International Journal of Clinical Obstetrics and Gynaecology

Author(s): Dr. Ruchika Tahilyani, Dr. Kiran Pandey, Dr. Neena Gupta, Dr. Bandana Sharma and Dr. Pavika Lal

Abstract: Background: Timely antenatal identification of the fetus at risk, fetal monitoring and serial assessment are crucial to ensure fetal wellbeing, which is measured in terms of perinatal outcome by using various tests of antepartum surveillance. Materials and Methods: It was a prospective study conducted in the department of Obstetrics and Gynaecology of Upper India Sugar Exchange Maternity hospital, G.S.V.M Medical College, Kanpur from 2016 to 2018 with total number of 130 cases. All antenatal cases with > 32 weeks of gestation with high risk factors, were simultaneously subjected to Electronic foetal monitoring and Colour Doppler. Perinatal outcomes were recorded in terms of presence or absence of meconium stained liquor, Apgar score, NICU admission requirement and respiratory distress. Results: There was significant statistical correlation between the different types of EFM and Doppler velocimetry with the perinatal outcome variables such as NICU admissions, neonatal complications and mode of termination, p-value was <0.001, i.e highly significant. There was significant difference between the Cerebro placental Ratio and all the variables except APGAR. The mean of PI of middle cerebral artery was 1.53±0.39.and that of umbilical artery was 1.08±0.35. Percentage of NICU admissions required was higher in patients have EFM pathological followed by suspicious as compared to EFM normal. Conclusion: With Umbilical artery and Middle cerebral artery Doppler, the Cerebroplacental Ratio is postulated to be a better predictor of foetal compromise than either of the vessel considered individually even when their respective indices are in normal range.

DOI: https://doi.org/10.33545/gynae.2019.v3.i5a.324

Pages: 17-21 | 1799 Views | 575 Downloads

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