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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Assessment of Doppler Velocimetry Parameters in Pregnancies Without Diabetes and Controlled Gestational Diabetes

V. A. Ramya, Rema V. Nair, Jameela Ponmalar and Mounika kuppili
Page: 98-101 | Received 06 Oct 2023, Published online: 30 Oct 2023

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https://doi.org/10.36478/10.59218/makrjms.2024.1.98.101

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Abstract

The fetal middle cerebral artery (MCA) and umbilical artery (UA) are two of the most often studied vessels for the diagnosis of prenatal disorders. In the third trimester of pregnancy, UA Doppler ultrasound examination is helpful in the diagnosis and management of fetal well‐being. In previous studies the effect of doppler parameters of UA and MCA above pregnancy outcome was generally studied and it is not compared with normal antenatal mother’s Doppler study. In this study, we aimed to compare the UA and MCA Doppler indices between controlled GDM and non‐diabetic mother’s. This is a comparative cross‐sectional study conducted among GDM and non‐GDM mothers coming for antenatal check‐ups in the Tertiary care hospital, Kanyakumari. Around 50 GDM (cases) and 50 non‐GDM mothers were selected by convenience sampling. The semi‐structured questionnaire was used to collect data on age, parity and gestational age. Then all mothers were subjected to Doppler ultrasound by radiologists for various vessel indices. The Peak systolic velocity (PSV) of MCA and UA and Pulsality index of UA were studied. The data collected were entered in Excel and analyzed using Epi info version 7 software. The mean MCA‐PI in the GDM group (1.81+0.014) is significantly higher than the control group (1.70+0.007). The mean MCA‐PSV in the GDM group (47.19+0.06) is significantly higher than the control group (47.07+0.009). The mean UA‐PI in the GDM group is 0.87+0.11 whereas in the control group, it is 0.86+0.047 and the results were not significant. Our study concludes a minimal change in physiology in GDM mothers can alter the Doppler indices in fetal brain vessels. Our study results in state MCA‐PSV and MCA‐PI values can be used as indicators to assess changes in GDM babies in the third trimester. Doppler USG, GDM, MCA‐PSV, MCA‐PI.

How to cite this article:

V. A. Ramya, Rema V. Nair, Jameela Ponmalar and Mounika kuppili. Assessment of Doppler Velocimetry Parameters in Pregnancies Without Diabetes and Controlled Gestational Diabetes.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.98.101
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.98.101