Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
High‐risk pregnancies require meticulous monitoring to ensure maternal and fetal well‐being. Ultrasonography (USG) and Color Doppler are invaluable tools in the assessment of such pregnancies, providing critical information on fetal development, placental function and uterine blood flow. This study aims to evaluate the role of USG and Color Doppler in high‐risk pregnancies and their accuracy in predicting fetal outcomes. A prospective study was conducted on 100 high‐risk pregnant women from May 1, 2022, to April 30, 2023, at the Department of Radiology, Darbhanga Medical College and Hospital, Darbhanga. Inclusion criteria encompassed pregnancies complicated by factors such as preeclampsia, gestational diabetes, intrauterine growth restriction (IUGR) and previous adverse pregnancy outcomes. Each participant underwent routine USG and Color Doppler examinations. Parameters assessed included fetal biometry, amniotic fluid index, umbilical artery Doppler indices and middle cerebral artery Doppler indices. Fetal outcomes were recorded at birth and compared with the prenatal findings. Out of 100 high‐risk pregnancies, 70% exhibited abnormal Doppler findings. Of these, 60% were diagnosed with IUGR, 25% with oligohydramnios and 15% with altered umbilical artery resistance indices. The sensitivity and specificity of USG combined with Color Doppler in predicting adverse fetal outcomes were 85% and 90%, respectively. The positive predictive value (PPV) was 88%, and the negative predictive value (NPV) was 87%. Fetal distress at birth correlated significantly with abnormal Doppler findings (p<0.05). USG and Color Doppler are effective in the early detection of fetal compromise in high‐risk pregnancies. These modalities provide crucial information that aids in the timely intervention, potentially improving fetal outcomes. Routine incorporation of these imaging techniques in the management of high‐risk pregnancies is recommended to enhance prenatal care and fetal surveillance.
How to cite this article:
Sarita Jha. Role of Ultrasonography and Color Doppler in the Assessment of High‐Risk Pregnancies and their
Accuracy in Predicting Fetal Outcome.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.101.104
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.101.104