Journal of Obstetrics and Gynecology of India最新文献

{"title":"\"Rare but Not Forgotten Five Cases of Swyer Syndrome\": Case Series and Literature Review.","authors":"Pushplata Kumari, Minakshi Kumari, Madhurima Barik, Lilly Varghese","doi":"10.1007/s13224-025-02183-9","DOIUrl":"https://doi.org/10.1007/s13224-025-02183-9","url":null,"abstract":"<p><strong>Introduction: </strong>Swyer syndrome is a rare condition of complete gonadal dysgenesis due to mutations in the Y chromosome SRY gene, leading to testicular underdevelopment. In this condition individuals present with a female phenotype despite having a male karyotype (46, XY).</p><p><strong>Method and materials: </strong>This retrospective review of five cases of Swyer Syndrome at our centre since 2013.</p><p><strong>Results: </strong>All five patients, raised as girls, presented at 18-31 years with primary amenorrhea; one had hyposmia. Breast development ranged from Tanner stage 1-4 with varying axillary hair. Internal exams showed an infantile uterus and cervix. Imaging revealed small to normal uterus and streak gonads. Elevated serum FSH and low testosterone confirmed the diagnosis (46, XY karyotype). Three patients underwent laparoscopic gonadectomy due to gonadoblastona risk; two were lost to follow-up. All received Estrogens and Progesterone replacement therapy development of secondary sexual characters.</p><p><strong>Conclusions: </strong>Swyer syndrome requires high clinical suspicion for diagnosis. Early identification allows timely hormone therapy and consideration of gonadectomy to prevent gonadoblastona.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"75 6","pages":"472-476"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12748400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Acceptance and Refusal of Postpartum Intrauterine Devices at a Tertiary Care Center in West Bengal: A Cross-Sectional Study.","authors":"Madhuparna Nandi, Partha Pratim Sharma, Atish Haldar","doi":"10.1007/s13224-025-02215-4","DOIUrl":"https://doi.org/10.1007/s13224-025-02215-4","url":null,"abstract":"<p><strong>Background: </strong>The WHO classification of contraceptive effectiveness placed IUCD in the most effective first tier. The family welfare program, in India, has recently emphasized postpartum IUCD insertion to space childbirth, resulting in reducing childbirth-related complications and a small family norm. However, evidence suggests that the acceptability of PPIUCD is still a challenge in developing countries, though in fully informed woman, PPIUCD is a satisfactory method of contraception. Therefore, the present study will try to find out the factors associated with the acceptance and refusal of PPIUCD which is available free of cost, under the National Family Planning Program in India.</p><p><strong>Methods: </strong>This is a cross-sectional study conducted in the Gynecology and Obstetrics Department, over a period of 1 year, from February 2023 to January 2024. Women who delivered, either vaginally or by cesarean section were included in the present study. The categorical variables were expressed as frequencies and percentages. A P value of 0.05 was considered significant.</p><p><strong>Results: </strong>Out of 1127 women who delivered and were counseled for PPIUCD as contraception, 32.7% (368) accepted and 67.3% (759) refused it. Of all, 42.5% were from the 20-30 years age group, but acceptance of PPIUCD was seen higher (36.2%) in the 30-40 years age group. The odds of acceptance of PPIUCD were 4.2 times higher in housewives compared to working women [OR = 4.2; 95% CI: 3.2-5.6]. Women with ≥ 4 ANC checkups in recent pregnancy accepted PPIUCD use by 47.2%. 53.2% of women (404/759) cited unawareness of the method as the main cause of refusal.</p><p><strong>Conclusion: </strong>More antenatal checkups resulted in higher acceptance of PPIUCD. Preference for another method of contraception and not being aware of PPIUCD are the major contributing factors to its refusal.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"75 6","pages":"487-493"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12748467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Creating a Safer Tomorrow: Addressing Workplace Violence Against Women in Healthcare Settings.","authors":"Juhi Deshpande","doi":"10.1007/s13224-025-02154-0","DOIUrl":"https://doi.org/10.1007/s13224-025-02154-0","url":null,"abstract":"<p><strong>Background: </strong>Workplace violence against women in healthcare is a pervasive and alarming issue with far-reaching consequences for individuals, institutions, and society.</p><p><strong>Objective: </strong>This article aims to highlight the need for a comprehensive approach to address workplace violence, ensuring safer workplaces and promoting women's well-being.</p><p><strong>Methods: </strong>A multi-faceted strategy is proposed, encompassing enhanced legislation, institutional accountability, gender-sensitive workplaces, education, and community outreach to dismantle the culture of silence.</p><p><strong>Conclusion: </strong>By adopting a comprehensive approach, we can dismantle the culture of silence, promote a culture of respect and accountability, and create safer workplaces, ultimately upholding the fundamental right to safety and well-being for women in healthcare.