Effect of Color Doppler Indices on the Diagnosis of Intrauterine Growth Restriction in High-Risk Pregnancies: A Cross-Sectional Study
Hafsa Qayyum, Mehreen Shaikh, Maryam Shahzad, Sehrish Mehreen, Rashida Irshad, Komal Parchani
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ABSTRACT
Aim: To assess the effect
of Color Doppler indices on intrauterine growth restriction diagnosis in high-risk
pregnancies
Study design: Across-sectional
study
Place and duration: This study was
conducted at Al Shifa Hospital Quetta, Pakistan. from
January 2020 to July 2020.
Methodology: In this study, 100
patients with suspected intrauterine growth restriction (IUGR) in their 31 to
41 weeks of pregnancy have participated. The patients were studied till the
babies were delivered. The Doppler indices and the grayscale results were
correlated to the baby's weight.
Result: The HC/AC ratio was found
to be sensitive (84.4%). Whereas the most specific was oligohydramnios and C/U
ratio that was 100% and 68.8% respectively. The lowest sensitivity was of the fetal
MCA, which was 7.7%.
Conclusion: For the diagnosis of
IUGR, the highest specific parameter is oligohydramnios and the HC/AC ratio is
very sensitive. However, the MCA PI should not be utilized for screening
purposes in IUGR because it has very low sensitivity alone. C/U ratio is
notably more specific than HC/AC ratio and more sensitive than oligohydramnios.
It is the most appropriate parameter to use for the diagnosis of IUGR in the 3rd
trimester.
Keywords: IUGR,Fetal Doppler,
Placentation and IUGR, C/U pulsatility ratio, Small for gestational age
ABSTRACT
Aim: To assess the effect
of Color Doppler indices on intrauterine growth restriction diagnosis in high-risk
pregnancies
Study design: Across-sectional
study
Place and duration: This study was
conducted at Al Shifa Hospital Quetta, Pakistan. from
January 2020 to July 2020.
Methodology: In this study, 100
patients with suspected intrauterine growth restriction (IUGR) in their 31 to
41 weeks of pregnancy have participated. The patients were studied till the
babies were delivered. The Doppler indices and the grayscale results were
correlated to the baby's weight.
Result: The HC/AC ratio was found
to be sensitive (84.4%). Whereas the most specific was oligohydramnios and C/U
ratio that was 100% and 68.8% respectively. The lowest sensitivity was of the fetal
MCA, which was 7.7%.
Conclusion: For the diagnosis of
IUGR, the highest specific parameter is oligohydramnios and the HC/AC ratio is
very sensitive. However, the MCA PI should not be utilized for screening
purposes in IUGR because it has very low sensitivity alone. C/U ratio is
notably more specific than HC/AC ratio and more sensitive than oligohydramnios.
It is the most appropriate parameter to use for the diagnosis of IUGR in the 3rd
trimester.
Keywords: IUGR,Fetal Doppler,
Placentation and IUGR, C/U pulsatility ratio, Small for gestational age