DOI: 10.36347/sjams.2019.v07i03.034

Pages: 1034-1037

Background: Doppler ultrasound enables us to identify any circulatory problems causing utero-placental and feto-placental insufficiency. The Middle Cerebral Artery (MCA) and Umbilical Artery (UmA) are the most commonly studied vessels in assessment of foetal wellbeing. In intrauterine growth retardation the umbilical artery and MCA are most commonly examined. Aim: To study role of MCA & Um A Doppler indices in predicting foetal outcome in third trimester pregnancy & to compare these indices regarding their utility. Material & Methods: Descriptive follow-up study was conducted in teaching hospital. Four hundred subjects in third trimester of pregnancy were included. Systematic random sampling technique was used. Results: Maximum number of patients belonged to age group of 22 to 25 years (51%). Maximum subjects had normal AFI (47.75%). At placental end of umbilical artery, 53.5% subjects had normal RI & 1.75% had abnormal RI with normal Apgar score. About 2.25% subjects had abnormal MCA RI while 53% had normal MCA RI with normal Apgar score. Highest specificity (99.54%) was noted in Pulsatility Index (PI) of Umbilical artery (placental end) & highest sensitivity (97.2%) was noted in Pulsatility Index (PI) of MCA. Conclusion: PI of umbilical artery & S/D ratio of MCA were having good specificity & sensitivity in combination. Doppler ultrasound is a safe & quick method to assess the foetal condition to prevent perinatal morbidity & mortality.