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136692

Cerebro-Umbilical Ratio at 30-34 weeks Gestation as A Prognostic Parameter for Pregnancy and Adverse Neonatal Outcomes

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Last updated: 28 Dec 2024

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Abstract

Fetal cerebral dissemination normally shows a high opposition example of stream in the MCA. There is a typical physiologic reaction of MCA enlargement in babies presented to intense or ceaseless hypoxia, bringing about a reductionin fetal MCA PI. Umbilical corridor and center cerebral conduit Doppler ultrasound unmistakably delineate the data about placental obstruction and the adjustments in the fetal hemodynamics in light of it. The cerebral-umbilical proportion stays steady during the most recent 10 weeks of incubation and gives preferred symptomatic precision over either vessels pulsatility list (PI) alone. The current examination is forthcoming associate investigation which was completed at Benha University Hospital (outpatient center). The investigation included 90 pregnant ladies at 30-multi week incubation introduced for antenatal consideration and afterward followed till conveyance. There are factually huge relations between CUR level and gestational age, nearness of comorbid diabetes and hypertension, method of conveyance, APGAR score and NICU affirmation. There is measurably critical positive relationship among's CUR and both maternal age and APGAR score. The best cutoff of CUR in expectation of nonattendance of requirement for crisis CS is ≥ 0.94. Additionally, the best cutoff of CUR in expectation of nonappearance of requirement for NICU affirmation is ≥1.0075. Mutt is prescient of expanded obstetric intercession rates and unfriendly perinatal and neonatal results and might be helpful in certain high danger gatherings. Cerebro_umbilical proportion shows high exactness in contrast with center cerebral supply route and umbilical conduit Doppler alone so it is proficient test for anticipation and mediation.

DOI

10.21608/bjas.2020.136692

Keywords

Doppler ultrasonography, Uteroplacental circulation (circle of Willis), Fetal hypoxemia, Cerebro-umbilical ratio

Authors

First Name

A.E.

Last Name

El Mashad

MiddleName

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Affiliation

Obstetrics and Gynecology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Orcid

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First Name

M.A.

Last Name

Mahmoud

MiddleName

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Affiliation

Obstetrics and Gynecology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

First Name

A.S.

Last Name

Ebrahem

MiddleName

-

Affiliation

Obstetrics and Gynecology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

Y.A.

Last Name

Saeed

MiddleName

-

Affiliation

Obstetrics and Gynecology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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-

City

-

Orcid

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Volume

5

Article Issue

Issue 5 part (2)

Related Issue

20313

Issue Date

2020-08-01

Receive Date

2020-01-07

Publish Date

2020-08-01

Page Start

353

Page End

360

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_136692.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=136692

Order

25

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Cerebro-Umbilical Ratio at 30-34 weeks Gestation as A Prognostic Parameter for Pregnancy and Adverse Neonatal Outcomes

Details

Type

Article

Created At

23 Jan 2023