{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:44:01Z","timestamp":1786725841337,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,11]]},"abstract":"\n Context:<\/jats:title>\n Anaemia is the most common nutritional deficiency in Indian pregnant females. It ensues foetal hypoxia resulting in different compensatory mechanisms in the foetus which may result in adverse perinatal outcomes. Colour Doppler can be used to measure these hemodynamic changes of the foetus ahead of the clinical manifestations, guiding the obstetrician for the appropriate management and circumventing any dire complication.<\/jats:p>\n <\/jats:sec>\n \n Aims:<\/jats:title>\n The aim of this study is to detect foetal haemodynamic changes associated with maternal anaemia and assess the parameters which predict these changes accurately.<\/jats:p>\n <\/jats:sec>\n \n Settings and Design:<\/jats:title>\n Prospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n Two hundred and forty pregnant females in the third trimester, divided into four groups based on their haemoglobin levels in the non-anaemic, mild, moderate and severe anaemic groups, were included in the study. These patients were followed up for foetal outcome in terms of effective foetal weight, APGAR score and neonatal intensive care unit admission.<\/jats:p>\n <\/jats:sec>\n \n Statistical Analysis Used:<\/jats:title>\n Analysis of Variance Appearance, Pulse, Grimace, Activity and Respiration (ANOVA) test was used to compare the quantitative variables. SPSS software was used.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The middle cerebral artery (MCA) Doppler indices and cerebroplacental ratio (CPR) values were increasing while umbilical Doppler indices were decreasing with the increasing severity of anaemia. CPR was found to be the most sensitive predictor for foetal outcome.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Maternal anaemia results in foetal hypoxia which can be measured in terms of foetal Doppler indices. CPR was found to be more sensitive than the umbilical or MCA in predicting foetal hypoxia and in turn the perinatal outcome of foetuses of anaemic pregnant females. The foetuses with low CPR values will require urgent intervention to improve the outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_256_23","type":"journal-article","created":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T05:02:58Z","timestamp":1700456578000},"page":"2745-2751","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Role of colour Doppler in predicting foetal outcome in maternal anaemia"],"prefix":"10.4103","volume":"12","author":[{"given":"Alka","family":"Agrawal","sequence":"first","affiliation":[{"name":"Department of Radiodiagnosis, M.G.M. Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, M.G.M. Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silky","family":"Taya","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, M.G.M. Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinod","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, M.G.M. Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,11,21]]},"reference":[{"key":"R1-20260512","doi-asserted-by":"crossref","first-page":"329.","DOI":"10.1186\/1471-2458-10-329","article-title":"The prevalence of nutritional anemia in pregnancy in an east Anatolian province, Turkey","volume":"10","author":"Karaoglu","year":"2010","journal-title":"BMC Public Health"},{"key":"R2-20260512","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1097\/AOG.0b013e3181809c0d","article-title":"ACOG Practice Bulletin No. 95: Anemia in pregnancy","volume":"112","year":"2008","journal-title":"Obstet Gynecol"},{"key":"R3-20260512","article-title":"Factsheet NFHS 5 publications (2019 2021)"},{"key":"R4-20260512","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1002\/jcu.22152","article-title":"Umbilical artery peak systolic velocity measurements for prediction of perinatal outcome among IUGR fetuses","volume":"42","author":"Kessous","year":"2014","journal-title":"J Clin Ultrasound"},{"key":"R5-20260512","first-page":"1","article-title":"Adverse effect of Maternal Anemia on Fetal Doppler Indices and estimated fetal weight during the Last trimester of pregnancy in rural and suburban area","volume":"4","author":"Abdel Samie","year":"2021","journal-title":"Fayoum Univ Med J"},{"key":"R6-20260512","article-title":"Effect of Maternal Iron Deficiency Anemia on Fetal Hemodynamics","author":"Mohamad","year":"2017","journal-title":"Med. 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