Abstract
Objective(s)
To evaluate the role of triple vessel (umbilical, middle cerebral and uterine artery) color Doppler study in normal and high risk pregnancy in relation to perinatal outcome.
Method(s)
Aprospective study was done including fifty women with high risk pregnancy and 50 normal pregnant women during the year 2006–2007. Doppler examination was done after recording patients’ history, clinical examination and ultrasound. Mode of delivery, perinatal outcome including birth weight, perinatal death, Apgar score at 1 and 5 minutes and admission to nursery were compared.
Result(s)
There was significant difference between the Doppler indices of the three vessels in the study and the control group. In women with abnormal Doppler indices, there was high incidence of cesarean section (78%), low birth weight babies, low Apgar score, higher admission rate to nursery (36%) and high incidence of neonatal deaths as compared to that of the control group.
Conclusion(s)
Triple vessel color Doppler sonography is very useful in high risk pregnancy diagnosis and in predicting perinatal outcome.
Key words: high risk pregnancy, triple vessel color Doppler, perinatal outcome
Full Text
The Full Text of this article is available as a PDF (105.7 KB).
References
- 1.Fong K.W., Ohlsson A., Hannah M.E., et al. Prediction of perinatal outcome in fetuses suspected to have intrauterine growth restriction. Doppler US study of fetal cerebral, renal and umbilical arteries. Radiology. 1999;213:681–689. doi: 10.1148/radiology.213.3.r99dc08681. [DOI] [PubMed] [Google Scholar]
- 2.Zha C., Li J., Li X. Pulsatility indexes of fetal middle cerebral artery and umbilical artery for predicting intrauterine fetal growth retardation. Zhonghua Fu Chan Ke Za Zhi. 1996;31:345–347. [PubMed] [Google Scholar]
- 3.Sieroszewski P., Guzowski G., Sosnowski D., et al. The usefulness of uterine artery Doppler velocimetry in highrisk pregnancy diagnostic (PIH and/or IUGR) Ginekol Pol. 2005;76:342–347. [PubMed] [Google Scholar]
- 4.Karsdorp V.H., Vugt J.M., Geijn H.P., et al. Clinical significance of absent or reversed end diastolic velocity waveforms in umbilical artery. Lancet. 1994;344:1664–1668. doi: 10.1016/S0140-6736(94)90457-X. [DOI] [PubMed] [Google Scholar]
- 5.Seyam Y.S., Al-Mahmeid M.S., Al-Tamimi H.K. Umbilical artery Doppler flow velocimetry in intrauterine growth restriction and its relation to perinatal outcome. Int J Gynaecol Obstet. 2002;77:131–137. doi: 10.1016/S0020-7292(02)00027-9. [DOI] [PubMed] [Google Scholar]
- 6.Mikovic Z., Mandic V., Djukic M., et al. Longitudinal analysis of arterial Doppler parameters in growth retarded fetuses. Srp Arh Celok Lek. 2003;131:21–25. doi: 10.2298/SARH0302021M. [DOI] [PubMed] [Google Scholar]