Research Paper
Year: 2023 | Month: February | Volume: 10 | Issue: 2 | Pages: 305-314
DOI: https://doi.org/10.52403/ijrr.20230239
Comparative Assessment of the Umbilical Artery Doppler Velocimetry and Non-Stress Test in Evaluating the Fetal Well-Being among Women with Pre-Eclampsia
Dr. Priyanka Kundal1, Dr. Rukhsana Sami2, Dr. Anu Sharma3, Dr. Farhana Zahir4
1,2,4Department of Obstetrics and Gynaecology, LD Hospital, GMC Srinagar
3Department of Anesthesia and Critical Care, GMC Jammu
Corresponding Author: Dr. Anu Sharma
ABSTRACT
Background: Pre-eclampsia is defined as a systemic syndrome characterized by the new onset of raised blood pressure >140/90 mm Hg and proteinuria after 20 weeks of gestation in a previously normotensive woman. Reduction of neonatal complications of pre-eclampsia is feasible by assessment of fetal well-being. Both fetal Doppler and NST are used for the screening of high-risk pregnancies.
Methods: It was a prospective comparative tertiary care hospital based study of pre-eclamptic women admitted in department of Obstetrics and Gynaecology, Lalla Ded hospital over a period of 18 months from March 2020 to September 2021. Written informed consent was obtained from the subjects prior to recruitment to the study. A total of 232 patients who were known case of pre-eclampsia or those who develop pre-eclampsia during hospital stay were included in our study.
Results: Both NST and fetal UA Doppler velocimetry were significantly correlated with the perinatal outcome. However; UA Doppler velocimetry had more sensitivity than NST. In contrast, NST had slightly more specificity than UA Doppler velocimetry.
Conclusion: The fetal umbilical artery Doppler velocimetry improves the sensitivity for the prediction of poor perinatal outcome when it is combined with the non-stress test. Both the tests are complimentary to one another in fetal surveillance of high risk pregnancies like pre-eclampsia.
Keywords: Pre-eclampsia, Umbilical arteries, Ultrasonography, Doppler, NST, Prenatal diagnosis
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