Srpski arhiv za celokupno lekarstvo 2016 Volume 144, Issue 1-2, Pages: 69-73
https://doi.org/10.2298/SARH1602069B
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Doppler changes as the earliest parameter in fetal surveillance to detect fetal compromise in intrauterine growth-restricted fetuses
Bansal Saloni (BPS Government Medical College for Women, Khanpur Kalan (Sonepat), Department of Obstetrics and Gynaecology, Haryana, India)
Deka Deepika (All India Institute of Medical Sciences, Department of Obstetrics and Gynaecology, New Delhi, India)
Dhadwal Vatsla (All India Institute of Medical Sciences, Department of Obstetrics and Gynaecology, New Delhi, India)
Mahendru Rajiv (BPS Government Medical College for Women, Khanpur Kalan (Sonepat), Department of Obstetrics and Gynaecology, Haryana, India)
Introduction. It is estimated that 3-10% of infants are growth restricted.
Growth disturbances may have long-term issues. Doppler allows insight into
the fetal response to intrauterine stress. Objective. The aim of this study
was to detect fetal compromise in intrauterine growth-restricted (IUGR)
fetuses by means of biophysical profile (BPP) vis-а-vis Doppler velocimetry
studies of the fetal umbilical artery, and to find out which of the two is a
better and earlier predictor of fetal compromise. Methods. A prospective
study was conducted on a total of 50 singleton pregnancies with IUGR between
28 and 42 weeks of gestation. Study patients were managed expectantly with
nonstress testing and amniotic fluid assessment, BPP and Doppler velocimetry
studies of the fetal umbilical artery. Results. Fetal outcome was poor in
5/50 (10%) of the fetuses, defined as presence of all of the following: poor
Apgar test score, neonatal intensive care unit stay, necrotizing
enterocolitis, and low birth weight. Of the four with abnormal BPP, 50% had
poor fetal outcomes. Out of 46 with normal BPP, 6.5% had poor fetal outcomes.
Conclusion. Inference drawn from the study is that the Doppler technology
provides us the opportunity for repetitive noninvasive hemodynamic monitoring
in IUGR pregnancies.
This article has been corrected. Link to the correction 10.2298/SARH1706319E
Keywords: intrauterine growth restricted, Doppler, fetal compromise