamberlain PF., et al. “Accuracy of Sonographically estimated fetal weight with and without oligohydramnios. A case control study”. Journal of Reproductive Medicine11 (1994): 969-973.
  18. Banks EH., et al. “Perinatal risks associated with borderline amniotic fluid index”. American Journal of Obstetrics and Gynaecology6 (1999): 1461-1463.
  19. Visentin S., et al. “Neonatal outcome in intrauterine growth restricted and small for gestational age fetuses”. Ultrasound in Obstetrics and Gynecology1 (2010): 52-67.
  20. Mazarico E., et al. “Perinatal outcomes in gestations with intrauterine growth restriction and small for gestational age fetuses”. Ultrasound in Obstetrics and Gynecology 1 (2010): 52-167.
  21. Arora D., et al. “Significance of umbilical artey velocimetry in perinatal outcome of growth restricted fetuses”. Journal of Obstetrics and Gynaecology India2 (2005): 138-143.

Citation

Citation: Balpreet Kaur., et al. “Role of Doppler in Fetal Growth Restriction and its Relation with Neonatal Outcome”. Acta Scientific Women's Health 3.8 (2021): 02-07.

Copyright

Copyright: © 2021 Balpreet Kaur., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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