Role of Obstetric Doppler in Prediction of Adverse Perinatal Outcome in Intrauterine Growth Retardation and Pregnancy Induced Hypertension

To determine and compare accuracy of various Doppler parameters for perinatal outcome. Umbilical artery (UA), Middle cerebral artery (MCA) and Ductus Venosus for predicting adverse perinatal outcome in patients of intrauterine growth retardation (IUGR) and pregnancy induced hypertension (PIH). 60 singleton pregnancy with clinically suspicion of IUGR/PIH or both, having gestational age of 30 weeks were included in the study. Serial examination was carried out & perinatal outcome of each cases were noted. In Doppler examination flowmetery of MCA, Umbilical artery & Ductus Venosus were included in the study. Total 60 patients were included in which 28 patients showed abnormal umbilical artery wave form out of these 18 patients has adverse perinatal outcome, while 17 patients showed abnormal MCA flow in which 8 patients had adverse perinatal out come, but all patients with abnormal MCA/UA PI had adverse fetal outcome. In Conclusion, MCA / UA PI is most sensitive & specific index in predicting adverse perinatal outcome than UA & MCA alone. Decrease diastolic flow or reversal of ‘a’ wave in Ductus has poor outcome.