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"75 6","pages":"524-526"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12748372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extended Letrozole Treatment for Ovulation Induction and Clinical Pregnancy in Conventional Treatment-resistant Polycystic Ovary Syndrome Patients: A Prospective Parallel Randomized Clinical Trial.","authors":"Ferdous Mehrabian, Nastaran Zamani Dehkordi, Faezeh Zakerinasab, Fatemeh Zarimeidani, Rahem Rahmati, Masoud Lotfizadeh, Hosein Ataei-Goujani, Elham Naghshineh, Hatav Ghasemi Tehrani","doi":"10.1007/s13224-025-02163-z","DOIUrl":"10.1007/s13224-025-02163-z","url":null,"abstract":"<p><strong>Background/purpose: </strong>Polycystic ovarian syndrome (PCOS) is the most frequent cause of anovulatory infertility. Due to the high rates of ovulation and pregnancies, Letrozole (LE) has recently been considered the first-line ovulation induction medication administered to PCOS patients. Nowadays, different clinical trials have examined various LE protocol methods to reach the best strategy for infertility therapy in PCOS patients.</p><p><strong>Methods: </strong>This study was designed as a single-center, parallel randomized [1:1] clinical trial. It was registered on the World Health Organization trial registry of IRAN with registration number IRCT20110908007513N19. Eligible participants with PCOS resistant to conventional treatment were assigned to receive extended LE treatment for 7 days (group A) and 10 days (group B). Primary endpoints included ovulation rate and follicle measurements, while secondary endpoints assessed pregnancy rates and complications. A per-protocol analysis was considered.</p><p><strong>Results: </strong>Among 55 participants, the mean age was 29.27, with a BMI of 25.51. In group A, 27/27 patients were ovulated, and lastly, 10 indicated clinical pregnancy. In group B, 27/28 patients were ovulated, and only 5 indicated clinical pregnancy. While the variation in clinical pregnancy rates between the groups in our study did not achieve statistical significance, the observed trend indicates a potentially significant clinical implication. Hormone profiles, follicle sizes, and endometrial thickness did not significantly differ between clinically pregnant and non-pregnant females in both groups. No complications were observed.</p><p><strong>Conclusion: </strong>Although several conventional treatment-resistant females eventually became pregnant in a 7- or 10-day course of treatment, there are no notable differences between LE therapy in 7-day and 10-day groups. Further extensive studies are needed to validate the findings. Healthcare professionals should take this trend into account when assessing treatment alternatives, particularly within the framework of personalized patient care, as even slight enhancements in pregnancy rates can have significant effects.</p><p><strong>World health organization trial registry of iran registration number: </strong>IRCT20110908007513N19.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"75 5","pages":"385-391"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12579040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-Invasive Estimation of Haemoglobin in Pregnancy: Assessing Accuracy and the Effect of Skin Pigmentation.","authors":"Nishita Mehta, Amarnath Bhide, Basia Chmielewska, Julia Zollner","doi":"10.1007/s13224-025-02192-8","DOIUrl":"10.1007/s13224-025-02192-8","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the accuracy of a non-invasive device to measure haemoglobin and compare it with the laboratory gold standard in pregnant women, and to assess if the results vary by skin pigmentation.</p><p><strong>Material and methods: </strong>Women attending pre-operative assessment before a scheduled caesarean section were invited, and informed consent was taken. Haemoglobin (Hb) estimation was performed using a non-invasive point-of-care device (Masimo Pronto pulse co-oximeter). Venous blood sample was collected for full blood count. The skin pigmentation was classified using the Fitzpatrick scale. Bias and 95% limits of agreement were examined for haemoglobin estimation. Accuracy of the pulse co-oximeter device was assessed in the six Fitzpatrick scales of skin tone.</p><p><strong>Results: </strong>A total of 122 women were recruited. Twelve of these women (9.8%) had their haemoglobin values < 105 g/L. The Pronto device showed a significant positive bias. The mean difference was 23.4 (SD: 11.97) g/L. The 95% limits of agreement were - 0.06 to 46.9 g/L. The difference between the two methods was unrelated to the skin pigmentation. The area under the ROC curve was 0.705 (95% CI: 0.817-0.593, <i>p = </i>0.013) for the detection of anaemia.</p><p><strong>Conclusions: </strong>The point-of-care device (Masimo Pronto pulse co-oximeter) overestimates the Hb readings in pregnant women, and a correction is needed to estimate the real Hb value. The accuracy is unaffected by skin pigmentation. The device may be a potentially useful screening tool in the detection of anaemia in pregnancy in limited resource setting, but the 95% limits of agreements are relatively wide.