Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Hypertensive disorders of pregnancy (PIH) and intrauterine growth restriction (IUGR) are significant causes of perinatal morbidity and mortality. Predicting perinatal outcomes in these conditions is crucial for timely and effective intervention. This study aims to compare the predictive accuracy of Color Doppler and Non‐Stress Test (NST) in assessing perinatal outcomes in pregnancies complicated by PIH and IUGR. A prospective observational study was conducted from April 1, 2019, to March 31, 2020, in the Department of Radiology at Darbhanga Medical College and Hospital, Darbhanga. A total of 100 pregnant women diagnosed with PIH and/or IUGR were enrolled. Participants underwent both Color Doppler and NST assessments. Perinatal outcomes were monitored and recorded, including Apgar scores, birth weight and neonatal intensive care unit (NICU) admissions. The predictive accuracy of each test was evaluated using statistical analysis. Out of the 100 participants, 60% had abnormal Color Doppler findings, while 45% had non‐reactive NST results. The sensitivity, specificity, positive predictive value and negative predictive value for predicting adverse perinatal outcomes were 85%, 70%, 75% and 80% for Color Doppler, respectively, compared to 65%, 85%, 78% and 74% for NST. Neonates with abnormal Doppler findings had a significantly higher incidence of low Apgar scores (<7 at 5 minutes), low birth weight (<2500g) and NICU admissions. Color Doppler demonstrated superior sensitivity and negative predictive value in predicting adverse perinatal outcomes compared to NST in pregnancies complicated by PIH and IUGR. While NST had higher specificity, its lower sensitivity suggests that Color Doppler may be a more reliable tool for identifying at‐risk pregnancies and guiding clinical management.
How to cite this article:
Sarita Jha. Comparative Study of Colour Doppler Versus Non Stress Test as a Predictor of Perinatal Outcome in PIH and IUGR.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.97.100
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.97.100