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280689

Cerebroplacental doppler ratio in prediction of adverse perinatal outcome in term normal pregnancy

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Gynecology and obstetrics

Abstract

Background: The cerebroplacental ratio (CPR) may be able to detect fetus that do not develops fully at term and predict poor pregnancy outcomes. In third-trimester studies of high-risk pregnancies, low CRP due to increased umbilical artery (UA) or fetus middle cerebral artery pulsatility index (MCA-PI) has been linked to poor pregnancy outcomes. . Objective: To assess the predictive utility of doppler CPR for screening of full-term (37 week - 40 week) normal un-complicated pregnancies with a bad outcome. Methodology: This observational hospital based cross sectional study was conducted on 500 women normal uncomplicated full-term pregnancy (37- 40 weeks),  giving birth at Al-Zahraa university hospital and Elsinbelaween general hospital from June 2021 to June 2022. All women were subjected to measurement of abdominal ultrasound, femur length (FL), abdominal circumference (AC), gestational age, complete, cardiotocography (CTG) to assess fetal, and umbilical and placental doppler for middle cerebral artery (MCA) and umbilical artery (UA). Results: MCA systolic / diastolic (S/D) ratio was inversely correlated with pCO2, while UA-S/D ratio was  positively correlated with pCO2 and negatively correlated with all other parameters except neonatal death and neonatal intensive care unit admission. Conclusion: In full-term normal pregnancy, the CPR is an excellent predictor of unfavorable perinatal outcome

DOI

10.21608/jram.2023.144442.1172

Keywords

Cerebroplacental, Doppler, Fetal outcome, biomarkers

Authors

First Name

Nabila

Last Name

Mohammed

MiddleName

A.

Affiliation

Gynecology and Obstetrics Department, Elsinbelaween General Hospital, Elsinbelaween , Aldakahlia, Egypt.

Email

nabilaamin45@gmail.com

City

-

Orcid

-

First Name

Diaa

Last Name

Maged

MiddleName

MM.

Affiliation

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

Email

fakhrdawa@gamil.com

City

Cairo

Orcid

-

First Name

Amal

Last Name

Abo seif

MiddleName

H.

Affiliation

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

Email

amalabosaif@gmail.com

City

Cairo

Orcid

-

First Name

Hala

Last Name

Maghraby

MiddleName

M.

Affiliation

Radiodiagnosis Department, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt.

Email

dr_hala_maghraby@yahoo.com

City

Cairo

Orcid

-

Volume

4

Article Issue

1

Related Issue

40324

Issue Date

2023-01-01

Receive Date

2022-07-02

Publish Date

2023-01-01

Page Start

47

Page End

54

Print ISSN

2636-252X

Online ISSN

2636-2538

Link

https://jram.journals.ekb.eg/article_280689.html

Detail API

https://jram.journals.ekb.eg/service?article_code=280689

Order

7

Type

Original Article

Type Code

676

Publication Type

Journal

Publication Title

Journal of Recent Advances in Medicine

Publication Link

https://jram.journals.ekb.eg/

MainTitle

Cerebroplacental doppler ratio in prediction of adverse perinatal outcome in term normal pregnancy

Details

Type

Article

Created At

24 Dec 2024