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"75 5","pages":"445-448"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12579059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Media in Obstetrics & Gynaecology: How Far can we Go??","authors":"Sujata Dalvi","doi":"10.1007/s13224-025-02253-y","DOIUrl":"10.1007/s13224-025-02253-y","url":null,"abstract":"<p><p>In the last decade, social media has evolved from a casual communication tool to a powerful platform for professional engagement, education, and advocacy -particularly in the field of Obstetrics and Gynaecology (Ob Gyn). As maternal health, reproductive rights, and gynaecologic care continue to occupy central roles in public discourse, social media offers Ob Gyn professionals a unique opportunity to amplify evidence-based information, foster community, and shape the future of women's health. Ob Gyn professionals have increasingly embraced platforms like Twitter, LinkedIn, Instagram, and YouTube to share research findings, clinical insights, and public health messages. This shift is not merely cosmetic, but it reflects a deeper transformation in how knowledge is disseminated and consumed. Despite its promise, social media in Ob Gyn is not without pitfalls. This article explores the multifaceted impact of social media in Ob Gyn, from academic visibility and patient education to ethical considerations and institutional strategy.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"75 5","pages":"365-370"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12579029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revisiting \"3 Delays Model\" for Critical Analysis of Hypertensive Maternal Mortality in a Tertiary Care Centre.","authors":"Neha Chaudhary, Seema Mehrotra, Vandana Solanki, Urmila Singh","doi":"10.1007/s13224-025-02158-w","DOIUrl":"10.1007/s13224-025-02158-w","url":null,"abstract":"<p><strong>Background: </strong>Hypertensive disorders in pregnancy are responsible for 14% of maternal deaths. Maternal mortality is not only due to medical disorder but also due to underlying social-cultural factors lead to delays in getting timely and appropriate intervention. This study aimed to analyse three delays, to identify socio-cultural, demographic and accessibility factors that contributed to maternal deaths due to hypertension in pregnancy.</p><p><strong>Method: </strong>It was a prospective observational study. Verbal autopsy was done for each maternal death that occurred due to hypertensive disorder. The \"3 delay model\" concept was used in collection and analysis of data for each maternal death. The Chi-square test (<i>χ</i> ²) and multivariable logistic regression model were used to accomplish the study objectives.</p><p><strong>Results: </strong>Out of 326 maternal deaths, 52 deaths were due to hypertensive disorders. Pulmonary oedema, eclamptic encephalopathy, sepsis and cerebrovascular accident were the major causes of maternal mortality. In thirty-nine (75%) type I delay was the most significant contributor of maternal death. Twenty-four (46.15%) and 14 (26.9%) had Type II/III delay. The reasons for level I delay were failure to recognize the danger signs, delay in decision-making, no ANC registration, Type II delay being lack of timely transport facility, type III delay being lack of adequate monitoring, delay in initiating treatment and substandard care in hospital were observed.</p><p><strong>Conclusions: </strong>Socio-cultural and demographic factors significantly contribute to the direct or indirect medical cause of maternal death. Analysing these factors provide deep insight into the maternal death and will provide useful information for guiding the policy makers to take corrective actions and direct their programmes and policies such as strengthening referral networking, widespread coverage of healthcare facility and raising awareness of danger signs of pregnancy by reaching at grass root levels.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"75 5","pages":"415-421"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12579072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Profile, Risk Factor Stratification and Outcomes of the Fernandez Birth Cohort from India: A Decade of Experience.","authors":"Pallavi Chandra Ravula, Nuzhat Aziz, Tarakeswari Surapaneni, Geeta Kolar, Suseela Vavilala, Evita Fernandez","doi":"10.1007/s13224-025-02164-y","DOIUrl":"10.1007/s13224-025-02164-y","url":null,"abstract":"<p><strong>Objective: </strong>To describe the clinical profile, risk factor stratification and outcomes of 102,683 successive births at a perinatal tertiary referral network in India.</p><p><strong>Design: </strong>Cross-sectional hospital-based study.</p><p><strong>Setting: </strong>Tertiary Perinatal Referral Center Network in India.</p><p><strong>Sample: </strong>102,683 Births.</p><p><strong>Methods: </strong>This cross-sectional hospital-based study included 102,683 babies birthed by 99,467 women between Jan 2013 and Dec 2023 (11-year period). Women who birthed singletons, twins, triplets or quadruplets were included as cases. The data was collected using an electronic medical record system.</p><p><strong>Main outcome measures: </strong>Mode of Birth, Postpartum Haemorrhage, Maternal Deaths, Live Birth Rate, Pre-Term Births, Small for Gestational Age.