Color doppler evaluation in high-risk pregnancies and perinatal outcome

Abstract

Introduction: Doppler velocimetry is a rapid, noninvasive test that provides valuable information about the hemodynamic situation of the fetus and is an efficient diagnostic test of fetal jeopardy which helps in timely intervention and management of high-risk pregnancy for the better perinatal outcome. Aim: The aim of this study is to assess the role of color Doppler imaging in the prediction of high-risk pregnancies and their perinatal outcome. Objectives: The objecti evaluate the role of color Doppler in normal and high-risk pregnancies in relation to perinatal outcome. Materials and Methods: The study was carried out from August 1, 2016 to December 31, 2017 in the Department of Obstetrics and Gynecology in coordination with Central laboratory, and Department of Radiology, Jawaharlal Nehru Medical College Sawangi (M), Wardha, Maharashtra, India. A total of 120 pregnant women (study group and control group) attending a clinic in the Department of Gynecology and Obstetrics, AVBRH was examined for high-risk pregnancy. Results: There was a significant difference between the color Doppler indices of the three vessels (umbilical, uterine, and middle cerebral artery [MCA]) in the study and the control group. In women with abnormal Doppler indices, there was a high incidence of cesarean section, low-birth weight babies, low Apgar score, higher admission rate to neonatal intensive care unit. Conclusion: The color Doppler findings with abnormal indices of the uterine artery, umbilical artery, and MCA show a consistent relationship with poor perinatal outcome.