Doppler velocimetry in diagnosis of placenta insufficiency and its association to perinatal outcome at Bugando Medical Centre, Mwanza, Tanzania (Record no. 18568)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03335nam a22003137a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CUHAS/MMED/6000316/T/19 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | CUHAS/MMED/6000316/T/19 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240423132414.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 221208b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Wurzburg Road 35, BMC Premises, Post Code: 33102: |
| Source | P. O Box 1464, Mwanza – Tanzania: |
| Source | Phone: +255 28 298 3384: |
| Source | Fax: +255 28 298 3386: |
| Source | Email: vc@bugando.ac.tz : |
| Source | Website: www.bugando.ac.tz |
| 040 ## - CATALOGING SOURCE | |
| Language of cataloging | English |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Fatma Mrisho Haji |
| Dates associated with a name | [Female] |
| 9 (RLIN) | 47110 |
| Relator term | CUHAS/MMED/6000316/T/19 |
| 222 ## - KEY TITLE | |
| Key title | Keywords: |
| Qualifying information | Placental Doppler ultrasound, Cerebro-placental ratio, obstetrics risk or conditions, perinatal outcomes. |
| 245 ## - TITLE STATEMENT | |
| Title | Doppler velocimetry in diagnosis of placenta insufficiency and its association to perinatal outcome at Bugando Medical Centre, Mwanza, Tanzania |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania: |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS – Bugando] : |
| Date of publication, distribution, etc. | 2022 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 85 Pages |
| Extent | Includes References and Appendices |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: Doppler velocimetry of the fetal umbilical, middle cerebral artery and its cerebroplacental ratio (CPR is a non-invasive evaluation tool of fetal wellbeing. Variation of Doppler indices above or below normal limit with certain changes of the normal Doppler waveform pattern can be used as a marker in the diagnosis of placenta insufficiency and possible prediction of perinatal outcomes.<br/><br/>Objective: To determine the prevalence of abnormal placenta Doppler, associated risk factors (obstetrics risk), and its association to perinatal outcome.<br/><br/>Methods: A longitudinal study was conducted at Bugando Medical Centre in Tanzania over a period of six months. A 393 gravid patients from 28 weeks of gestation age were recruited. Doppler ultrasound evaluation of umbilical and Middle cerebral arteries was performed and CPR was calculated. Newborn assessment was done 24 hours after delivery to determine perinatal outcomes. Collected data was analysed using STATA software version 13.<br/><br/>Results: Among 393 recruited participants, prevalence of abnormal placental Doppler was 17.05%. In clinical categorization; the prevalence was higher 61.7% in high-risk pregnancy compared to 1.4% in low-risk group. Hypertensive disorder of pregnancy (OR 32.4; 95% CI [12.2-86.4]; p-value<0.001), PROM (OR 22; 95% CI [5.9-80.0]; p-value < 0.001), diagnosis of unspecified insufficient (OR 18.3; 95% CI [3.8-87.2]; p-value <0.001) and APH (OR 9.9; 95% CI [1.9-50]; p-value 0.006)), were significantly associated with abnormal placenta Doppler study, Abnormal CPR was significant associated with adverse perinatal outcomes.<br/><br/>Conclusion: Prevalence of abnormal placenta Doppler (CPR) was high in our setup, based on clinical categorization it become a potentially screening tool to be done in detection of abnormal placental blood flow, in high risk pregnancies. It association with poor peri-natal outcomes as seen in this study, makes it among investigation of choice in identifying fetus with intrauterine complication. <br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Obstetrics & Gynaecology |
| 9 (RLIN) | 47091 |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 22929 |
| 9 (RLIN) | 48499 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Barcode | Date last seen | Copy number | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 12/08/2022 | CREC/483/2021 | 12/08/2022 | CREC/483/2021 | 12/08/2022 | POSTGRADUATE DISSERTATIONS |