Published January 30, 2024 | Version https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue1,Article254.pdf
Journal article Open

Role of Doppler Parameters in Pregnancy for Predicting Adverse Outcome

Authors/Creators

  • 1. MRCOG(UK), MS(OBG), FMAS, Diploma in Cosmetic Gynecology, Assistant Professor, Department of Obstetrics and Gynecology, Gitam Institute of Medical Sciences And Research, Visakhapatnam
  • 2. MS(OBG), FMIS, DMAS, Consultant Obstetrician and Gynaecologist, Naren ultrasound and fetal medicine center, Visakhapatnam
  • 3. MD(Radiodiagnosis), Associate Professor, Department of Radiodiagnosis, Gitam Institute of Medical Sciences and Research, Visakhapatnam
  • 4. MD(Radiodiagnosis), FIAOGU, Consultant Radiologist and Fetal Medicine Specialist, Naren Ultrasound and Fetal Medicine Center, Visakhapatnam

Description

Introduction: Identifying fetuses at a higher risk of perinatal compromise is crucial for improving outcomes in pregnancies affected by late-onset fetal growth restriction (FGR). Unlike early-onset FGR, where blood flow in the umbilical artery is a standard for identification and management, late-onset FGR often exhibits normal umbilical artery flow. Consequently, more accurate predictors are needed for adverse outcomes in late-onset FGR pregnancies. Aim: To assess the role of Doppler parameters in pregnancy, focusing on their significance in assessing maternal and fetal well-being. Material and Methods: This prospective study, conducted at a tertiary care center from January 01st, 2023 to December 31st, 2023, focused on fifty cases of high-risk pregnancies in the third trimester. This study was conducted at GITAM Institute of Medical Sciences and Research, Vishakhapatnam. Patients meeting inclusion criteria included antenatal women of 3rd trimester referred to department of Radiodiagnosis for Doppler study. Exclusions comprised patients in labor upon admission, those refusing delivery at the center, and cases involving twins. Result: In the current study, several vascular indices have been examined to assess their characteristics within the sample. The “UA-S/D” variable exhibits a mean value of 2.4270 with standard deviation of 0.56224.  The standard error of the mean, reported as 0.07951, additionally, other vascular indices have been investigated. Specifically, “UA RI” has a mean of 0.544, “UA PI” has a mean of 0.558, “MCA PI” has a mean of 0.724, and “MCA RI” has a mean of 0.742. The standard deviations for these variables indicate the extent of variability around their respective means. For example, “UA RI” has a small standard deviation of 0.081. Conclusion: Multi-vessel color Doppler ultrasound studies play a crucial role in monitoring patients having adverse pregnancy outcome. Notably, it outperformed the individual assessments of umbilical artery pulsatility index (UA PI).

 

 

Abstract (English)

Introduction: Identifying fetuses at a higher risk of perinatal compromise is crucial for improving outcomes in pregnancies affected by late-onset fetal growth restriction (FGR). Unlike early-onset FGR, where blood flow in the umbilical artery is a standard for identification and management, late-onset FGR often exhibits normal umbilical artery flow. Consequently, more accurate predictors are needed for adverse outcomes in late-onset FGR pregnancies. Aim: To assess the role of Doppler parameters in pregnancy, focusing on their significance in assessing maternal and fetal well-being. Material and Methods: This prospective study, conducted at a tertiary care center from January 01st, 2023 to December 31st, 2023, focused on fifty cases of high-risk pregnancies in the third trimester. This study was conducted at GITAM Institute of Medical Sciences and Research, Vishakhapatnam. Patients meeting inclusion criteria included antenatal women of 3rd trimester referred to department of Radiodiagnosis for Doppler study. Exclusions comprised patients in labor upon admission, those refusing delivery at the center, and cases involving twins. Result: In the current study, several vascular indices have been examined to assess their characteristics within the sample. The “UA-S/D” variable exhibits a mean value of 2.4270 with standard deviation of 0.56224.  The standard error of the mean, reported as 0.07951, additionally, other vascular indices have been investigated. Specifically, “UA RI” has a mean of 0.544, “UA PI” has a mean of 0.558, “MCA PI” has a mean of 0.724, and “MCA RI” has a mean of 0.742. The standard deviations for these variables indicate the extent of variability around their respective means. For example, “UA RI” has a small standard deviation of 0.081. Conclusion: Multi-vessel color Doppler ultrasound studies play a crucial role in monitoring patients having adverse pregnancy outcome. Notably, it outperformed the individual assessments of umbilical artery pulsatility index (UA PI).

 

 

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https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue1,Article254.pdf

Dates

Accepted
2023-12-26

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https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue1,Article254.pdf
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References

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