scholarly journals Doppler velocimetry of umbilical, and middle cerebral arteries in the prediction of fetal outcome

2017 ◽  
Vol 5 (11) ◽  
pp. 4789
Author(s):  
Sumangali P. K. ◽  
Omana E. K. ◽  
Shabnam S. Nambiar
Keyword(s):  
Intrauterine Growth Restriction ◽  
Umbilical Artery ◽  
Cerebral Arteries ◽  
Fetal Outcome ◽  
Close Monitoring ◽  
Doppler Velocimetry ◽  
Intrauterine Growth ◽  
Medical College ◽  
Non Invasive ◽  
Middle Cerebral Arteries

Background: Doppler ultrasound offers a unique non-invasive technology for investigating fetal, feto placental and utero placental circulation Intrauterine growth restriction is associated with increased perinatal morbidity and mortality.Methods: A hospital based descriptive study of Doppler velocimetry of umbilical Artery and Middle cerebral Artery was carried out in the Department of Obstetrics and Gynecology Pariyaram Medical College over a period of 1 year – April 2016 to March 2017. A total of 180 patients with clinically IUGR were selected for the study. Close monitoring done with daily NST and repeated Doppler study.Results: The S/D ratio in Umbilical artery and RI ratio of MCA is valuable for monitoring growth retarded and small for gestational age fetuses and to take decision for early termination of pregnancy. In our study, perinatal outcome is very good, only 3 NND happened. i.e., due to extreme prematurity.Conclusions: Colour Doppler helps in detection of compromised fetuses in high risk pregnancies like PIH, IUGR and other risk factors likely to cause placental insufficiency. 

scholarly journals Doppler changes as the earliest parameter in fetal surveillance to detect fetal compromise in intrauterine growth-restricted fetuses

2016 ◽  
Vol 144 (1-2) ◽  
pp. 69-73 ◽  
Author(s):  
Saloni Bansal ◽  
Deepika Deka ◽  
Vatsla Dhadwal ◽  
Rajiv Mahendru
Keyword(s):  
Neonatal Intensive Care ◽  
Umbilical Artery ◽  
Fetal Outcome ◽  
Doppler Velocimetry ◽  
Fetal Outcomes ◽  
Intrauterine Growth ◽  
Biophysical Profile ◽  
A Prospective Study ◽  
Fetal Compromise

Introduction. It is estimated that 3-10% of infants are growth restricted. Growth disturbances may have long-term issues. Doppler allows insight into the fetal response to intrauterine stress. Objective. The aim of this study was to detect fetal compromise in intrauterine growth-restricted (IUGR) fetuses by means of biophysical profile (BPP) vis-?-vis Doppler velocimetry studies of the fetal umbilical artery, and to find out which of the two is a better and earlier predictor of fetal compromise. Methods. A prospective study was conducted on a total of 50 singleton pregnancies with IUGR between 28 and 42 weeks of gestation. Study patients were managed expectantly with nonstress testing and amniotic fluid assessment, BPP and Doppler velocimetry studies of the fetal umbilical artery. Results. Fetal outcome was poor in 5/50 (10%) of the fetuses, defined as presence of all of the following: poor Apgar test score, neonatal intensive care unit stay, necrotizing enterocolitis, and low birth weight. Of the four with abnormal BPP, 50% had poor fetal outcomes. Out of 46 with normal BPP, 6.5% had poor fetal outcomes. Conclusion. Inference drawn from the study is that the Doppler technology provides us the opportunity for repetitive noninvasive hemodynamic monitoring in IUGR pregnancies. <br><br><font color="red"><b> This article has been corrected. Link to the correction <u><a href="http://dx.doi.org/10.2298/SARH1706319E">10.2298/SARH1706319E</a><u></b></font>

STUDY IN EFFECT OF SILDENAFIL IN MANAGEMENT OF INTRAUTERINE GROWTH RESTRICTION IN MGM MEDICAL COLLEGE & L.S.K HOSPITAL, KISHANGANJ

2021 ◽  
pp. 59-61
Author(s):  
Smriti Singh ◽  
Rahul Raj ◽  
Udyan Sarkar ◽  
Debarshi Jana
Keyword(s):  
Intrauterine Growth Restriction ◽  
Descriptive Study ◽  
Fetal Outcome ◽  
Control Group ◽  
Case Group ◽  
Intrauterine Growth ◽  
Medical College ◽  
Fetal Doppler ◽  
The Mean ◽  
Nicu Admission

