The Role of Umbilical Artery Doppler in Detection and Management of Fetal Growth Retardation

Auhtor: Z Afroze, R Begum, M Sultana, O Rashid

Abstract:

Background: To evaluate the efficacy of Doppler flow study in the umbilical, artery in the diagnosis and management of FGR (Fetal growth retardation). Methods: Fifty pregnant women with growth restricted fetuses were evaluated by umbilical artery velocimetry between 28 and 39 weeks of pregnancy. Outcome of pregnancy was recorded for the normal Doppler group (n=17; 34%) and abnormal doppler groups which includes the low end diastolic flow group (n-23, 46%), the group with absent diastologic flow (n=8, 16%) and the group with reversed diastolic flow (n=2; 4%). Results: The average birth weight, diagnosis to delivery interval and gestational age at delivery were comparatively lower in case of abnormal umbilical Doppler velocimetary group. Again there was higher incidence of LSCS for fetal distress, Apgar score <7 at 1 minute, admission to neonatal intensive care unit and perinatal death with those of the abnormal umbilical Doppler velocimetry.

Details