A study of fetal umbilical artery and middle cerebral artery doppler velocimetry before and after treatment of severe maternal iron deficiency anaemia

Abstract

Objective: To evaluate the effect of vascular adaptation and extent of compensatory changes in the fetus with the change in maternal Hb levels and to study maternal and perinatal outcome after treatment of maternal iron deficiency anaemia. Methods: The present study was an observational prospective study conducted on 50 pregnant women from January 2016 to June 2017. The study population was divided into two groups: group A - patients with moderate anaemia (Hb: 7- 9 gm/dl) and group B - patients with severe anaemia (Hb 1.1 in both the study groups after treatment of anaemia (p- value in group A being 0.653) and group B being 0.0001(statistically significant) respectively. After treatment of iron deficiency anaemia, normalization of doppler indices was observed. Conclusion: Our data support the fact that maternal haemoglobin content of 7g/dl) is not sufficient to trigger fetal blood flow redistribution and can be treated with parenteral iron.

Keywords

• anaemia
• haemoglobin (hb)
• doppler ultrasound
• maternal outcome
• fetal outcome