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 .