In the present study, perinatal outcomes in intrauterine growth restriction (IUGR) pregnancies in the second and third trimesters were predicted using uterine artery blood velocity waveforms, Systolic/Diastolic ratio (S/D), Pulsatility Index (PI), and Resistance Index (RI). In the research group, 50 instances of IUGR were looked at in the second and third trimesters. The initial procedure was uterine artery Doppler sonography, followed by ultrasonography biometry. Both the control and study groups saw a fall in the S/D ratio, PI, and RI values in the uterine artery from the second to the third trimester, however the study group's decline was slower and its values were greater than the control group's. Thus, the results of the current investigation indicate that an abnormal S/D ratio and RI were determined to be larger than 2.6 and 0.58, respectively. b) The absence of the diastolic notch in the third trimester is considered normal, but its persistence is considered problematic. For evaluating fetomaternal and uteroplacental circulations, doppler ultrasonography is a helpful noninvasive method. The outcomes of IUGR pregnancies might be predicted using the uterine artery measurements.
Tuesday, 5 July 2022
Diagnostic Role of Uterine Artery Doppler Sonography in IUGR Pregnancies | Chapter 4 | Current Practice in Medical Science Vol. 1
Monday, 25 April 2022
Determining the Prevalence of Asymptomatic Bacteriuria among Antenatal Women and its Effects on Maternal and Perinatal Outcome | Chapter 03 | New Horizons in Medicine and Medical Research Vol. 5
The goal of this study was to find out how common asymptomatic bacteriuria is in pregnant women and how it affects perinatal and maternal outcomes. In this prospective study, 300 pregnant women at Anil Neerukonda Hospital were examined for ASB. The standardised Kirby-Bauer disc diffusion method was used to culture urine on blood agar and Mac Conkey's agar for antibiotic sensitivity testing. The presence of ASB was discovered in 11.33 percent of the population. Eight (23.5%) of the 34 ASB positive cases were delivered with a birth weight of less than 2500 grammes, compared to 11 (4.1%) of the unexposed cases (RR 5.68, 95 percent CI; 2.46-13.15; p0.05). Preterm low birth was seen in 5 (14.7 percent) cases of ASB positive pregnant women when compared to unexposed cases (RR 1.5, 95 percent CI; 0.61-3.65, p=0.36). Preterm labour occurred in 8 (23.5%) of ASB exposed women and 22 (8.3%) of non-exposed women (RR 2.84, 95 percent CI; 1.37-5.88, p=0.004). When ASB positive and ASB negative cases were compared, a significant number of women (17.6%) developed hypertension and preeclampsia (8.8 percent ). (Respectively, 4.9 percent and 2.3 percent). ASB was reported to be present in 11.33 percent of the subjects in this study. For an integrated approach to safe motherhood and newborn health, regular and repeated trimester-wise screening should be adopted as part of standard antenatal care.
Author(S) Details
Prabhavathi V
Department of Obstetrics and Gynaecology, NRI Institute of Medical Sciences, Sangivalasa, Andhra Pradesh, India
Prasad DKV
Department of Biochemistry, NRI Institute of Medical Sciences, Sangivalasa, Andhra Pradesh, India.
View Book:- https://stm.bookpi.org/NHMMR-V5/article/view/6477
Thursday, 9 December 2021
Determining the Correlation of Fetal Middle Cerebral Artery Doppler Indices in IUGR Pregnancies | Chapter 1 | Recent Developments in Medicine and Medical Research Vol. 9
Background and Goals: Doppler velocimetry studies of placental and foetal circulation can provide critical information regarding foetal health, allowing for better foetal outcomes. The goal of this study was to see if the foetal middle cerebral artery blood velocity waveforms, the Systolic/Diastolic ratio (S/D), the Pulsatility Index (PI), and the Resistance Index (RI) could be used to predict perinatal outcome in IUGR pregnancies in the second and third trimesters. Methods: During the second and third trimesters, 50 cases of IUGR were studied in the study group. They had ultrasonography biometry first, then Doppler sonography of the middle cerebral artery.
The S/D ratio, PI, and RI in the middle cerebral artery in both the control and study groups decreased during the second to third trimester.
The research group's values were lower than the control group's. As a result of this study, it is expected that: a) Lower PI values were associated with foetal hypoxia. b) The lower figures are due to hypoxia-induced vasodilation, which allows more blood to reach the brain and protects it from hypoxia's damaging effects. As a result, there is no risk to the brain.
Doppler imaging is a noninvasive tool for evaluating the fetomaternal and uteroplacental circulations. The middle cerebral artery's indications have been proven to be beneficial in predicting the fate of IUGR pregnancies.Author(S) Details
Padmaja R. Desai
Department of Physiology, D Y Patil Medical College, Kolhapur, M.S., India, 416006, 4 Director, Radiologist, Marvel Diagnostic Center, Kolhapur, M.S. India.
Rupesh P. Dahilkar
Department of Physiology, D Y Patil Medical College, Kolhapur, M.S., India, 416006, 4 Director, Radiologist, Marvel Diagnostic Center, Kolhapur, M.S. India.
S. M. Tiwale
Department of Physiology, D Y Patil Medical College, Kolhapur, M.S., India, 416006, 4 Director, Radiologist, Marvel Diagnostic Center, Kolhapur, M.S. India.
Rajey M. Desai
Department of Physiology, D Y Patil Medical College, Kolhapur, M.S., India, 416006, 4 Director, Radiologist, Marvel Diagnostic Center, Kolhapur, M.S. India.
Arati A. Joshi
Department of Physiology, D Y Patil Medical College, Kolhapur, M.S., India, 416006, 4 Director, Radiologist, Marvel Diagnostic Center, Kolhapur, M.S. India.
View Book:- https://stm.bookpi.org/RDMMR-V9/article/view/4579