Introduction: Doppler velocimetry is a rapid non invasive test that provides valuable information about the hemodynamic situation of the fetus. It is an efficient diagnostic test of fetal jeopardy and helps in the management of high risk pregnancy to reduce perinatal morbidity and mortality. The objective of study is to evaluate the utility of Doppler as a diagnostic tool in fetal surveillance and improved fetal outcome in high risk pregnancy. Material and Methods: 100 Antenatal women with high risk factors were selected on basis of History, clinical examination and investigations who came in OPD or referred from peripheral hospitals to Obstetrics and gynecology department, B J Medical College, Civil Hospital, Ahmedabad, between june 2017 to october 2019 and follow up taken upto Delivery. Results: there is positive correlation of umbilical artery doppler result with outcome of pregnancy. Increase chance of caesarean section and perinatal mortality, NICU admission and low birth weight baby is seen with abnormal umbilical artery doppler study population. Conclusion: our present study have clearly demonstrated the positive efficacy of Antenatal Doppler study in predicting the fetal outcome and antenatal surveillance.
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