Introduction: IUGR is one of the most common complications of pregnancy and major cause of iatrogenic prematurity. Amis and objectives: To study effect of sildenal on pregnancy complicated with IUGR and to see its effect on fetal outcome and perinatal outcome by seeing parameters like increased AC, AFI and liquor, improvement in fetal Doppler parameters and birth weight ,APGAR scoring ,no. of NICU admission. Material and methods: MGM MEDICALCOLLEGE & L.S.K HOSPITAL, KISHANGANJ. Observational, prospective and descriptive study. Conclusion: We found that the mean PRE T/t MCA S/D in Control group was greater that case group which was statistically signicant. It was found that mean PRE T/t MCAPI at Case group was greater that control group which was statistically signicant. It was found that mean POSTT/ t MCA S/D at Control group was greater that case group which was statistically signicant. We found that mean POST T/ t MCA PI at Case group was greater that control group which was statistically signicant. We found that the mean PRE T/t UA PI in case group was greater that control group which was statistically signicant. It was found that mean PRE T/t UARI at Case group was greater that control group which was statistically signicant. It was found that mean POSTT/t UARI at Control group was greater that case group which was statistically signicant.

scholarly journals A study on fetal outcome in patients with oligohydramnios

2019 ◽  
Vol 8 (2) ◽  
pp. 665
Author(s):  
Rooplekha Chauhan ◽  
Sonal Sahni ◽  
Akanksha Dubey
Keyword(s):  
Amniotic Fluid ◽  
Intrauterine Growth Restriction ◽  
Perinatal Outcome ◽  
Fetal Outcome ◽  
History Taking ◽  
Amniotic Fluid Index ◽  
Intrauterine Growth ◽  
Medical College ◽  
Adverse Perinatal Outcome ◽  
Obstetrics And Gynaecology

Background: There is an association between oligohydramnios and intrauterine growth restriction as well as increased perinatal mortality. Amniotic fluid provides a protected environment for the growing fetus, moderating the fetus against mechanical and biological injury. The objective of the present study was to study the fetal outcome in patients with oligohydramnios between 20 to 42 weeks of pregnancy.Methods: Prospective study of 87 pregnancies with oligohydramnios was carried in Department of Obstetrics and Gynaecology, NSCB Medical College, Jabalpur from 1st March 2016 to 31stMarch 2017. All women enrolled for the study were subjected to history taking, clinical examination and amniotic fluid index estimation.Results: Rate of caesarean section was higher in patients with oligohydramnios and higher number of neonates were admitted to the NICU amongst the patients of oligohydramnios.Conclusions: Oligohydramnios has a significant correlation with adverse perinatal outcome.

scholarly journals Intrauterine growth restriction in monochorionic-diamniotic twins

2014 ◽  
Vol 60 (6) ◽  
pp. 585-590 ◽  
Author(s):  
Rita de Cássia Alam Machado ◽  
Maria de Lourdes Brizot ◽  
Seizo Miyadahira ◽  
Rossana Pulcineli Vieira Francisco ◽  
Vera Lúcia Jornada Krebs ◽  
...  
Keyword(s):  
Intrauterine Growth Restriction ◽  
Umbilical Artery ◽  
Neonatal Morbidity ◽  
Growth Restriction ◽  
Fetal Malformation ◽  
Doppler Velocimetry ◽  
Intrauterine Growth ◽  
Study Results ◽  
Umbilical Artery Doppler ◽  
Twin Pregnancies

Objective: to evaluate neonatal morbidity and mortality in monochorionic- -diamniotic (MCDA) twin pregnancies complicated by selective intrauterine growth restriction (sIUGR) and non-selective intrauterine growth resctriction (nsIUGR). Methods: neonatal morbidity parameters and mortality were analyzed in 34 twins with IUGR (< 10th percentile on twins’ growth charts): 18 with sIUGR and 16 with nsIUGR. The sIUGR group was made up of 18 pregnancies in which growth was restricted in only one fetus (n = 18). The nsIUGR group was composed of 8 pregnancies in which both fetuses presented restricted growth (n = 16). Cases of twin-to-twin transfusion syndrome and fetal malformation were not included in the study. Results: the MCDA twin pregnancies with sIUGR had a higher rate of orotracheal intubation (p = 0.001) and mechanical ventilation (p = 0.0006), as well as longer than average fasting time (p = 0.014) compared to those in which the fetuses had nsIUGR. A higher incidence was also observed of types II and III umbilical artery Doppler velocimetry patterns in the sIUGR cases (p = 0.002). There was no significant difference between the two groups as to mortality during pregnancy and the neonatal period (p = 0.09). Conclusion: in MCDA twin pregnancies, sIUGR presents more severe umbilical artery Doppler velocimetry abnormalities and worse morbidity than nsIUGR.

scholarly journals Cerebral Hemodynamics and Intracranial Compliance Impairment in Critically Ill COVID-19 Patients: A Pilot Study

