ROLE OF DOPPLER ULTRASOUND IN PRE-ECLAMPSIA AND ITS PERINATAL OUTCOME

ABSTRACT

Background: The main purpose of providing antenatal care is to identify women at risk ofcomplications as a result of impaired uteroplacental circulation such as pre-eclampsia.Aim: To describe practical application of Doppler ultrasound in obstetrics with analysis of bloodflow velocity waveform in pre-eclampsia and to examine perinatal outcome in pregnancies withaltered Doppler indices.Material and Method: This is a prospective study of 40 pregnant women with pre-eclampsiaevaluated sono-graphically with color Doppler and to be followed subsequently for any adverseperinatal outcome.Result: Out of 40 cases 45% of cases were found in 25-29 years age group. 25 cases had abnormaluterine artery Doppler indices accounting for 62.5%, while 15 cases had a normal doppler indicesaccounting for 37.5%. Out of 40 cases, 24 cases had abnormal Middle cerebral artery accounting for60%. In our study 14 cases had abnormal umbilical artery Doppler indices accounting for 35%,while 26 cases had a normal Doppler index accounting for 65%. In this study total 6 cases (15%) ofperinatal mortality were seen.Conclusion: The knowledge of Doppler arteries waveform may help to improve pregnancyoutcome and any permit identification and assessment of pre-eclampsia at earliest gestational age ascompared to other ante partum test modalities.