Assessment of Placental Bed Vascularity and Volume in Patients with IUGR and its Correlation with Neonatal Outcome and Placental Pathology

Objectives: The aim of this study is to show the role of 3D power doppler in assessment of placental vasculature in patients with Intra Uterine Growth Retardation (IUGR) and its correlation with neonatal outcome and placental histopathology.Study Design: Case control study.Methodology: This study included 60 pregnant women, 30 with IUGR and 30 as control. Those patients were recruited from the Obstetric Outpatient Clinic and Obstetric Department at Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo University during the period between February 2013 to August 2014. The patients were examined by 3D power doppler for placental vasculature and volume. Neonatal assessment and placental pathology were done after delivery.Results: Placental blood perfusion in patients with IUGR is low (detected by 3D power doppler) in comparison to control group also neonatal outcome is worse with IUGR group, and placentae of IUGR group showed insufficiency.Conclusion: 3DPD indices of placental bed vasularity revealed a significant decrease in patients with IUGR in comarison to control group.