Fetal renal artery doppler in cases of isolated oligohydramnios: Can it predict adverse neonatal outcome?
Aims and Objectives: This study compares the fetal renal artery flow velocity waveforms of pregnancies complicated by oligohydramnios with normal pregnancies and to detect any statistically significant difference between the two Groups and to further determine the relationship of these findings with...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| Subjects: | |
| Online Access: | http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2023;volume=16;issue=8;spage=275;epage=280;aulast=Sarkar |
| _version_ | 1827300189705076736 |
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| author | Krishnendu Sarkar Vinay Maurya Birma Ram |
| author_facet | Krishnendu Sarkar Vinay Maurya Birma Ram |
| author_sort | Krishnendu Sarkar |
| collection | DOAJ |
| description | Aims and Objectives: This study compares the fetal renal artery flow velocity waveforms of pregnancies complicated by oligohydramnios with normal pregnancies and to detect any statistically significant difference between the two Groups and to further determine the relationship of these findings with neonatal outcome. Method: All pregnant women in IIIrd trimester with gestational age between 32 weeks to 36 weeks with isolated oligohydramnios were included as cases (Group-A). Normal IIIrd trimester pregnancies (Group-B) with gestational age between 32 weeks to 36 weeks served as controls between the study period of Jan 2018 to Dec 2019. Results: The mean umbilical artery pulsatility index (PI; mean ± SD) in patients of Group-A was 1.0730 ± 0.0637 and that of patients in Group-B was 1.0012 ± 0.1400 with P = 0.0023. The mean umbilical artery S/D ratio (mean ± SD) in patients of Group-A, was 2.9120 ± 0.2476 and that of patients in Group-B was 2.5135 ± 0.2751 with P < 0.0001. The mean renal artery PI (mean ± SD) in patients of Group-A was 2.5863 ± 0.2608 and that of patients in Group-B was 2.4737 ± 0.2648 with P = 0.0240. The mean birth weight and Apgar Score were also found to be statistically significant between the two Groups. Conclusion: The distribution of mean renal artery PI and umbilical artery PI, in oligohydramnios cases, was higher in comparison to normal cases. As the Neonatal intensive care unit (NICU) admission was higher in the oligohydramnios group with abnormal renal artery doppler indices, our recommendation is that abnormal fetal renal artery Doppler indices are an indication for early referral to tertiary care setup, as the majority of these neonates will require NICU care postdelivery. |
| first_indexed | 2024-04-24T15:49:01Z |
| format | Article |
| id | doaj.art-3a54dd74c6ad47b7a4c26bc0d4d40291 |
| institution | Directory Open Access Journal |
| issn | 2589-8302 2589-8310 |
| language | English |
| last_indexed | 2024-04-24T15:49:01Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| spelling | doaj.art-3a54dd74c6ad47b7a4c26bc0d4d402912024-04-01T13:01:51ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil Vidyapeeth2589-83022589-83102023-01-0116827528010.4103/mjdrdypu.mjdrdypu_48_22Fetal renal artery doppler in cases of isolated oligohydramnios: Can it predict adverse neonatal outcome?Krishnendu SarkarVinay MauryaBirma RamAims and Objectives: This study compares the fetal renal artery flow velocity waveforms of pregnancies complicated by oligohydramnios with normal pregnancies and to detect any statistically significant difference between the two Groups and to further determine the relationship of these findings with neonatal outcome. Method: All pregnant women in IIIrd trimester with gestational age between 32 weeks to 36 weeks with isolated oligohydramnios were included as cases (Group-A). Normal IIIrd trimester pregnancies (Group-B) with gestational age between 32 weeks to 36 weeks served as controls between the study period of Jan 2018 to Dec 2019. Results: The mean umbilical artery pulsatility index (PI; mean ± SD) in patients of Group-A was 1.0730 ± 0.0637 and that of patients in Group-B was 1.0012 ± 0.1400 with P = 0.0023. The mean umbilical artery S/D ratio (mean ± SD) in patients of Group-A, was 2.9120 ± 0.2476 and that of patients in Group-B was 2.5135 ± 0.2751 with P < 0.0001. The mean renal artery PI (mean ± SD) in patients of Group-A was 2.5863 ± 0.2608 and that of patients in Group-B was 2.4737 ± 0.2648 with P = 0.0240. The mean birth weight and Apgar Score were also found to be statistically significant between the two Groups. Conclusion: The distribution of mean renal artery PI and umbilical artery PI, in oligohydramnios cases, was higher in comparison to normal cases. As the Neonatal intensive care unit (NICU) admission was higher in the oligohydramnios group with abnormal renal artery doppler indices, our recommendation is that abnormal fetal renal artery Doppler indices are an indication for early referral to tertiary care setup, as the majority of these neonates will require NICU care postdelivery.http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2023;volume=16;issue=8;spage=275;epage=280;aulast=Sarkaradverse neonatal outcomefetal renal artery doppleroligohydramnios |
| spellingShingle | Krishnendu Sarkar Vinay Maurya Birma Ram Fetal renal artery doppler in cases of isolated oligohydramnios: Can it predict adverse neonatal outcome? Medical Journal of Dr. D.Y. Patil Vidyapeeth adverse neonatal outcome fetal renal artery doppler oligohydramnios |
| title | Fetal renal artery doppler in cases of isolated oligohydramnios: Can it predict adverse neonatal outcome? |
| title_full | Fetal renal artery doppler in cases of isolated oligohydramnios: Can it predict adverse neonatal outcome? |
| title_fullStr | Fetal renal artery doppler in cases of isolated oligohydramnios: Can it predict adverse neonatal outcome? |
| title_full_unstemmed | Fetal renal artery doppler in cases of isolated oligohydramnios: Can it predict adverse neonatal outcome? |
| title_short | Fetal renal artery doppler in cases of isolated oligohydramnios: Can it predict adverse neonatal outcome? |
| title_sort | fetal renal artery doppler in cases of isolated oligohydramnios can it predict adverse neonatal outcome |
| topic | adverse neonatal outcome fetal renal artery doppler oligohydramnios |
| url | http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2023;volume=16;issue=8;spage=275;epage=280;aulast=Sarkar |
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