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163256

Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy

Article

Last updated: 04 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

Gynecology and Obstetrics

Abstract

Objective of the Study: To test the efficacy of the cerebroplacental ratio [CPR] in the prediction of early labor fetal distress and adverse neonatal outcomes in full-term [FT] low risk pregnancy.
Patients and Methods:One hundred fifty pregnant women met the inclusion and exclusion criteria were subjected for the estimation of umbilical artery [UA] and middle cerebral artery [MCA] pulsatility indices [PI]]. CPR is calculated by dividing MCAPI by UAPI. All of these measures have been converted to multiple medians [MOMs]. The findings of CPR MOM were Correlated with the following; traces of cardiotocography; cesarean section [CS] for fetal distress; 5 min APGAR scoring; cord PH; and NICU admission. The ROC curve was used to test CPRMOM's predictive performance of adverse perinatal outcomes.
Results:Out of 150 patients, 18 [12%] showed abnormal CPR MOM There was negative significant correlation between CPRMOM and both of emergency CS, [r=-0.293, p <0.001] and NICU admission [r=-0.302, p <0.001. ROC curve showed that CPRMoM is good negative predictor, in both CS due to fetal distress, and NICU admission at cut off values,≤0.97 and ≤0.84 with sensitivity, 72.7 % and 75.0 %, specificity, 91.4 % and 92.3 % with AUCs, 0.778 and 0.827, P = 0.005, and < 0.001 respectively.
Conclusion: Reduced CPRMOM < 1 considers a good predictor for both of CS due to fetal distress and NICU admission; however normal CPR doesn't rule them out. Reduced CPR MOM is a poor predictor for each of initial non reassuring CTG, APGAR score at 5 min and lower umbilical PH. Nevertheless, normal CPRMOM considers as good predictor for normal fetuses.

DOI

10.21608/ijma.2021.63642.1270

Keywords

Keywords: Doppler U/S, cerbroplacental ratio, Cardiotochography, adverse perinatal outcomes

Authors

First Name

Doaa

Last Name

Effat

MiddleName

Mahmoud

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine for Girls, Al-Azhar University, Egypt

Email

doaaeffat4560@yahoo.com

City

-

Orcid

-

First Name

Eatemad

Last Name

Nabil

MiddleName

-

Affiliation

Department of Pediatrics and Neonatology, Faculty of Medicine for Girls, Al-Azhar University, Egypt

Email

eatemad_nabil@yahoo.com

City

+201002325304

Orcid

-

Volume

3

Article Issue

2

Related Issue

24821

Issue Date

2021-04-01

Receive Date

2021-02-16

Publish Date

2021-04-01

Page Start

1,342

Page End

1,350

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 2_Pages 1342-1350.pdf

PDF . 1.5MB

Link

https://ijma.journals.ekb.eg/article_163256.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=163256

Order

23

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy

Details

Type

Article

Created At

22 Jan 2023