Pathological Doppler as a predictor of intrauterine growth restriction

Abstract

Introduction: combined Doppler flowmetry of the uterine and umbilical arteries has a predictive value in intrauterine growth restriction and in its management and follow up.

Objective: to relate pathological Doppler flowmetry with the prediction of retarded intrauterine growth (IUGR) at Hermanos Cruz Polyclinic in Pinar del Rio, from January 2019 to December 2022.

Methods: an analytical, prospective observational research was performed on 113 pregnant women with pathological Doppler in the first trimester and follow up, a sample of (n = 65) all those who completed their delivery and postpartum period was selected. Variables such as age, gestation time, fetal weight, type or route of delivery, as well as its validity as a predictor of IUGR were analyzed.

Results: the pathological Doppler and IUGR ratio was 7,7%, it was more related to the umbilical artery Doppler, the ages of 20 - 34 years predominated, coinciding with the small for gestational age, average age was 27,2 years. Both required cesarean section to a greater extent 6,2% and 10,8% respectively, term pregnancy was related in both variables, the one greater than 2500 grams predominated in the PEG but not in the IUGR, the most associated morbidity was anemia followed by gestational diabetes.

Conclusions: the use of pathological Doppler in this investigation did not demonstrate its predictive value for IUGR.