Role of Colour Doppler in Evaluation of Intrauterine Growth Retardation

Veerabathini, Manoj Kumar Veerabathini Manoj Kumar; Mohanthy, Sudhanshu Sekhar; Mukherjee, Nilanjan; Adarsh, Aavula; Kumar, Babit; Shankar, Girendra

doi:10.21276/ijcmsr.2020.5.1.32

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…age > 28 w. They found that there was increased umbilical artery Doppler indices and decreased MCA Doppler indices, hence a decreased cerebroplacental ratio. There was a statistically highly significant difference between IUGR and normal cases [25].…”

Section: Discussionmentioning

confidence: 84%

Fetal Liver Size, Hepatic Artery Doppler Study in Late Intra Uterine Growth Restriction

Ali

Namori

Halwagy

et al. 2021

JAMMR

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Background: Intrauterine growth restriction (IUGR) is a condition in which the fetus does not reach its growth potential. It is well known that a fetus affected with late IUGR has smaller abdominal size. The aim of the study is to evaluate the fetal liver size, fetal hepatic artery blood flow and other fetal vascular Doppler indices in cases of late IUGR. Methods: This observational analytical, cross-sectional study was carried out on 100 pregnant women at or above 32 weeks. Participants were divided into two groups: Group 1 (study group): 50 pregnant women as study group who were affected with IUGR. Group 2 (control group): 50 normally pregnant women as control group. Results: There was no statistically significant correlation between fetal weight and liver length. There was a positive highly statistically significant correlation between symphysial fundal height and the estimated fetal weight by ultrasound in cases of IUGR. There was a statistically significant decrease in the liver size in IUGR compared to the normal group. There was a statistically significant reduced hepatic arterial Doppler indices. Conclusions: Reduced liver size and hepatic arterial Doppler indices (PI, RI) can be valid diagnostic methods in IUGR. SFH, in fetuses suffering from IUGR when compared to normal cases, was correlated with EFW.

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Section: Discussionmentioning

confidence: 84%

Fetal Liver Size, Hepatic Artery Doppler Study in Late Intra Uterine Growth Restriction

Ali

Namori

Halwagy

et al. 2021

JAMMR

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Comparison Between Various Doppler Parameters for Predicting Fetal Growth Restriction and Perinatal Outcome

Disha¹,

Kaur²,

Rathore

2022

ijsr

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Aim:- Correlation between various doppler indices of feto-maternal vessels with respect to sensitivity, specicity, accuracy, positive and negative predictive value. 2)To evaluate the efcacy of doppler study of feto-maternal vessels (uterine, umbilical and middle cerebral arteries) in predicting perinatal outcome in FGR cases. This observational study was conducted in 50 antenatal patients diagnosed with FGRMaterials & Methods:- who fullled the inclusion and exclusion criteria. After the clinical diagnosis of FGR, doppler studies of umbilical, uterine and middle cerebral artery were done. Sensitivity, specicity, accuracy, PPV, NPV of various doppler parameters were compared. Results were compiled and statistically analyzed. In our study, MCA doppler indices proved to be better predictor of FGR. The diagnostic accuracy of MCA PI inResults:- predicting FGR was found to be highest (68%) followed by MCA RI (62%) and MCA S/D (54%). Absent/reversed umbilical EDF had 100% specicity and 100% PPV in diagnosing FGR. Increased uterine S/D ratio and persistence of diastolic notch in late pregnancy suggested high sensitivity and a high degree of PPV for predicting FGR. Association of abnormal umbilical S/D, umbilical PI, AEDF/REDF and uterine notching with the adverse perinatal outcome has been proven statistically signicant. Majority of the cases had term delivery. 58% cases underwent caesarean. 54% of the neonates had the adverse perinatal outcome. RDS was the most common neonatal complication and two cases of neonatal mortality were observed. The present study concludes MCA doppler indices proved to be better predictor of FGR. Also, abnormalConclusion:- doppler indices directly correlate with poor neonatal outcome especially in cases of abnormal MCA study, uterine notching and absent or reversed umbilical end-diastolic ow in which early intervention is advised.

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Role of Colour Doppler in Evaluation of Intrauterine Growth Retardation

Cited by 2 publications

References 12 publications

Fetal Liver Size, Hepatic Artery Doppler Study in Late Intra Uterine Growth Restriction

Fetal Liver Size, Hepatic Artery Doppler Study in Late Intra Uterine Growth Restriction

Comparison Between Various Doppler Parameters for Predicting Fetal Growth Restriction and Perinatal Outcome

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