FETAL ECHOCARDIOGRAPHY AS A ROUTINE ANTENATAL SCREENING TOOL FOR DETECTION OF FETAL CONGENITAL CARDIAC STRUCTURAL ANOMALIES.

Background: Fetal echocardiography plays a pivotal role in detecting congenital cardiac structural anomalies. Though foetal echocardiography is mostly reserved for high risk pregnant women, its role as a routine prenatal screening tool needs to be dened. To evaluate the role of fetal echocardiography as a routine Objectives: antenatal screening tool for detection of congenital cardiac structural anomalies.To compare the prevalence of congenital cardiac structural anomalies by fetal echocardiography in antenatal women with low risk and high risk factors for cardiac structural anomalies. The study was carried out in the department of radiodiagnosis, SNMC, Agra. Materials and methods: 500 fetal hearts between 18-26 weeks gestation were evaluated through fetal echocardiography.They were categorised into two groups -low risk (Group I) and high risk (Group II) and scanned through four chamber , LVOT , RVOT and three vessel view. Result: The prevalence of fetal congenital cardiac structural anomalies in this study is 14/1000.Fetal echocardiography had a sensitivity of 85% & specicity of 99%. PPV is 85% and NPV is 99%. The incidence of congenital cardiac structural anomalies in high risk and low risk group was 12 % & 14.8 % per 1,000 respectively. based on these ndings it is highly Conclusion: suggestive that every pregnant woman should be subjected to a detailed fetal echocardiography. Fetal echocardiography should be included as a part of routine antenatal screening irrespective of risk factors for congenital cardiac structural anomalies.

EVALUATION OF ROLE OF DIFFERENT FETAL DOPPLER INDICES IN PREDICTION OF ADVERSE PERINATAL OUTCOME IN FETAL GROWTH RESTRICTION

Background: India has high perinatal mortality and fetal growth restriction (FGR) ,small for gestational age (SGA) babies are major cause for preterm births and low birth weight, and consequently high perinatal mortality in India1. Ultrasound scanning methods are nowadays used to observe fetal growth , analyze fetal biometry and fetal doppler. Colour Doppler helps to identify at risk pregnancies and fetal growth restriction along with stage based protocol for the management of Fetal Growth Restriction.2. To compare the sensitivity and specicity of doppler Objective: indices of MCA , umbilical artery and uterine artery in prediction of adverse perinatal outcome. Study Material And Method: was conducted from October 2020 to September 2022 in the department of Radiodiagnosis of Sarojini Naidu medical college, Agra .The study included 90 clinically suspected antenatal women with period of gestational age between 29-40 weeks who were referred from Antenatal OPD of Obstetrics and Gynecology to Department of Radiodiagnosis in Sarojini Naidu Medical College , Agra . All the cases in the study were followed up from rst visit upto the time of delivery and further. Conclusion: Women with abnormal Doppler ndings had increased adverse perinatal outcomes in terms of morbidity ( low birth weight , NICU admissions , perinatal death ) with umbilical artery Doppler study being most sensitive and MCA being most specic in predicting adverse perinatal outcome .