Welcome to International Journal of Anatomy and Research

Type of Article: Original Research

Year: 2016 | Volume 4 | Issue 3 | Page No. 2868-2872

Date of Publication: 30-09-2016

DOI: http://dx.doi.org/10.16965/ijar.2016.357

COMPARATIVE STUDY OF FETOPLACENTAL BLOOD FLOW OF NORMAL AND PREGNANCY INDUCED HYPERTENSIVE MOTHERS BY DOPPLER METHOD, TO PREDICT NEONATAL OUTCOME AND MODE OF DELIVERY

Minakshi Kasegaonkar *¹, A. D. Patil ², A.G.Gosavi ³.

^*1 Assistant professor, Department of Anatomy, Ashwini Rural Medical college and Hospital, Kumbhari, Solapur, India.

² Professor in Anatomy & Vice principle of D.Y Patil Medical college, Kolhapur, India.

³ Professor & H.O.D in Anatomy department, Ashwini Rural Medical college and Hospital, Kumbhari, Solapur, India.

Address: Dr. Minakshi S. Kasegaonkar, Assistant Professor, Ashwini Rural Medical college and Hospital, kumbhari, Solapur, India.
E-Mail: drminakshik@gmail.com

ABSTRACT

Background and Aim: As placenta is a mirror image of fetal outcome. By Colour Doppler  we visualise the feto-placental blood flow in situ and study the changes in blood flow throughout the pregnancy. Nowadays, Hypertension is a common disorder in pregnancy. With the help of 2D sonography and Doppler study we can examine the placenta, umbilical artery and foetal middle cerebral artery flow to predict neonantal outcome.
Materials and Methods: The purpose of present study was to co relate the foeto placental blood flow in normal and pregnancy induced hypertensive mothers. This study was conducted on total number of 120 patients after 28 weeks of pregnancy attending the Department of Obstetrics and Gynecology and radio diagnosis at Padmashri Dr. D. Y. Patil Hospital, Kolhapur, India. Detailed personal and family history was taken, general examination of the patient was done in normal and pregnancy induced hypertensive mothers.  With the help of Doppler the flow of  umbilical artery as well as fetal middle cerebral artery was studied. Chi-squre test and Unpaired t’test was carried out for statistical analysis.
Result: Fetal outcome is found to be directly related to severity of maternal hypertension ischemic results in inadequate transfer of oxygen and nutrients to the fetus resulting in increased incidence of hypoxia, growth retardness and fetal loss. In hypertensive mothers, S/D ratio of fetoplacental flow in fetal Middle Cerebral Artery is reduced as compared to Normal pregnancy.
Conclusion: Thus, we conclude that regular monitoring of placenta in antenatal care and Doppler velocimetry  is primary tool for fetomaternal surveillance in hypertensive pregnancies.
Key words: Colour Doppler, Foeto placental blood flow, foetal  Middle cerebral artery, Umbilical artery, PIH.

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Minakshi Kasegaonkar, A. D. Patil, A.G.Gosavi. COMPARATIVE STUDY OF FETOPLACENTAL BLOOD FLOW OF NORMAL AND PREGNANCY INDUCED HYPERTENSIVE MOTHERS BY DOPPLER METHOD, TO PREDICT NEONATAL OUTCOME AND MODE OF DELIVERY. Int J Anat Res 2016;4(3):2868-2872. DOI: 10.16965/ijar.2016.357