Doppler predictors of perinatal outcome in intra-uterine growth retarded foetuses

Background: The study aims at early detection of intrauterine growth retarded fetuses which are at high risk of perinatal complications. It can help obstetricians take appropriate preventive steps and prevent serious perinatal complications.Methods: The study undertaken over 100 pregnant women with pregnancy induced hypertension between 28-36 weeks subjected to umbilical artery and uterine artery doppler. The outcome data including gestational age at birth, birth height, APGAR score, admission to NICU, need for positive pressure ventilation and neonatal mortality.Results: The study shows that 58% mothers with IUGR foetuses were primigravida; gestational age at delivery is 34.2 weeks and 82% of IUGR foetuses were delivered by C-section. Average birth weight of foetus with abnormal doppler was significantly lower and there was high incidence of NICU admission. The study also shows that oligohydroamnios was common with abnormal doppler group.Conclusions: Umbilical artery doppler velocity in addition to uterine artery velocity doppler should be considered as a primary tool for foetal surveillance in pregnancy induced hypertension patients and for planning management of IUGR foetuses.

Right Lower Quadrant (RLQ) Pain: Beyond The Boundaries Of Appendicitis.

Abstracts: Right lower quadrant abdominal pain (RLQP) is one of the commonest causes for surgical emergencies. Beyond appendicitis and ileocecal (IC) tuberculosis; right iliac fossa pain indicates a varied list of differential diagnoses thus posing a challenge to surgeons. Causes of RLQP other than appendicitis and IC tuberculosis include inflammatory and infectious conditions involving the ileocecal region; diverticulitis; malignancies; pelvic cystic pathologies in women and miscellaneous conditions affecting omentum and mesentery. Multidetector computed tomography (MDCT) has seen a quantum leap since its introduction for bowel pathology and is now the modality of choice for evaluation of patients with right lower quadrant pain. MDCT is an extremely useful noninvasive method for diagnosis and management of not only the most common causes such as appendicitis, but also less common conditions.