Humaira Akram, Tabassum Firdous.
A Comparison of Fetal Outcome in Pregnant Women with Fetal Growth Restriction in Normal & Abnormal Umbilical Artery Doppler.
Pak J Med Health Sci Jan ;7(4):1063-5.

Aim: To compare fetal outcome in pregnant women with intrauterine growth restriction (IUGR) in normal and abnormal umbilical artery Doppler (UAD) studies. Study design: Cross sectional comparative study. Setting: Obstetrics & Gynaecology, Moula Bakhsh Teaching Hospital affiliated with Sargodha Medical College Sargodha from January 2012 to June 2013. Methods: Patients with fetal growth restriction between 28-37 weeks of gestation selected and followed with UAD study along with other Biophysical tool. Patients divided into two groups with normal and abnormal UAD waveform. Fetal outcome compared in two groups. Results: The growth restricted fetuses with abnormal UAD studies have low APGAR score, babies with normal UAD studies (90%) had APGAR score > 7 at 5 minutes after birth. Babies with raised Resistance Index (80%) and absent end diastolic flow (27%) and Reverse end diastolic flow (7%) had APGAR score > 7 at 5 minutes after birth. Conclusion: Growth restricted fetuses with normal UAD are at lower risk than those with abnormal UAD studies in terms of poor APGAR score.

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