International Journal of Clinical Obstetrics and Gynaecology
2021, Vol. 5, Issue 1, Part C
Correlation between abnormal Doppler indices and pregnancy outcome
Author(s): Dr. Meera Ravikumar and Dr. Mallikarjuna M
Abstract: Abnormal placentation occurs long before clinical appearance of obstetrical complications like FGR (Fetal Growth Restriction), preeclampsia, SGA (Small for Gestational Age, preterm labour, premature rupture of membranes (PROM) and fetal death. Assessment of the maternal vasculature evaluates "up-stream" blood flow or the maternal side of placental resistance. Doppler wave form analysis was done anywhere in between 10 weeks 6 days to 14 weeks of gestation along with nuchal translucency (NT) scan, again UtA doppler was done at any time between 19 to 24 weeks as a part of fetal anomaly scan. Sample size was 247 pregnancies out of which we obtained 217 cases. From the 217 cases, 20 cases were lost to follow up and 4 resulted in first trimester abortions. So finally after tending to the inclusion criteria we had a total of 193 pregnant followed up throughout their pregnancy into the Women. Early diastolic notch in the first trimester was significant for GH, preeclampsia and the complications of hypertensive diseases of pregnancy being FGR, oligoaminos and preterm deliver. Significance with outcome and high risk pregnancy was also observed.