ROLE OF UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER AS A PREDICTOR OF PERINATAL OUTCOME IN PRE-ECLAMPSIA
Dr. Anne Johncy* and Dr. N. Hephzibah Kirubamani
ABSTRACT
To detect the role of umbilical and middle cerebral artery Doppler as a predictor of perinatal outcome in pre-eclampsia. The study is a Retrospective Observational study conducted in Saveetha Medical College and Hospital in Chennai between April 2016 to April 2021. Data collected from labor room records and case records from medical records department. Data divided into normal and abnormal umbilicaland middle cerebral artery Doppler changes in pre-eclampsia. perinatal outcomes like FGR, prematurity, neonatal death, APGAR<7 in 5 minutes, LSCS for foetal distress, NICU admission >7 days in both groups compared. Results; out of 3722 deliveries, 539 preeclampsia identified .357 had abnormal Doppler and 182 had normal Doppler. Fetuses with abnormal Doppler found to be 20 % FGR (p value of 0.0004) 18% prematurity (p value 0.0005)3.6% neonatal death (p value 0.0652)NICU admission 26%(p value0.0001) APGAR<7 in 5 minutes 23.5%( p value 0.1133) LSCS for foetal distress 24%(p value 0.0028).Conclusion: Umbilical middle cerebral artery Doppler shows significant abnormal changes in pre-eclampsia and effectively predicts perinatal outcome.
Keywords: Umbilical artery, middle cerebral artery, PI, Doppler, Pre-eclampsia.
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