Significance of Umbilical Artery Velocimetry in Perinatal Outcome of Growth Restricted Fetuses

Authors

  • Zakia Afroze Consultant (Obs & Gynae), Upazilla Health Complex, Patiya, Chittagong
  • Rokeya Begum Associate Professor (Gynae), Department of Obstetrics& Gynaecology, Chittagong Medical College Hospital, Chittagong

DOI:

https://doi.org/10.3329/jbcps.v33i1.27994

Keywords:

Intrauterine Growth Retardation, Doppler, Umbilical Artery Velocimetry

Abstract

Objectives: To study pregnancy outcomes in growth restricted fetuses with normal umbilical artery velocimetry, low end-diastolic umbilical flow, and absent or reversed diastolic flow. 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%), the low end diastolic flow group (n=23; 46%), the group with absent diastolic 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 velocimetry 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. Conclusion: Doppler study of umbilical artery allows a noninvasive assessment of uteroplacental insufficiency and is an accurate method for diagnosis and management of fetal growth retardation.

J Bangladesh Coll Phys Surg 2015; 33(1): 12-17

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Author Biography

Zakia Afroze, Consultant (Obs & Gynae), Upazilla Health Complex, Patiya, Chittagong



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Published

2016-06-05

How to Cite

Afroze, Z., & Begum, R. (2016). Significance of Umbilical Artery Velocimetry in Perinatal Outcome of Growth Restricted Fetuses. Journal of Bangladesh College of Physicians and Surgeons, 33(1), 12–17. https://doi.org/10.3329/jbcps.v33i1.27994

Issue

Vol. 33 No. 1 (2015)

Section

Original Articles

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