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ORIGINAL ARTICLE
Year : 2015  |  Volume : 29  |  Issue : 2  |  Page : 79-82

Study on role of obstetrical Doppler in pregnancies with hypertensive disorders of pregnancy


1 Department of Obstetrics and Gynaecology, Regional Institute of Medical Sciences, Imphal, Manipur, India
2 MD Community Medicine, MO Manipur Health Services, Manipur, India

Correspondence Address:
Ningthoukhongjam Romita Devi
Department of Obstetrics and Gynaecology, Regional Institute of Medical Sciences, Imphal, Manipur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4958.163195

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Objectives: To study Doppler velocimetry of umbilical artery (UA) and middle cerebral artery (MCA) in hypertensive disorders of pregnancy (HDP) and analysis of association of abnormal Doppler waveform with perinatal outcome. Materials and Methods: Doppler velocimetry of fetal UA and MCA were studied in 100 pregnant women with hypertensive disorders of pregnancy. The results were analysed to find out perinatal outcome in those with abnormal Doppler studies. Results: The result of this study showed that fetuses with UA Systolic/Diastolic (SD) ratio >3 were associated with poor perinatal outcome in 89.65% with sensitivity and specificity of 80.00% and 82.86% respectively. Fetuses with cerebro-placental index (CPI) ≤1 have poor perinatal outcome in 95.74% with higher specificity (93.94%) and positive predictive value (95.74%). Conclusion: Fetuses with abnormal Doppler velocimetry had a significantly higher incidence of low birth weight babies, low apgar score, meconium stained liquor, intrauterine growth restriction (IUGR), admission to neonatal intensive care unit (NICU), intrauterine death (IUD)/still birth and shorter period of gestation at delivery.


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