[The value of Doppler velocimetry in umbilical and cerebral artery in pregnancy complicated by IUGR and its influence on mode of delivery and neonatal Apgar score].

UNLABELLED: The most important diagnostic method in pregnancy complicated by IUGR is Doppler flow velocity in placento-fetal circulation. The most useful diagnostic method is the umbilical and pulsatility index and cerebro-placental ratio.

DESIGN

The aim of the study is to evaluate the value of pulsatility index umbilical and cerebro-placental ratio in intrauterine growth restriction, the way of delivery and neonatal Apgar score.

MATERIAL AND

METHODS

The study was done in Dep. of Obstetrics and Gynaecology Medical University in Lodz in 2001-2005 y. The study group consists of 80 women with diagnosed IUGR, control group--50 healthy pregnant women at the same gestational age. The Doppler flow measurement in umbilical and middle cerebral arteries, the way of delivery and Apgar score were estimated.

RESULTS

In the group of IUGR in 11 cases the PI value in umbilical artery increased, in 3 cases of this group cerebro-placental ratio was elevated. In control group evaluated blood flow indexes were normal. The ratio of caesarian sections in growth-restricted fetuses group was higher than in control group. The neonatal Apgar score was similar in compared groups.

CONCLUSION

In pregnancy complicated by IUGR the Doppler flow measurement was useful to found fetal intrauterine hypoxia.