Correlation of Middle Cerebral Artery Doppler Velocimetry and Perinatal Outcomes in Intra Uterine Growth Restricted Babies
Keywords:Fetal Growth Restriction, Middle Cerebral Artery, Doppler Parameters, Perinatal Outcome
Objective: To correlate foetal Middle Cerebral Artery (MCA) Doppler velocimetry indices in clinically diagnosed cases of Intra Uterine Growth Restriction (IUGR) with perinatal results.
Materials and Methods: This study was performed using Doppler MCA among 120 consecutive clinically suspected singleton IUGR pregnancy cases. As per the inclusion criteria, the subjects who were at 34-40 weeks of gestation were selected for the study. The mode of delivery of the participants was noted along with the adverse perinatal outcomes (if any) they had to experience, such as perinatal mortality, hypoglycaemia, asphyxia etc. Follow-up of the participants was ensured till delivery. SPSS 16.0 was used to analyse the obtained data.
Result: This study did not include 3 babies who had congenital anomalies at birth. Among these 120 women, three babies were born with congenital malformations. They were excluded from the study. In 117 study women, the Doppler revealed abnormal values of MCA PI (< 1.5), MCA S/ D ratio (< 4) and MCA RI (< 0.59) in 81 (69.2%), 69 (58.9%) and eight (6.8%) antenatal mothers respectively. Statistically significant correlations were observed with MCA PI and low birth weight (p < 0.001), MCA S/ D ratio and mode of delivery by caesarean section (p < 0.05). Among the neonates, 43 suffered from respiratory distress syndrome and hence needed admission to NICU. There were six perinatal mortalities.
Conclusion: MCA Doppler parameters offer an important non-invasive tool to assess foetal well-being in utero and can help to reduce the risk of prenatal mortality by timely intervention at delivery.
How to cite this article:
Dhiman B, Ganju S, Sood N. Correlation of Middle Cerebral Artery Doppler Velocimetry and Perinatal Outcomes in Intra Uterine Growth Restricted Babies. Int J Adv Res Gynaecol Obstet. 2023;1(2):10-17.
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