STUDY OF RELATIONSHIP OF DAILY FETAL MOVEMENT COUNT, AMNIOTIC FLUID INDEX, COLOUR DOPPLER WITH PERINATAL OUTCOME

Background: In 2015 there were 2.6 million stillbirths globally, with more than 7178 deaths a day. Because more than 75% fetal death occur before the onset of labor and IUGR constitutes 5% of perinatal morbidity and mortality, it would be essential to extend the principle of intrapartum fetal heart rate monitoring to the antepartum period in an effort to prevent these fetal deaths and morbidity. Here comes the importance of Antepartum Fetal Surveillance (AFS). Antepartum Fetal Surveillance (AFS) is the assessment of fetal wellbeing in utero before the onset of labour. The main aim of antepartum fetal surveillance is to reduce perinatal mortality and morbidity and to avoid fetal death. Methods It is Prospective study conducted in Department of Obstetrics and Gynaecology, M.G.M. Medical College and M.Y. Hospital, Indore (M.P.) during the period from April 2015 to March 2016. The study has been started after the approval of topic by ethical and scientific review committee of MGM MEDICAL College, Indore. Results All the three seen to have significant correlation with perinatal outcome.

Conclusion: In our study, all the three indices when abnormal were significantly associated with poor perinatal outcome. DFMC seen to be highly sensitive with more than half of the still births reporting with chief complaint of loss of fetal movements. So it can be considered as the earliest marker of fetal wellbeing with Color Doppler being highly specific predictor for early detection of IUGR.