నైరూప్య

Role of 2D ultrasonography and Doppler in diagnosis of fetal complications in diabetic mothers

Ghada Mahmoud Abdel-Rafee*

Background: Objectives are antenatal fetal assessment in diabetic mother to detect congenital anomalies through evaluation of fetal biophysical profile using 2D US and Doppler study of umbilical artery and intracranial arteries for assessment of placental blood flow is our concern. Method: The study includes 30 singleton diabetic pregnant women. It was conducted in Radiology Department of Mansoura University Hospital between June 2018 to Jan 2020. They were divided into high risk group and low risk group. 2D US study includes fetal biometry (Biparietal diameter, femur length and abdominal circumference). Doppler study includes (umbilical artery, middle cerebral artery and uterine artery). Results: Cut-off point of umbilical artery RI is (0.67), PI is (1.12) and S/D ratio is (2.87). Cut-off point of MCA RI is (0.61), PI is (1.31) and S/D ratio is (2.92). Cut-off point of uterine artery RI is (0.61) and C/U ratio is (1.22). Major multisystemic congenital anomalies are seen in high risk group; otherwise low risk group is normal. Conclusion: Conventional ultrasound has a role in assessment of fetal wellbeing and fetal growth rate. Doppler velocimetry examination adds significant data in management of complicated gestational DM associated with other medical disorders.