Aims and objectives
INTRODUCTION
Prediction of intrauterine growth restriction (IUGR) is one of the most challenging areas of research.
It is considered a major contributor of perinatal morbidity and mortality.
In spite of better methods of prediction using ultrasonography,
the problem of accurate prediction of foetal outcome and the appropriate time to schedule delivery,
in a proven case of IUGR,
is yet unsolved.
Foetuses with intrauterine growth restriction (IUGR) are usually delivered on the basis of abnormal results from a nonstress test (NST) such as foetal heart rate...
Methods and materials
MATERIALS AND METHODS
INCLUSION CRITERIA
Patients referred to the Department of Radio-Diagnosis for obstetric Doppler studies post 30 weeks of gestation,
as calculated by last menstrual period or by previous ultrasound study.
EXCLUSION CRITERIA
· Patients who are not willing to give consent for being part of the study.
· Patients lost to follow up.
EXAMINATION METHOD
PNDT form i.e.
form ‘F’was obtained from all the patients.
All relevant clinical history wasobtained and the correct LMP was confirmed.
An ultrasonography was performed with patient in...
Results
STATISTICAL ANALYSIS
Table 1: Mean and standard deviation of maternal age
Mean ± SD
Median (Range)
Maternal age (years)
28.22 ± 6.20
28 (18 to 38)
Table 2: Maternal age distribution
Age group (in years)
Count
Percentage
18-25
40
40
26-30
20
20
31-35
23
23
More than 35
17
17
Total
100
100
Table 3: Classification of foetuses as per the lag in gestational age
Characteristics
Count
Percentage
Normal foetuses
66
66
Foetuses with IUGR
34
34
Total
100
100
Table 4: Classification of...
Conclusion
CONCLUSION
The decision to deliver a foetus with IUGR foetus still remains one of the great challenges in obstetrics.
Foetal venous Doppler studies represent valuable diagnostic techniques that can influence the management of IUGR foetuses.
Doppler assessment of ductus venosus flow is not a first intention procedure and only concerns a small high-risk foetal population.
Experience and good knowledge of foetal anatomy and the Doppler technique are required (it is easy to confuse the physiological spectrum of the supra-hepatic veins with a negative wave corresponding...
Personal information
Dr.
Vivek Pai
Department of Radiology
D.Y.
Patil Hospital and research centre
Navi Mumbai
[email protected]
Dr.Prashant Arora
Department of Radiology
D.Y.
Patil Hospital and research centre
Navi Mumbai
[email protected]
References
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