Volume 24, Issue 105, September - October, 2020

Assessment of the role of umbilical artery doppler ultrasound in predicting mode of delivery and neonatal outcome in high risk pregnancy

Ghada S. Al sakkal, Alan A. Abdul kader^♦

Maternity Teaching Hospital, Erbil City, Kurdistan Region, Iraq

^♦Corresponding author
Maternity Teaching Hospital, Erbil City, Kurdistan Region, Iraq; Email: alanbarzinjy2020@gmail.com

ABSTRACT

Objective: to assess umbilical artery Doppler indices in relation to fetal outcome in high risk pregnancies. Methods: The present prospective study was carried out from the 1st of January 2019 until the 1st of October 2019 in Maternity Teaching Hospital in Erbil, Kurdistan Region-Iraq. The study compared two groups of high risk pregnant women (A and B) each group included 106 women. One of the groups underwent Doppler velocimetry, while the other one did not. Required data including age, gravidity, gestational age, and resistant index from Doppler's, mode of delivery, meconium, APGAR1, APGAR5, and neonatal weight were collected for both groups. Results: The study population included 28 women with gestational diabetes, 100 women with preeclampsia and 84 women with gestational hypertension. Doppler was done for group A only, The mean age of women of the whole sample was 30.0 ± 6.37 years. The majority of women in group A delivered by cesarean section compared with 11.3% of women of group B. There was a significant relationship between history of hypertension and diabetes mellitus and birth weight (p<0.05). Conclusions: Umbilical artery Doppler is an effective tool for prenatal monitoring in women with high risk pregnancy.

Keywords: Diabetic; Patients; Care; Model; Educational; Chronic

Medical Science, 2020, 24(105), 3639-3646

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