Ultrasound in Prediction of Perinatal Outcomes in Fetuses with Restriction of Intrauterine Growth

Abstract

Studies of Doppler flow velocimetry have been proceeding as a principal mechanism for identification the compromised small fetus from a small fetus that is improbable to suffer from dangerous perinatal complications. The aim of this study is the Prediction of Perinatal Outcome in Fetuses Suspected to Have Intrauterine Growth Restriction: Doppler US Study of Fetal Cerebral, and Umbilical Arteries. This is a longitudinal prospective study done at department of Obstetrics and Gynecology in Salah Al-Deen General Hospital in Tikrit city between February-July 2020. The study included a convenient sample 100 pregnant women in 3rd trimester suspected of IUGR (n=100). Studies of various fetal vessels were performed using color Doppler ultrasound curvilinear probe with a high pass filter. The following vessels were studied with the mother in a recumbent position during fetal inactivity and apnea. 1st Umbilical Artery (UA), 2nd Middle Cerebral Artery (MCA). Fetal outcome was studied under major and minor adverse outcomes. The current study found that the umbilical artery systolic/diastolic ratio was concordant with major and minor adverse outcome among 55 cases regarding of abnormal finding, and among 25 cases regarding negative findings. The umbilical artery RI was concordant with major and/or minor adverse outcome among 34 cases regarding of abnormal finding, and among 28 cases regarding negative findings. The umbilical artery PI was concordant with major and/or minor adverse outcome among 52 cases regarding of abnormal finding, and among 29 cases regarding negative findings. Serial Doppler examinations of fetal (S/D ratio, UA RI, & UA PI), and (MCA PI, & MCA/UA PI) provide better information than does a single measurement.

Keywords

• Doppler Ultrasound Prediction of IUGR Outcomes
• IUGR Outcomes by Doppler Ultrasound