Conclusion
To conclude, this study confirms previous observations that retrograde
blood flow in the AoI is associated with adverse perinatal outcome,
particularly intrauterine demise ,neonatal death ,RDS. Retrograde flow
in AoI correlates significantly with abnormal flow in Umbilical
artery,Middle cerebral artery and Ductus venosus. And even though the DV
flow is normal adverse outcome might be suspected in fetuses with
AEDF/REDF in UA and retrograde flow in AoI. Thus, retrograde flow in AoI
might be considered as an additional trigger for delivering IUGR fetuses
between 30-34 weeks with AREDF in Umbilical artery .However further
large prospective studies and randomized controlled trials taking
retrograde flow in aortic isthmus along with AREDF in UA as a trigger to
deliver are required for evaluating immediate perinatal as well as long
term neurological outcome .This might help to improve the surveillance
protocols and perinatal as well as long term neurodevelopemental outcome
in IUGR fetuses .
Disclosure of interests : The authors report no financial,
personal, political, intellectual or religious conflict of interest
Contribution to authorship:
DR. SHALAKA ARUN BANSODE - Principal author
I being the Principal author has carried out this study after planning
with my co authors and carried out the case collection ,study analysis
and writing up of my work .