Evaluation of Arterial and Venous System Doppler in Growth Restricted Fetus

Abstract

Background:Detection of “fetal growth restriction” early and monitoring of changes on colour Doppler will help in identifying the at-risk pregnancies and avoiding adverse obstetric and perinatal outcome.

Objectives:In this study we aim to evaluate the accuracy of “arterial and venous system Doppler” in “growth restricted foetuses” in predicting the impending adverse outcomes.

Methodology:This is a time bound prospective, cross sectional study in which 98 pregnant women referred to antenatal ultrasonography of “department of radiodiagnosis” of “Acharya Vinoba Bhave Rural Hospital” with clinical diagnosis/suspicion of growth restricted fetus and abnormal growth parameters on antenatal ultrasonography will be subjected to “doppler study of arterial and venous system” with the help of Aloka Hitachi Arietta 65 USG machine using 3.5 MHZ curvilinear transducer with coupling gel.

Results: After performing statistical analysis, we hope to find a positive correlation between “sonographic and Colour Doppler detection and monitoring of growth restricted foetuses” and timely obstetric management to facilitate reduction ofadverse maternal and perinatal outcome.

Conclusion: In this prospective, cross sectional study, we expect to find that sonographic monitoring of fetal growth not only helps in detecting “abnormal growth patterns”early but also that the colour Doppler study helps in increased diagnostic accuracy and aid obstetricians in timely management of “IUGR pregnancies” and have a positive impact in reducing “maternal and perinatal morbidity and mortality”.