An Observational Study to Evaluate Single Deepest Vertical Pocket (SDP) and Color Doppler Indices (CDI) with Severity of Covid in Pregnant Women with COVID-19
Amita Azad, Astha Lalwani, Rehana Najam
COVID-19, Doppler findings, SDP
Citation Information :
Azad A, Lalwani A, Najam R. An Observational Study to Evaluate Single Deepest Vertical Pocket (SDP) and Color Doppler Indices (CDI) with Severity of Covid in Pregnant Women with COVID-19. Donald School J Ultrasound Obstet Gynecol 2022; 16 (1):19-24.
Aim: The present study was done for the assessment of the single deepest vertical pocket (SDP) and color Doppler indices (CDI) among COVID positive pregnant women to decide upon further management.
Materials and method: A total of 102 patients were enrolled. The data collection was done by a single examiner following the protocol for the study. The study included confirmed COVID-19 positive pregnant patients. The inclusion standards were singleton pregnancy along with gestational age 28 weeks onward. Patients were divided on the basis of symptoms into asymptomatic and symptomatic subjects. Symptomatic subjects were further divided into mild, moderate, and severely symptomatic on the basis of established COVID guidelines. For the comparison of categorical variables, the analysis of Chi-square has been used.
Results: The computation of Chi-square exhibited that the distribution of single deepest vertical pocket (SDP) score did not differ between asymptomatic and symptomatic subjects. Abnormal Doppler findings in the umbilical artery were found to be significantly more among subjects with severe COVID-19 symptoms compared to women with mild to moderate symptoms. Among women with abnormal Doppler, there were 6.3% vaginal and 93.7% cesarean deliveries. Mean APGAR at 1 minute and 5 minutes after birth was found to be 5.05 ± 1.09 and 3.16 ± 0.92 in asymptomatic and 5.24 ± 1.24 and 3.40 ± 1.02 in symptomatic patients, respectively. In symptomatic subjects, NICU admission was significantly more (54.0%) compared to asymptomatic subjects (16.0%).
Conclusion: As the research has indicated that COVID-19-infected pregnant women may experience rapid and increasing placental insufficiency, it appears that a comprehensive assessment and management of the mother is required.
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