Intra uterine growth retardation (IUGR) due to fetoplacental vascular insufficiency is rampant in developing countries like India. Owing to the lack of awareness, antenatal patients often present in their third trimester for their first ultrasound examination. Alterations in the waveforms and Doppler indices of fetal middle cerebral artery (MCA), umbilical artery and bilateral uterine arteries have been extensively described in various studies in the literature.
Aim & Objective: This prospective study was performed to determine the role of uterine artery umbilical artery & middle cerebral artery doppler in pregnancy induced hypertension & pregnancy induced hypertension with intrauterine growth retardation & its neonatal outcome.”
Method: A prospective study was done on 100 patients of clinically suspected IUGR/high-risk pregnancies of31–41 weeks. The cases were followed till delivery; the doppler and grey scale findings were correlated with the birth weight of the baby.
Results: Out of the 100 cases I our study (majority) 55 patients were between 21-25 age.43% were between 32-36 weeks gestation,61% patient had grade 2 placenta had 39% had grade 3 placenta and 37% had anterior placentation. Majority of patients (46%) are primigravida. 61% had oligohydramnios. Majority of patients having preeclampsia with IUGR contribute to 58%, there was significant association between abnormal doppler and caesarean section. There is significant association between doppler study result of umbilical artery and perinatal outcome (p-0.0037).There is significant association between doppler study of middle cerebral artery and perinatal outcome. (P-0.0001).
Conclusions: Abnormal PI of MCA/ UMBILICAL artery ratio is also associated with IUGR. CPR is more sensitive than MCA and umbilical artery individually. Thus abnormal triple vessel doppler study is very useful in predicting high risk pregnancies with adverse perinatal outcome.