Role of Umbilical Artery Doppler in Prediction of Adverse Perinatal outcomes in Hypertensive Disorders of Pregnancy

Abstract

<p><strong>Background:</strong> Using Umbilical Artery Doppler indices to detect fetoplacental compromise early and to understand the predictive significance of each index in predicting perinatal outcome and therapeutic methods for these patients. <strong>Methods:</strong> The present prospective study was conducted at Department of Obstetrics and Gynaecology, Bokaro General Hospital from 1<sup>st</sup> September 2018 to 31<sup>st</sup> March 2020 (18 months) on 100 women with hypertensive  disorder of pregnancy. Umbilical artery doppler evaluation done in all the patients at (28-32) weeks, (33-36) weeks and (37-40) weeks of gestation and more frequently in those patients having deranged  Doppler. Patients divided into two groups women with abnormal Umbilical artery indices and normal indices. Perinatal outcome of both the groups were compared, analyzed statistically using Chi-square test. Multiple   pregnancy, chronic hypertension, fetal congenital anomalies, systemic disease and those lost to follow up till delivery were excluded from study. <strong>Results: </strong>A total of 100 women with pregnancy induced hypertension were taken into this study after considering inclusion and exclusion criteria. After last Doppler study, patients were divided into two groups, study group and the control group. Out of 100 the study group contain 38 women with abnormal umbilical artery Doppler indices and the control group contain 62 women with abnormal umbilical artery Doppler indices. Hypertension in pregnancy affects women of all ages. In our study the mean maternal age was 27.76 years. <strong>Conclusion:</strong> The most accurate way to anticipate unfavorable prenatal outcomes and assist in choosing the right moment for intervention to enhance perinatal outcomes is with umbilical artery PI.</p> <p> </p> <p> </p><p><strong>Background:</strong> Using Umbilical Artery Doppler indices to detect fetoplacental compromise early and to understand the predictive significance of each index in predicting perinatal outcome and therapeutic methods for these patients. <strong>Methods:</strong> The present prospective study was conducted at Department of Obstetrics and Gynaecology, Bokaro General Hospital from 1<sup>st</sup> September 2018 to 31<sup>st</sup> March 2020 (18 months) on 100 women with hypertensive  disorder of pregnancy. Umbilical artery doppler evaluation done in all the patients at (28-32) weeks, (33-36) weeks and (37-40) weeks of gestation and more frequently in those patients having deranged  Doppler. Patients divided into two groups women with abnormal Umbilical artery indices and normal indices. Perinatal outcome of both the groups were compared, analyzed statistically using Chi-square test. Multiple   pregnancy, chronic hypertension, fetal congenital anomalies, systemic disease and those lost to follow up till delivery were excluded from study. <strong>Results: </strong>A total of 100 women with pregnancy induced hypertension were taken into this study after considering inclusion and exclusion criteria. After last Doppler study, patients were divided into two groups, study group and the control group. Out of 100 the study group contain 38 women with abnormal umbilical artery Doppler indices and the control group contain 62 women with abnormal umbilical artery Doppler indices. Hypertension in pregnancy affects women of all ages. In our study the mean maternal age was 27.76 years. <strong>Conclusion:</strong> The most accurate way to anticipate unfavorable prenatal outcomes and assist in choosing the right moment for intervention to enhance perinatal outcomes is with umbilical artery PI.</p> <p> </p> <p> </p&gt