The role of doppler ultrasound in high risk pregnancy: A comparative study

  • Maha Messawa
  • Ehsan Ma’ajeni
  • Maazin H Daghistani
  • Aqueela Ayaz
  • Mian Usman Farooq

Abstract

Background: The objective was to determine the effectiveness of Doppler velocimetry results in the management of high‑risk pregnancy. Materials and Methods: This cohort study was conducted from January 2005 to December 2006 in Obstetrics and Gynecology Department of Alnoor Specialist Hospital, Makkah, Saudi Arabia. A total of 200 high‑risk pregnant women with gestational age >28 weeks were selected for the study and divided into group A (100) subjected to Doppler velocimetry and group B (100) without Doppler velocimetry. Standard management protocols were followed in all cases. The primary outcome measures were mode of delivery and gestational age at the time of delivery. The secondary outcome measures were prenatal and neonatal complications. Data were analyzed using SPSS version 16 (SPSS Inc., Chicago, IL, USA). Results: Preterm deliveries, preterm as well as full‑term neonatal admissions were more frequent in group A than those in group B, i.e., (39% vs. 26%), (56% vs. 88%) (OR 0.2, 95% CI 0.04‑0.7), and (30% vs. 57%) (OR 0.3, 95% CI 0.2‑0.7), respectively. Similarly preterm and full‑term neonatal deaths were rare in group A than those in group B, i.e., (9% vs. 78%) (OR 0.1, 95% CI 0.02‑0.7), and (6% vs. 29%) (OR 0.2, 95% CI 0.03‑1.8), respectively. Emergency caesarean section rate was rare in the subjects with normal Doppler than those with abnormal Doppler (48% vs. 100%) (OR 0.1, 95% CI 0.03‑0.4) as well as in group B (48% vs. 82%) (OR 0.2, 95% CI 0.1‑0.4). Conclusion: Doppler studies in high‑risk pregnancies are more beneficial in the management of perinatal as well as neonatal management.

Keywords: Caesarean section, color Doppler ultrasonography, pregnancy outcome, prematurity

Nigerian Medical Journal | Vol. 53 | Issue 3 | July-September | 2012

Author Biographies

Maha Messawa
Department of Obstetrics and Gynaecology, Hera General Hospital
Ehsan Ma’ajeni
Alnoor Specialist Hospital
Maazin H Daghistani
Umm‑al‑qurra University
Aqueela Ayaz
Department of Gynecology and Oncology, King Abdullah Medical City
Mian Usman Farooq
Department of Health Research, Alnoor Specialist Hospital, Makkah, Saudi Arabia
Published
2014-06-29
Section
Articles

Journal Identifiers


eISSN: 2229-774X
print ISSN: 0300-1652