S. S. Gayathri, T. H. Usha
Abstract: INTRODUCTION Intra uterine growth restricted fetuses need early detection of the hypoxic changes and timely intervention will have a great change in the improvement of the neonatal outcome. MATERIAL AND METHODS A prospective type of comparative study was conducted in 100 antenatal mothers with singleton intra uterine growth restricted fetuses presenting more than 30 weeks gestation GROUP 1 monitored with Doppler and cardiotocography and GROUP 2 monitored with cardiotocography alone.to the group of IUGR fetuses and their detection rate with the neonatal outcome, compared. RESULTSIn Doppler and CTG group, 70 % of the cases were terminated in 34- 36 gestational age. In CTG alone group, 52 % were terminated in 34-36 gestational age. Regarding Liquor status, oligohydramnios was associated in 56 % of Doppler and CTG group and 66 % in CTG alone group. 94 % in Doppler CTG group and 72 % of the CTG alone group underwent cesarean section, among which 58 % in both the groups had birth weight < 2 kg with, in Doppler and CTG group, 82 % had APGAR > 7 and in CTG alone group, 90 % had APGAR > 7 CONCLUSION. The Doppler velocimetry when compared with Cardiotocography is more advantageous in the surveillance of intra uterine growth restricted fetuses and in early decision making thereby in reduction of adverse neonatal outcomes.
Keywords: Doppler, cardiotocography, IUGR, surveillance, intervention