2021 ◽  
Vol 11 (7) ◽  
pp. 874
Author(s):  
Sérgio Brasil ◽  
Fabio Silvio Taccone ◽  
Sâmia Yasin Wahys ◽  
Bruno Martins Tomazini ◽  
Filippo Annoni ◽  
...  
Keyword(s):  
Critically Ill ◽  
Cerebral Arteries ◽  
Receiver Operating Curve ◽  
Severe Illness ◽  
Mean Flow ◽  
Non Invasive ◽  
Intracranial Compliance ◽  
Middle Cerebral Arteries ◽  
Primary Composite Outcome ◽  
Cerebrovascular Hemodynamics

Introduction: One of the possible mechanisms by which the new coronavirus (SARS-Cov2) could induce brain damage is the impairment of cerebrovascular hemodynamics (CVH) and intracranial compliance (ICC) due to the elevation of intracranial pressure (ICP). The main objective of this study was to assess the presence of CVH and ICC alterations in patients with COVID-19 and evaluate their association with short-term clinical outcomes. Methods: Fifty consecutive critically ill COVID-19 patients were studied with transcranial Doppler (TCD) and non-invasive monitoring of ICC. Subjects were included upon ICU admission; CVH was evaluated using mean flow velocities in the middle cerebral arteries (mCBFV), pulsatility index (PI), and estimated cerebral perfusion pressure (eCPP), while ICC was assessed by using the P2/P1 ratio of the non-invasive ICP curve. A CVH/ICC score was computed using all these variables. The primary composite outcome was unsuccessful in weaning from respiratory support or death on day 7 (defined as UO). Results: At the first assessment (n = 50), only the P2/P1 ratio (median 1.20 [IQRs 1.00–1.28] vs. 1.00 [0.88–1.16]; p = 0.03) and eICP (14 [11–25] vs. 11 [7–15] mmHg; p = 0.01) were significantly higher among patients with an unfavorable outcome (UO) than others. Patients with UO had a significantly higher CVH/ICC score (9 [8–12] vs. 6 [5–7]; p < 0.001) than those with a favorable outcome; the area under the receiver operating curve (AUROC) for CVH/ICC score to predict UO was 0.86 (95% CIs 0.75–0.97); a score > 8.5 had 63 (46–77)% sensitivity and 87 (62–97)% specificity to predict UO. For those patients undergoing a second assessment (n = 29), after a median of 11 (5–31) days, all measured variables were similar between the two time-points. No differences in the measured variables between ICU non-survivors (n = 30) and survivors were observed. Conclusions: ICC impairment and CVH disturbances are often present in COVID-19 severe illness and could accurately predict an early poor outcome.

scholarly journals A case of Young Stroke due to Moyamoya Disease

2020 ◽  
Vol 15 (1) ◽  
pp. 110-113
Author(s):  
Md Abdur Razzak ◽  
Ghulam Kawnayn ◽  
Fateha Naznin ◽  
Quazi Audry Arafat Rahman
Keyword(s):  
Moyamoya Disease ◽  
Past History ◽  
Cerebral Arteries ◽  
Armed Forces ◽  
Cerebral Angiogram ◽  
Medical College ◽  
Middle Cerebral Arteries ◽  
History Of ◽  
Collateral Vessels ◽  
The Right

Moyamoya disease is a disease in which certain arteries in the brain are constricted. Blood flow is blocked by the constriction, and also by blood clots (thrombosis). A collateral circulation develops around the blocked vessels to compensate for the blockage, but the collateral vessels are small, weak, and prone to bleeding, aneurysm and thrombosis which may result in TIA, recurrent ischemic or hemorrhagic stroke or seizure. The disease may manifest in pediatric age or young adults. In May 2019 we have diagnosed a young lady with Moyamoya disease who presented with right sided hemiplegia, motor aphasia and dysphagia. She was labeled as hypertensive 6 months prior to this event and used to take anti-hypertensive irregularly and gave past history of occasional headache. Her CT scan and MRI of brain revealed left sided ischemic infarct involving frontotemporoparietal region and cerebral angiogram revealed narrowing of left MCA and non-visualization of distal part. There is extensive fine collaterals (Moyamoya vessels) giving the appearance of puffed smoke. The right ACA and MCA were also narrowed with appearance of early collateral vessels. She was treated with aspirin, PPI, NG feeding, antihypertensive medication, physiotherapy, rehabilitation therapy and other supportive care. His condition gradually improved and discharged on 2.7.19. He was referred to Department of Neurosurgery for cerebral revascularization by STA-MCA (superficial temporal and middle cerebral arteries) bypass surgery after stabilization and MR perfusion study. Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 110-113

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