A PROSPECTIVE OBSERVATION STUDY OF ASSOCIATED CAUSES OF SINGLE UMBLICAL ARTERY AND ITS ADVERSE PREGNANCY OUTCOMES

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Dr. Renu Yadav
Dr. Deepika Verma

Keywords

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Abstract

AIM AND OBJECTIVE-  Single umbilical artery  is a abnormal  condition of the umbilical cord in which one artery is missing . To evaluation of risk factor and associated causes   and  associated various maternal and neonatal outcomes related to single umbilical artery.


METHOD AND MATERIAL-  Women were  their 2nd and 3 rd trimester, as well as their fetuses were selected regardless of  age, ethinicity or socio-economic status.all  recordes were reviewed to compare information on maternal complications, twinning,gestational age, birth weight, maternal age and congenital anomalies, pregnancy outcomes of cases were recorded. There was sample size  32  and study was a prospective observational study from sept. 2019to 30 sept 2022 in index medical college  indore ,(m.P)


RESULT- There were 32 cases of SUA with and without  established anomaly diagnosed antenatally. Gestational age ranged between 132-289 days. Median maternal age was 28 (19-36) years. Gravida was  1-3 . There were 20 pregnancies with premature rupture of membranes. Intrauterine cardiac anomaly in 2 fetuses, trisomy 13 in one case and another had trisomy 18  , and anencephhaly was present in  8 fetuses, cryptorchidism had 4 fetuses, hyopthyroidism  were detected in 2 fetuses.  22 cases were delivered by normal vaginal delivery , 10 cases by caesarean section . 10 cases were diagnosed with oligohydramnios, 22 cases with polyhydramnios.


CONCLUTION-  identifacation of single  artery  is important  for prenatal diagnosis of  congenital anomalies and aneupliody. According to our study finding , the risk  of  intrauterine growth restriction is increased and repeated ultrasound


examination with doppler assessment and testing  for fetal wellbeing  may be necessary in later week of gestation. Early intra partum surveillance with isolated single umbilical artery may improve pregnancy outcomes.

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