</p><p><strong>Results: </strong>Overall, 102,683 babies were birthed during the study period. The mean age of the women was 28.3 ± 4.17 years. About half of them (46.6%) were presented during the first trimester. Most of the women had a spontaneous conception (89.14%). One third of the women at presentation were categorized as high risk (34.95%) which increased significantly during pregnancy and birth (75.18%). The most associated co-morbidities were diabetes mellitus (26.4%), thyroid disorders (26.01%) and hypertension (13.27%). The mode of birth included lower segment caesarean Sect. (50%), spontaneous vaginal birth (39.68%) and assisted vaginal birth (9.88%). Post-partum hemorrhage was seen in 7,357 (7.16%) births and atonic (6.16%) was the commonest etiology. The outcomes analyzed were live birth rate (98.86%), pre-term birth rate (16.78%) and small for gestational age (10.84%).</p><p><strong>Conclusion: </strong>High risk pregnancy is a common occurrence in India. It is important to understand the risk factors and monitor the antenatal and postnatal care to ensure good outcomes for the mother and baby.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"75 5","pages":"422-429"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12579094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Kinesio Taping on Pregnancy related Pelvic Girdle Pain and Disability.","authors":"Bushra Bano, Aruna Nigam, Deepak Malhotra, Zeeshan Rais","doi":"10.1007/s13224-025-02167-9","DOIUrl":"10.1007/s13224-025-02167-9","url":null,"abstract":"<p><strong>Aim: </strong>To discover out the impact of Kinesio Taping (KT) in reduction of pain and disability experienced by pregnant females.</p><p><strong>Method: </strong>Total 30 pregnant females in second trimester were recruited after fulfilling inclusion and exclusion criteria. They were randomized into 2 group. Experimental (A) received KT and Control group (B) sham KT. KT or sham KT was applied on day 1 and removed on day 5. Pain and disability were the results measures of the study. The pain levels were assessed by utilizing Visual Analogue Scale (VAS) on 1st day before treatment (BF) and after treatment (AF), 3rd day, 5th day and 7th day. Disability was evaluated using Oswestry Disability Index in Hindi Version, on day 1 and day 7.</p><p><strong>Results: </strong>Preintervention both the groups were comparable regarding Pain and Oswestry Disability Index (ODI) scores. Post intervention experimental group had markedly decreased VAS and ODI from day 1 to day 7 (VAS Day 1 BF: 43.66 ± 17.31 Vs VAS Day 7: 26.13 ± 13.74; ODI Day 1: 31.80 ± 12.36 Vs ODI Day 7: 17.66 ± 7.30; p < 0.05). In control group VAS and ODI remained same between Day 1 & 7 (VAS Day 1 BF 31.93 ± 14.08, Vs VAS Day 7 32.46 ± 13.68;, ODI Day 1 22.13 ± 15.35 Vs ODI Day 7 22.00 ± 11.73).</p><p><strong>Conclusions: </strong>KT can significantly reduce PGP and disability in pregnant females as compared to sham taping, measured by VAS and ODI scale respectively.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"75 5","pages":"430-437"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12579075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Findings of Color Doppler Ultrasound in AGA Fetuses in the Third Trimester with a Drop of Two Standard Deviations of Estimated Fetal Weight in Pregnant Women.","authors":"Pegah Keshavarz, Maryam Moshfeghi, Zahra Soleimani, Samaneh Rokhgireh, Roya Derakhshan, Neda Hashemi","doi":"10.1007/s13224-025-02146-0","DOIUrl":"10.1007/s13224-025-02146-0","url":null,"abstract":"<p><strong>Background: </strong>Detection of fetal growth restriction (FGR) in appropriate for gestational age (AGA) fetuses has not been comprehensively assessed. This study aim was to evaluate the findings of Doppler ultrasound in AGA fetuses who had a drop of two standard deviations from the estimated fetal weight index (EFW) in the third trimester.</p><p><strong>Methods: </strong>In this descriptive cross-sectional study, all pregnant women referred to perinatology wards for routine screening in pregnancy with AGA fetuses that have more than 20% drop in the weight percentile in the third trimester of pregnancy were included to the study. After registering the information related to Doppler ultrasound and their demographic characteristics, the patients were followed up, and the information related to the delivery outcome was also recorded.</p><p><strong>Results: </strong>74% of the cases had more than 20% drop in the weight percentile. For both categories of weight change, the percentiles of PI-UA, PI-MCA, and CPR were 90%, 50% and 25%, respectively. Results showed the significant difference in the CPR in two groups including aspirin consumption and no taking it (1.93 ± 0.35 vs. 1.66 ± 0.43, <i>P</i> = 0.018).</p><p><strong>Conclusion: </strong>The color Doppler ultrasound findings can help in better detection of AGA fetuses at risk would enable enhanced surveillance of these cases, and reduction their stillbirth risk.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"75 5","pages":"400-404"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12579028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}