DOI: 10.36347/sjams.2020.v08i04.005

Pages: 1082-1085

Objective: The Primary Objective of the study was to establish the relationship between Mode of Delivery and subsequent Intrapartum outcome [Fetal Distress]. The findings of the study showed higher rate of caesarean section during labor in fetuses with <20th centile of UV flow rate. The women who had spontaneous vaginal delivery had flow rates above 80th centiles and had less fetal compromise. Study Design: A prospective observational study done at SMS MEDICAL COLLEGE, jaipur. Fetal biometry and Arterial Doppler and venous flow rates were measured in 90 women immediately before established labor. Labor was then managed according to local protocols and guidelines, and intrapartum and neonatal outcome details were recorded. Results: Fetuses delivered by cesarean section for fetal compromise had significantly lower umbilical venous flow rates than those born by spontaneous vaginal delivery. Fetuses with the lowest umbilical flow rates were more likely to require emergency cesarean for presumed fetal compromise than those with the highest flow rates. Conclusion: Asssessment of umbilical venous flow can predict the diagnosis of intrapartum fetal compromise and need for emergency delivery.