Maternal risk factors and perinatal outcomes in fetal growth restriction using obstetric Doppler in South Kerala, India

Simple item page
dc.contributor.authorT., Heera Shenoyen_US
dc.contributor.authorJames, Sonia X.en_US
dc.contributor.authorT., Sheela Shenoyen_US
dc.date.accessioned2020-10-16T07:52:37Z
dc.date.available2020-10-16T07:52:37Z
dc.date.issued2019-01
dc.description.abstractBackground: Fetal Growth Restriction (FGR) is the single largest contributing factor to perinatal morbidity in non-anomalous foetuses. Synonymous with Intrauterine Growth Restriction (IUGR), it is defined as an estimated fetal weight less than the10th percentile. Obstetric Doppler has helped in early detection and timely intervention in babies with FGR with significant improvements in perinatal outcomes.  Hence, authors evaluated the maternal risk factors and diagnosis-delivery intervals and perinatal outcomes in FGR using Doppler.Methods: This research conducted in a tertiary care hospital in South Kerala included 82 pregnant women who gave birth to neonates with birth weight less than the 10th percentile over a period of1 year (Jan 1, 2017-Dec 31, 2017). Socio-demographic, maternal risk, Diagnosis- delivery interval in FGR and neonatal morbidities were studied.Results: Mean GA at diagnosis in weeks was 34.29 and 35.19 respectively for abnormal and normal Doppler respectively (p value-0.032). The mean birthweight in Doppler abnormal FGR was 272.34 g lesser than in Doppler normal group (p value-0.001). Growth restricted low birth weight neonates had Doppler   pattern abnormalities (p value-0.0009). FGR <3rd percentile and AFI <5 had abnormal Doppler (OR:6.7). Abnormal biophysical profile (OR:14) and Non-Reactive NST (OR:3.5) correlated with abnormal Doppler. Growth restricted with normal Doppler had shorter NICU stays than with abnormalities (p value-0.003). Term FGR went home early than early preterm. (p value-0.001).Conclusions: Abnormal Doppler velocimetry is significantly associated with earlier FGR detection, shorter decision- delivery interval, reduction in the mean birthweight and longer NICU stay. Hence, Umbilical artery Doppler and Cerebroplacental index is an integral part of in-utero fetal surveillance to identify impending fetal hypoxia, appropriate management, optimising the timing of delivery and improve perinatal health in FGR.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Department of Radiodiagnosis, Travancore Medical College, Kollam, Kerala, Indiaen_US
dc.identifier.affiliationsDepartment of Radiodiagnosis, Travancore Medical College, Kollam, Kerala, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Government Medical College, Trivandrum, Kerala, Indiaen_US
dc.identifier.citationT. Heera Shenoy, James Sonia X., T. Sheela Shenoy. Maternal risk factors and perinatal outcomes in fetal growth restriction using obstetric Doppler in South Kerala, India. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Jan; 8(1): 6-13en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/206354
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber1en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20185062en_US
dc.subjectAbnormalen_US
dc.subjectBirthweighten_US
dc.subjectCentileen_US
dc.subjectDoppleren_US
dc.subjectFetalen_US
dc.subjectGrowthen_US
dc.subjectIntrauterineen_US
dc.subjectNeonatalen_US
dc.subjectNormalen_US
dc.subjectRestrictionen_US
dc.titleMaternal risk factors and perinatal outcomes in fetal growth restriction using obstetric Doppler in South Kerala, Indiaen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ijrcog2019v8n1p6.pdf
Size:
287.89 KB
Format:
Adobe Portable Document Format
Download
Collections
International Journal of Reproduction, Contraception, Obstetrics and Gynecology