Abstract

Aims and Objectives: The aim of the study is Colour doppler evaluation of fetomaternal blood circulation in intra uterine growth retarted fetuses. Management of the diagnosed 1UGR fetuses in antenatal period. To study the perinatal outcome of the intra uterine growth retarted fetuses, 50 cases in our institution.

Materials and Methods: The present study comprises of Colour Doppler evaluation of diastolic umbilical cord blood flow in clinically suspected IUGR cases and perinatal outcome. In the present study, an attempt is made to assess the velocity changes and spectral waveform changes in umbilical artery and also other -vessels such as uterine artery, fetal middle cerebral artery and fetal dorsal aorta also.The parameters, taken into consideration are SD ratio, resistance index, pulsatile index. Doppler study was started at early weeks of IIIrd trimester and followed up with biweekly ultrasonography and any abnormal USG found appropriate management done.

Results: The total no. of cases in the study are categorised into 4 groups: The No. of cases clinically IUGR, but with normal Doppler 27 cases. The No. of cases clinically IUGR and Doppler abnormal 23 cases. The No. of Doppler positive cases with high risk factors more than 92%. The No. of Doppler Negative cases with high risk factors 81%.More than 92% doppler positive cases having high risk factor. More than 50% of doppler positive cases delivered between 32-34 weeks of gestation. Our study almost consistent with the "Perinatal outcome in doppler positive cases" study done by (Dr. Satish Sharma, C.n. Purandare) FOGSI 1994. In our study doppler positive cases having increased Number of' obstetric intervention.

Conclusion: To conclude Colour Doppler is the best non invasive procedure provided clinically useful information in managing pregnancies with more appro­priate decision making and better obstetrical and perinatal outcome.