期刊名称：International Journal of Early Childhood Special Education
电子版ISSN：1308-5581
出版年度：2022
卷号：14
期号：4
页码：1777-1783
DOI：10.9756/INTJECSE/V14I4.227
语种：English
出版社：International Journal of Early Childhood Special Education
摘要：Background: Doppler is a non-invasive method for evaluation of foetoplacental circulation without any disturbance to human pregnancy. It gives valuable information about the hemodynamic situation of the foetus and is an efficient diagnostic test for foetal jeopardy that helps in management of high risk pregnancy. This study shows the outcome in high risk pregnancies based upon cerebroplacental ratio assessed on doppler studies. Purpose of study: The main objective is calculate PI of foetal MCA and PI of fetal UA and to correlate cerebroplacental ratio in high-risk pregnancies from 30-36 with reference to Obstetrical outcome in terms of mode of delivery and perinatal outcome in terms of birth weight, APGAR score, admission to NICU. Results: Out of the 146 women who were included in the analysis, 58(39.7%) were the women with IUGR, 61(41.8%) with pre-eclampsia, 22(15.1%) with oligohydramnios, 32(21.9%) with GDM, 15(10.3%) with hypothyroidism and 7(4.8%) with severe anaemia. Common maternal risk factors in (CPR) <1 group was IUGR 42 (47.2%), preeclampsia 38 (42.7%) and GDM 17 (19.1%). Pathological CPR was found in 89 cases while normal CPR was found in 57 cases. Gestational age was significantly less in group of cases with CPR less than 1 compared to cases having CPR more than or equal to one (p<0.05). Out of total 89 patients in (CPR) <1 group, 37 (41.6%) women were delivered by LSCS in preterm followed by 25 (28.1%) delivered by vaginal delivery in preterm. Out of total 57 patients in (CPR) ≥1 group, 20 (29.0%) women were delivered by LSCS in preterm followed by 16 (23.2%) LSCS in full term and 16 (23.2%) vaginal delivery in full term. The mean body weight of baby in (CPR) <1 group was 2.16 kg, and it was 2.36 kg in (CPR) ≥1 group. Poor APGAR score (<7) was significantly higher in group of cases with CPR less than 1 compared to cases having CPR more than or equal to one (p<0.05). Out of total 89 patients in (CPR) <1 group, 62 (69.7%) babies required NICU admission, and it was 24 (42.1%) in (CPR) ≥1 group.
