Flujometría doppler en fetos con diagnóstico de restricción del crecimiento intrauterino asociado a resultados perinatales adversos, Hospital Vicente Corral Moscoso. Cuenca, 2018

Abstract

Background: Intrauterine Growth Restriction (IUGR) is a pathology in which the fetus is smaller than expected according to gestational age. Fetal Doppler is a tool that offers detection of uteroplacental insufficiency; key in the diagnosis and monitoring of IUGR. Objective: to determine if the alteration in Doppler flowmetry in fetuses diagnosed with IUGR is associated with adverse perinatal outcomes (APR), Hospital Vicente Corral Moscoso. Basin, 2018. Methodology: cross-sectional analytical study. The universe of clinical records for the year 2018 was reviewed under inclusion and exclusion criteria. A data collection instrument was developed based on the variables proposed. The data was tabulated with the statistical program SPSS version 15. Descriptive statistics were applied; frequencies and percentages were calculated for qualitative variables, and mean and standard deviation for quantitative variables; To find the association between Doppler flowmetry and RPA, RP and its 95% CI with p value were applied. Results: The majority of pregnant women were young (60%), nulliparous (42%); belonged to the urban area (58%) and had a cesarean delivery (64%). In the newborn, 52% had low birth weight. 90% belonged to IUGR I and 74% to late IUGR. 14% of the neonates presented mild-moderate depression at the first minute, 4% depression at five minutes; 10% died at birth and 34% were admitted to the ICU. Type II and III IUGR, low birth weight and growth percentile less than 3 presented a significant association for RPA. Based on the altered Doppler flowmetry, the RPA were present in 6% of the umbilical artery, 22% of the uterine artery; both with a p value <0.05.