Publication:

Relationship between umblical artery Doppler and perinatal outcomes in Indian women with oligohydramnios

Background Doppler study of umbilical artery is considered as independent predictor for perinatal adverse outcomes. Similarly oligohydramnios condition is also found to associate with perinatal mortality and morbidity. There is paucity of data regarding the relationship between abnormal Doppler of umblical artery with the perinatal outcomes in Indian subjects having oligohydramnios. Objectives of the study were, this study was done with the primary aim of evaluating any association between Doppler findings of umblical arteries with the adverse perinatal outcomes in Indian subjects having oligohydramnios.

Methods This was an observational study in the Obstetrics and Gynecology Department of a tertiary care hospital. Women who came for antenatal checkup and having oligohydromnios were recruited in the study. Doppler of umblical artery was done and these women followed up till labour. Sociodemographic profile and other prognostic factors were noted in predesigned Performa.

Results There were 56.1% (41 out of 73) outcomes were observed in the normal umblical artery Doppler and 51% (14 out of 27) in abnormal umblical artery Doppler. There was no statistically significant difference in outcomes (p=0.8). There was no significant difference in abnormal Doppler finding between mild and severe oligohydramnios.

Conclusions There is no relationship between abnormal Doppler findings and perinatal adverse events in oligohydramnios. Inherent methodological issues may be the reason for the same.