Publication:

Umbilical artery doppler and biophysical profile score: a study of their efficacy in pregnancy induced hypertension and intrauterine growth retardation

Background Accurate diagnostic tests to identify fetuses at risk for in-utero death or injury have long been an important goal for obstetricians and perinatologists. Umbilical Artery Doppler and biophysical profile score are two tests available for antepartum fetal surveillance.

Methods The study consisted of 100 patients with either presence of PIH (30) or IUGR (28) or both (42). Testing was begun was at 33 weeks. UAD was performed; S/D, RI and PI indices were calculated. Fetal BPS was determined.

Results Fetal weight was estimated to be less than 2kg in last scan was 23.52% cases in pih/ iugr group versus 6.4% in controls whereas incidence of oligohydramnios was 29.5% versus 91.17% respectively, and number of babies admitted to NICU was 11.47% versus 70.58% respectivelyConclusions: Doppler and biophysical studies can greatly help in arriving at an appropriate strategy for management.