International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Open Access | Fully Refereed | Peer Reviewed

ISSN: 2319-7064


Downloads: 139

Research Paper | Gynaecology | India | Volume 6 Issue 10, October 2017


Doppler Ultrasound as Predictor of Obstetric Outcome in High Risk Pregnancy

Dr Prerak R Modi, Dr Nikita Patel


Abstract: Objectives To determine and compare diagnostic accuracy of Doppler of Uterine Artery, Umbilical Artery, Middle Cerebral artery & Ductus Venosus in high risk pregnancy. To study prognostic efficacy of Doppler in early detection of fetal compromise. Method A prospective study comprising 110 patients of high risk pregnancy having IUGR admitted in Civil Hospital, OBGY Department, B. J. Medical College from JUNE 2016 to MAY 2017. Doppler examination of Uterine Artery, Umbilical Artery, Middle Cerebral Artery & Ductus Venosus was done after recording patients history, clinical examination and ultrasound. Mode of delivery, perinatal outcome. A comparison was carried out between the Doppler indices of above mentioned vessels in predicting the perinatal outcome & deciding the further management. Result Bilateral diastolic notches in uterine artery had highest specificity (93.02 %) and highest PPV (85 %) for prediction of abnormal perinatal outcome. Using 95th percentile as a cutoff for raised S/D ratio, 12 out of 31 patients had abnormal perinatal outcome. UA S/D ratio has sensitivity 0f 69.7 %, specificity 81.6 %, PPV 67.6 % & NPV 83.05 %.10 out of 16 patients who had reduced diastolic flow of UA had abnormal perinatal outcome & none of those who had AEDF or REDF had normal perinatal outcome.27 out of 41 patients having low MCA PI had abnormal perinatal outcome. Of all tests, Cerebro-umbilical Ratio has highest sensitivity 52.5 % & Specificity 92.8 % for predicting the outcome. All patients with abnormal Ductus venosus flow had abnormal perinatal outcome.50 % underwent Caeserian Section and in 60 % cases indication for LSCS was fetal distress. Conclusion Use of Doppler ultrasound in high risk pregnancy appears to improve the obstetric care & outcome. It helps in reducing perinatal deaths. Increasing UA PI and decreasing MCA PI are the early markers for detection of fetal compromise. Ratio of indices between MCA PI & UA PI reflects brain sparring effects as well as placental insufficiency and these are more specific in detection of IUGR than individual arteries.


Keywords: High Risk Pregnancy, Color Doppler, Perinatal Outcome


Edition: Volume 6 Issue 10, October 2017,


Pages: 68 - 70


How to Cite this Article?

Dr Prerak R Modi, Dr Nikita Patel, "Doppler Ultrasound as Predictor of Obstetric Outcome in High Risk Pregnancy", International Journal of Science and Research (IJSR), https://www.ijsr.net/get_abstract.php?paper_id=ART20177094, Volume 6 Issue 10, October 2017, 68 - 70

How to Share this Article?

Enter Your Email Address


Similar Articles with Keyword 'High Risk Pregnancy'

Downloads: 110

Research Paper, Gynaecology, India, Volume 5 Issue 5, May 2016

Pages: 1911 - 1914

Effect of Prenatal Teaching on Pregnancy Wellbeing

Megha Kadam, Dr. S. G. Joshi

Share this Article

Downloads: 117

Research Paper, Gynaecology, India, Volume 6 Issue 3, March 2017

Pages: 1558 - 1560

Observational Study of Maternal and Fetal Outcome in Elderly Primigravida

M.P.A Sailakshmi, Priya Sahu, R. Nagarathnamma

Share this Article

Similar Articles with Keyword 'Perinatal Outcome'

Downloads: 117

Case Studies, Gynaecology, India, Volume 5 Issue 4, April 2016

Pages: 1951 - 1955

Umbilical Coiling Index as a Marker of Perinatal Outcome

Dr. T. Shobha, Dr. V. Sai Sharanya

Share this Article

Downloads: 117

Research Paper, Gynaecology, India, Volume 6 Issue 5, May 2017

Pages: 1581 - 1584

Abnormal Umbilical Cord Coiling Index and Its Relation to Adverse Perinatal Outcome

Dr. Richa Jha, Dr. Renu Rohatgi

Share this Article

Similar Articles with Keyword 'High'

Downloads: 488

Review Papers, Gynaecology, India, Volume 8 Issue 4, April 2019

Pages: 538 - 546

An Overview of Polycystic Ovarian Syndrome

Ashwati Nair, Dr. Swati Balakrishnan

Share this Article

Downloads: 2

Research Paper, Gynaecology, India, Volume 10 Issue 8, August 2021

Pages: 277 - 279

Assess the Relationship between Dysmenorrhea and Body Mass Index among Adolescent Girls in Selected Schools at Lucknow

