ASSESSMENT OF UMBILICAL ARTERY DOPPLER AND AMNIOTIC FLUID INDEX IN FORECASTING OBSTETRIC AND PERINATAL OUTCOMES FROM 34 WEEKS OF GESTATION ONWARDS
Main Article Content
Keywords
Color Doppler, Oligohydramnios, Umbilical Artery, Amniotic Fluid Index, Perinatal Outcome
Abstract
Objective
To compare perinatal outcomes of patients having normal and abnormal umbilical artery Doppler results.
Study design: Descriptive case series
Duration and place of study: This study was conducted in KMU Sobhraj Maternity Hospital Karachi Pakistan from August 2024 to August 2025
Methodology
This case series was descriptive and comprised of 110 pregnant women who had a gestation period of 34 weeks and above. Ultrasound assessment was done on all the participants and Doppler analysis carried out where there was oligohydramnios. Two groups of patients were also classified based on Doppler findings normal and abnormal. The mode of delivery and neonatal intensive care unit (NICU) admission were compared between the groups with chi square test with p-value 0.05 or less being taken as statistically significant.
Results
The cesarean delivery rate was much higher in women who had abnormal Doppler results than in those who had normal results (61% vs. 23, p=0.000). On the same note, the number of neonates that were admitted to NICUs was significantly higher when parents of these newborns had an abnormal Doppler study.
Conclusion
Umbilical artery Doppler is a useful instrument that can be used to determine women who are at risk of having adverse maternal and neonatal outcomes due to oligohydramnios. Its application can contribute to the timely intervention and can possibly decrease the rate of undesirable obstetric and perinatal events.
References
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Asma Iqbal Ansari
Assistant Professor Gynaecology & Obs, KMU Sobhraj Maternity Hospital Karachi Pakistan Pakistan.
Asma Iqbal
Senior Registrar Gynaecology & Obs, Karachi Medical and Dental College / KMU Karachi Abbasi Shaheed Hospital Karachi Pakistan.
Shabnam Hasan
Associate Professor Gynaecology & Obs, Hamdard University Hospital Karachi Pakistan.
Sarwat Khalid
Assistant Professor Gynaecology & Obs, Karachi Medical and Dental College / KMU Karachi Pakistan.
Ome Kulsoom
Assistant Professor Gynaecology & Obs, Ziauddin University Hospital Karachi Pakistan.
Rahila Imtiaz
Assistant Professor Gynaecology & Obs, Karachi Medical and Dental College / KMU Karachi Pakistan.