Key result
Abnormal umbilical artery Doppler ultrasound findings in high-risk pregnant women during labor were associated with a significantly higher rate of cesarean delivery (78.3% vs 11.7%) and early neonatal death.
Why the study?
Does abnormal intrapartum umbilical artery Doppler ultrasound predict adverse delivery and neonatal outcomes in high-risk term pregnant women?
Cross-Sectional (n=100)
No
Does abnormal intrapartum umbilical artery Doppler ultrasound predict adverse delivery and neonatal outcomes in high-risk term pregnant women?
Absolute Event Rate: 78.3% vs 11.7%
p-value: p=<0.001
Abnormal intrapartum umbilical artery Doppler ultrasound in high-risk pregnancies is strongly associated with increased rates of emergency cesarean sections and adverse neonatal outcomes.
Abnormal intrapartum Doppler may flag cesarean risk in high-risk labor; hypothesis-generating and should not yet change practice pending prospective validation.
Purpose: Intrapartum Doppler velocimetry is a non-invasive investigation method. This method is useful for evaluating the pathophysiological mechanisms underlying changes in fetal heart rate. This study aimed to determine the usefulness of Doppler ultrasound findings during labor in high-risk women on determining the mode of delivery and outcome of the newborn. Methods: A cross-sectional study was conducted from January 1, 2015 to December 31, 2015 on 100 high-risk pregnant women during labor. The study was performed in the Maternity Teaching Hospital in Erbil City, Kurdistan Region, Iraq. Results: The majority of women (77%) had a normal end-diastolic blood flow pattern through the umbilical artery. A total of 76.9% of those with abnormal Doppler results had a Cesarean delivery compared with only 9.5% of those with normal Doppler results (p p p = 0.07) and fifth minutes (p = 0.01). Conclusions: Abnormal umbilical artery Doppler ultrasound findings in high-risk pregnancies for women in labor are associated with increased rates of emergency cesarean sections and a poor outcome of the newborn.
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Hamid et al. (2017) conducted a cross-sectional in High-risk term pregnancy during labor (n=100). Abnormal umbilical artery Doppler ultrasound vs. Normal umbilical artery Doppler ultrasound was evaluated on Cesarean delivery (p=<0.001). Abnormal umbilical artery Doppler ultrasound findings in high-risk pregnant women during labor were associated with a significantly higher rate of cesarean delivery (78.3% vs 11.7%) and early neonatal death.
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