Preetha P, Rachna Pathak, Jyotsna, Vedhika A Vijayan, Jinu

Share this Article

Similar Articles with Keyword 'Risk'

Downloads: 38

Case Studies, Gynaecology, India, Volume 4 Issue 3, March 2015

Pages: 2457 - 2459

Case Report on Consanguineous Marriage

Pramila D' Souza; Sonia Karen Liz Sequera

Share this Article

Downloads: 42

Research Paper, Gynaecology, India, Volume 8 Issue 11, November 2019

Pages: 1597 - 1601

Vaginal Extraction Score - To Predict Successful Vaginal Extraction of an Intact Uterine Specimen Following Laparoscopic Hysterectomy - Indian Scoring System

Dr Balika, Dr Prema D'cunha, Dr Chethana B

Share this Article

Similar Articles with Keyword 'Pregnancy'

Downloads: 0

Case Studies, Gynaecology, India, Volume 10 Issue 9, September 2021

Pages: 1242 - 1244

Necrobiosis of Fibroid Causing Acute Abdomen in a Nongravid Uterus - Case Report

Dr. Komal Vijaywargiya, Dr. Apoorva Choudhary, Dr. Aayushi Ruia

Share this Article

Downloads: 38

Case Studies, Gynaecology, India, Volume 4 Issue 3, March 2015

Pages: 2457 - 2459

Case Report on Consanguineous Marriage

Pramila D' Souza; Sonia Karen Liz Sequera

Share this Article

Similar Articles with Keyword 'Color'

Downloads: 117

Research Paper, Gynaecology, India, Volume 5 Issue 10, October 2016

Pages: 1338 - 1342

Effect of Lucronil? Tablets in the Patients with Leucorrhea: An Open Clinical Trial

Supriya Bhalerao, Swati Mohite, Sneha Kulkarni, Dr. Veena Deo, BK. Shrikhande

Share this Article

Downloads: 145

Research Paper, Gynaecology, India, Volume 7 Issue 3, March 2018

Pages: 613 - 618

Evaluation of the Accuracy of Transvaginal Colour Doppler Sonography and Its Correlation with Histopathology in Abnormal Uterine Bleeding - An Observational Study

Dr. Dalia Yashvita, Dr. Sharma Anju, Dr. Rajoria Lata, Dr. Agrawal Megha, Dr. Chaturvedi Hina, Dr. Garima

Share this Article

Similar Articles with Keyword 'Doppler'

Downloads: 116

Case Studies, Gynaecology, Sri Lanka, https://www.ijsr.net/issue.php?edition=Volume%203%20Issue%208,%20August%20201

Pages: 886 - 889

A Case of Resolving Non-Immune Hydrops

S. H. Dodampahala, Dr. M. S. Eranda Karunadasa

Share this Article

Downloads: 120

Research Paper, Gynaecology, India, Volume 7 Issue 2, February 2018

Pages: 1318 - 1322

Feto-Maternal Outcome in Pregnancy with Previous One Caesarean Section

Dr. Neha K Kantharia, Dr. H. B. Saini

Share this Article

Similar Articles with Keyword 'Perinatal'

Downloads: 101

Comparative Studies, Gynaecology, India, Volume 5 Issue 4, April 2016

Pages: 2213 - 2218

The Study of Maternal and Neonatal Outcome of Primary Cesarean Section at Term ? Influence of Labour and Stage

Dr. T. Shobha, Dr. Jyothi

Share this Article

Downloads: 106

Research Paper, Gynaecology, Nigeria, Volume 3 Issue 5, May 2014

Pages: 1044 - 1048

Preterm Delivery and Low Maternal Serum Cholesterol level: Any Correlation?

Adedeji A. OLUWOLE, Maymunah A. ADEGBESAN-OMILABU, Kehinde S. OKUNADE

Share this Article

Similar Articles with Keyword 'Outcome'

Downloads: 40

Case Studies, Gynaecology, India, Volume 6 Issue 8, August 2017

Pages: 1926 - 1927

Anesthesia Management in a Case of Ectopic Pregnancy with Severe Anemia

Dr. Bhumika Kathiriya; Dr. Hemesh Shewale; Dr. Olvyna D'Souza; Dr. Samrajini Ganguli

Share this Article

Downloads: 42

Research Paper, Gynaecology, India, Volume 8 Issue 11, November 2019

Pages: 1597 - 1601

Vaginal Extraction Score - To Predict Successful Vaginal Extraction of an Intact Uterine Specimen Following Laparoscopic Hysterectomy - Indian Scoring System

Dr Balika, Dr Prema D'cunha, Dr Chethana B

Share this Article
Top