ROLE OF ULTRASOUND AND COLOR FLOW DOPPLER IN DIAGNOSIS OF INTRAUTERINE GROWTH RESTRICTION

BACKGROUND: Multi-vessel Doppler ultrasonography is the principal surveillance tools in pregnancies complicated by fetal growth restriction. OBJECTIVE:To determine diagnostic accuracy of umbilical artery, middle cerebral artery pulsatility indices and their ratio intrauterine restricted fetuses. PATIENTS METHODS: Forty patients were studied that had been diagnosed clinically ultrasonographically as intra-uterine restriction (IUGR). All study underwent uniform antenatal assessment protocol includes (UA) (MCA) ultrasound studies. These conducted either twice weekly or daily according to severity condition. RESULTS: Abnormal UA PI was found 25 cases, 11cases due maternal cause , 5 cases placental 9 with idiopathic IUGR group . MCA 26 cases,11 10 group. C/U Ratio 24 cause, 8 CONCLUSION: Among indices, a better predictor fetuses than UAPI alone, high specificity PPV. However, measurement (among all indices) enough detect per se, probably because direct reflection resistance vascular bed.