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The literature available shows that, the Umbilical artery Doppler has proven to be useful for predicting the neonatal outcome in IUGR foetuses. The available reports have shown that the abnormal umbilical artery Doppler ultrasound increases the perinatal mortality and morbidity. So the current study aimed at identifying the predictive value of umbilical artery Doppler in IUGR foetuses in relevance to perinatal outcome. Material and Methods: Prospective study was conducted in department of radiodiagnosis, Kerala Medical College, for one year between June 2015 to May 2016. One hundred singleton pregnancies convoluted by IUGR beyond 32 weeks were exposed for Doppler study. Perinatal conclusion in terms of baby outcome, birth weight, earlyneonatal death, admission in NICU and duration of admission were analysed. SPSS Version 22 was used for analysis. Results: This study has shown that, oligohydramnios (75%) was the main reason for termination of pregnancy in category I and II. Other reasons were 10% for uncontrolled hypertension and 6% for post term were the chief indicators for termination of pregnancy. Fifty percent were delivered vaginally and 50% by lower segment cesarean section in this study. Birth weight of the babies varied from 800gm to 2.5Kg. Perinatal mortality in our study is 20% which includes 9% of intrapartum mortality and 11% of neonatal mortality and perinatal morbidity is 24%. Conclusions: The results of present study evidently established the efficacy of umbilical artery Doppler ultrasound in prediction of the fetal outcome. A better method is needed urgent basis in order to improve the predictive accuracy of this tool to to assess the wellbeing of the IUGR foetuses.

Role of Doppler Ultrasound in Prediction of Perinatal Outcome in IUGR