Role of doppler velocimetry in fetomaternal surveillance of pregnancy with pre-eclampsia
Journal Title: Medpulse International Journal of Gynaecology - Year 2019, Vol 9, Issue 2
Abstract
Objectives: The aim of the study is to evaluate the role of doppler in predicting foetal outcome in patients with pre-eclampsia. Materials and Methods: Result: The study was carried out in the department of Obstetrics and Gynaecology, JLMMCH Bhagalpur, over a period of two years on 100 women with clinical diagnosis of Pre-eclampsia. Colour Doppler study was done between 24 to 36 wks of gestational age. Both second trimester and third trimester Doppler velocimetry of uterine artery, umbilical artery and middle cerebral artery was done and results of S/D ration PI, RI, absent or reversed diastolic flow was correlated with foetal outcome. Out of 100 patients studied in third trimester uterine artery doppler showed 76% with persistent diastolic notch, 88% with elevated S/D ratio, 89% had elevated RI and 85% with elevated PI. Umbilical artery Doppler at third trimester reveals 90% with elevated S/D ratio, 85 % with elevated PI. Reversal or absence of end diastolic velocity in 23%. Doppler velocimetry of MCA showed decreased PI in 15% of patients. Conclusion: Doppler velocimetry of uterine artery, Umbilical artery and Middle cerebral artery in patients of pre-eclampsia gives prognosis of foetal outcome. It helps to guide Gynaecologists to take timely action and plan correct treatment.
Authors and Affiliations
Geeta Rani, Sachin Kuimar Singh, Usha Kumari, Anupama Sinha
Keywords
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