Volume : 7, Issue : 9, September - 2018

STUDY OF FETAL DOPPLER AND NON-STRESS TEST (NST) IN OUTCOME OF INTRAUTERINE GROWTH RESTRICTION (IUGR)

Manisha Sao, S. A. Inamdar

Abstract :

<p class="MsoNormal" style="text-align:justify;line-height:200%"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;line-height:&#10;200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;">Aim and Objectives: </span></b><span style="font-size:12.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;">To s</span><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-bidi-font-weight:bold">tudy the fetal monitoring by colour Doppler and Non-stress test in IUGR cases and its co-relation with perinatal outcome.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Materials and Method:</span></b><span style="font-size:12.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-bidi-font-weight:bold">Prospective observational study carried out on 100 antenatal patients of &gt;32 weeks of gestational age diagnosed with IUGR attending the antenatal OPD in the department of Obstetrics and Gynecology of AVBRH, DMIMS, JNMC, Sawangi (M)Wardha (M.H) from August 2016 to July 2018. All patients diagnosed with IUGR underwent colour doppler and Non-stress test after doing routine examination and investigation and were divided into Four groups after fulfilling all the inclusion and exclusion criteria. <o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Results:</span></b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-bidi-font-weight:bold">70% of the patients had reactive NST and 62% had normal colour doppler. 75% of patients belonged to low socioeconomic status. Maximum patients belonged to pre-eclampsia (45%) group. Studied showed that patients in group D were both the colour doppler and NST were abnormal NICU admission, low Apgar score and perinatal death were highest as compared to other three groups.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:6.0pt;margin-right:0in;margin-bottom:0in;&#10;margin-left:0in;margin-bottom:.0001pt;text-align:justify;line-height:200%;&#10;mso-layout-grid-align:none;text-autospace:none"><b><span style="font-size:12.0pt;&#10;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Conclusion:</span></b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Both are useful in antepartum surveillance for normal healthy fetuses.Colour doppler detect chronic hypoxia earlier than NST which are helpful in timely delivery and management of the neonates.<o:p></o:p></span></p>