Background: A higher risk of adverse perinatal outcomes has been significantly correlated with intrauterine growth restriction (IUGR) caused by placental insufficiency in both preterm and term fetuses.
Aim and objectives: to analyze the significance of uterine perfusion and fetal redistribution in predication of late onset IUGR in high-risk pregnant women.
Subjects and methods: This present study was a prospective randomized control trial which was conducted on 119 high risk pregnant ladies with singleton pregnancy from January 2021 to December 2022 firstly at ElShatby Maternity University Hospital after the approval of the ethical committee of Faculty of Medicine- Port-said University being allocated randomly into either group A which undergone cerebroplacental ratio (CPR) or group B which undergone uterine artery (UtA) evaluation.
Results: there was a significant variation among the examined groups regarding fetal weight, Comparison of fetal CPR Doppler ultrasonography and stepwise linear regression analysis for Doppler predictors of IUGR. Umbilical artery (UA) Pulsatility index (PI) and UtA PI have high sensitivity and specificity to predict IUGR.
Conclusion: CPR as well as UtA Doppler are of predictive value in predicting late onset IUGR in risky pregnancy.