Abstract

Background: The antenatal fetal surveillance aims at detecting any evidence of fetal jeopardy at the earliest. The practice of routine late third trimester obstetric ultrasound with Doppler Velocimetry has been shown to improve detection of fetal growth restriction at an early stage when prompt measures can be taken. Ultrasonography with Doppler Velocimetry has become a useful tool in antenatal surveillance because of its safety, non-invasiveness and reliability in antenatal fetal surveillance.

This study was done to analyze the role of Obstetric Doppler Velocimetry studies in predicting mode of delivery and perinatal outcome.

Methods: The study was carried out in 112 pregnant females attending the antenatal clinic at Prakash Institute of Medical Sciences, Urun-Islampur and Govt. Medical College, Miraj.All pregnant women above 32 weeks of gestation attending the Obstetrics Outpatient Department were included in the study and they were subjected to ultrasonography with Doppler Velocimetry examination between 32 to 36 weeks of gestation. Antenatal Doppler Velocimetry examination results were used to compare the mode of delivery and perinatal outcome.

Results:

1.      Operative interference in form of LSCS was more common in cases with abnormal Doppler Velocimetry findings as compared to those cases withnormal Doppler Velocimetry findings (76.48%vs. 16.66%).

2.      NICU admission rates were higher among cases with abnormal Doppler Velocimetry as compared to those with normal Doppler Velocimetry (73.53% vs. 7.7%)

Conclusions: Abnormal Doppler Velocimetry displayed significant association with operative interference in form of LSCS and also with poor perinatal outcome.

Keywords: Ultrasonography, Doppler Velocimetry, NICU Admission, mode of delivery, perinatal outcome.

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