JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES

Abstract

Objective: The aim of our study was to evaluate the efficacy of doppler velocimetry and CTG in surveillance of IUGR fetuses and hence their capacity to predict adverse perinatal outcome. Methods:In this prospective study antenatal fetal surveillance was done in 82 women with IUGR using fetal doppler and CTG. The results of these tests within one week of delivery were correlated. The women were divided in to four groups based on their test results and perinatal outcome parameters were compared. The data was analyzed by chi square test. Results:There were significant differences in perinatal outcome between all four test result groups. Women in whom both CTG and doppler were abnormal had significant increase in preterm birth, low apgar score, NICU admissions and neonatal complications. The statistical analysis indicates that combination of the CTG and doppler was an excellent predictor of perinatal outcome. Conclusion: Doppler ultrasonoraphy and CTG effectively stratify IUGR fetuses into distinct risk categories. But doppler identifies fetal compromise earlier than CTG.For better perinatal survival doppler which has better sensitivity has to be combined with CTG.

Key words: Antepartum surveillance, IUGR , Perinatal outcome