Intra uterine growth restriction (IUGR) is defined as a fetal growth less than 10th
percentile for the gestational age. IUGR can be classified as
intrinsic (symmetrical) and extrinsic (asymmetrical), intrinsic IUGR is caused by fetal conditions such as infections or chromosomal abnormalities. Accurate antenatal diagnosis offers the best opportunity to reduce complications associated with IUGR.
Methods: This prospective observational study was conducted in the department of Obstetrics and Gynaecology at SMGS HOSPITAL, Government Medical College. The patients were taken from out-patient department with clinical suspicion of IUGR and also who were admitted for IUGR. Doppler Ultrasonography evaluation was performed after the grey scale USG assessment. All the relevant parameters were evaluated that are associated with perinatal outcome.
Results: We observed that the mean age of patients was (27.8) years ranging from 20 to 34 years with majority patients being primigravidae (40%) falling in the age interval of (25-29) years old. Pregnancy induced hypertension and chronic hypertension constituted major risk factor (19%). CPR had highest sensitivity of 93.1% for predicting adverse perinatal outcome with diagnostic accuracy of 90% in comparison to UA PI and MCA PI.
Conclusions: The study concluded that CPR is best predictor for assessing adverse perinatal outcome with highest sensitivity, specificity, NPV, PPV and diagnostic accuracy.