1. PREDICTION OF FETAL DISTRESS AND POOR OUTCOME OF PREGNANCY BEYOND 40 WEEKS USING DOPPLER ULTRASOUND COMPARED WITH FETAL HEART RATE MONITORING WITH NST
- Author
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Supriya Mahajan and Laul Laul
- Subjects
Meconium ,medicine.medical_specialty ,Pregnancy ,NST ,lcsh:R5-130.5 ,business.industry ,Obstetrics ,Fetal heart rate monitoring ,Doppler ,medicine.disease ,Reactive ,Non - Reactive ,Fetal distress ,Medicine ,Caesarean section ,Doppler ultrasound ,business ,lcsh:General works ,Vaginal delivery - Abstract
OBJECTIVES: Postdate pregnancy is the most common indication for Antepartum . F etal heart rate testing because of its increased perinatal morbidity and perinatal mortality. Complications are stillbirth , meconium aspiration , asphyxia , and the dysmaturity syndrome , is increased in post - term pregnancies. The most recent ACOG review of the subject of "post - term" pregnancy cites estimates of 3 - 14 % of all pregna n cies . MATERIALS AND METHODS: 55 patients with pregnancy beyond 40 weeks attending antenatal out - patient department of the Rajiv Gandhi medical college in the period between October 2014 to March 2015 were included. In present study , patients were monitored with twice weekly NST and once a week Doppler. In those with either NST nonreactive or Doppler abnormal , induction was done. Cases with normal results were monitored till 42 weeks when routine induction was done . RESULTS: A reactive non stress test in prolonged pregnancy has good negative predictive value – i.e. adverse outcomes are unlikely to occur in the setting of a reactive non - stress test – but that the positive predictive values are low . W eekly measurement of Doppler waveforms from umbilical artery (PI p=0.02 for Apgar
- Published
- 2015