European Journal of Cardiovascular Medicine

Objective: To analyse Non-Stress Test as a Predictor for High-Risk Pregnancy-In Background of Fetal Color Doppler in Umbilical and Middle Cerebral Artery  by  means  of categorization intofour groups and comparing the prediction of perinatal outcome in high -risk pregnancies. Material and Method : This was  a  Prospective Observational study conducted on all ‘High Risk  Pregnancies’  in  Department  of  Obstetrics  &  Gynaecology,   Ruxmaniben  Deepchand   Gardi Medical  College,  Ujjainfrom  Oct 2020 to Nov 2021. A  total  of  182  antenatal  women  with ‘High  Risk’patients were  recruited.  They  were examined clinically,  and  Doppler  velocimetry  andnon- stress  test  were  performed.  The  main   vessels   studied   by  Doppler  were   umbilical   artery and   middle  cerebral  artery, to study and analyse the indices.   The  results  of   Non-Stress testwere  interpreted as  Reactive and Non-Reactive.  Based   on  the  results  of  Doppler  and   Non- Stress,  the  182 cases  were  categorized  into  four  groups  and  interpretation  of  results  was  done.Fetal outcome was considered on the basis of.APGAR score and NICU admissions Results: Among the182  cases of high-risk pregnancies, those with a normal Doppler study and a  reactive non-stress test had good perinatal outcome. When both were abnormal, there was a higher percentage of adverse out-come as compared to that of either Doppler or NST alone being abnormal or non-reactive. It was observed in this study that Abnornal Doppler  study  with Reactive  non-stress  test  had relatively  bad perinatal  outcome as compared  to  Normal  Doppler study  with  non reactive non stress test.In this study sensitivity and specificity of Doppler was 71%  and 73% while that of NST was 69%   and  54%  respectively  for  NICU  admissions. Conclusion: Color Doppler is comparatively a better in  predicting adverse  perinatal  outcome. However,  when  both test  are abnormal  perinatal  outcome  is  definitely  poor.NST can be used as an alternative in absence of colour doppler at rural PHCs and CHCs to identify adverse perinatal outcome and timely referral.