Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy
Effat, D., Nabil, E. (2021). Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy. EKB Journal Management System, 3(2), 1342-1350. doi: 10.21608/ijma.2021.63642.1270
Doaa Mahmoud Effat; Eatemad Nabil. "Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy". EKB Journal Management System, 3, 2, 2021, 1342-1350. doi: 10.21608/ijma.2021.63642.1270
Effat, D., Nabil, E. (2021). 'Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy', EKB Journal Management System, 3(2), pp. 1342-1350. doi: 10.21608/ijma.2021.63642.1270
Effat, D., Nabil, E. Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy. EKB Journal Management System, 2021; 3(2): 1342-1350. doi: 10.21608/ijma.2021.63642.1270

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

International Journal of Medical Arts
Article 23, Volume 3, Issue 2, April 2021, Page 1342-1350  XML PDF (1.39 MB)
Document Type: Original Article
DOI: 10.21608/ijma.2021.63642.1270
View on SCiNiTO View on SCiNiTO
Authors
Doaa Mahmoud Effat email 1; Eatemad Nabil email 2
1Department of Obstetrics and Gynecology, Faculty of Medicine for Girls, Al-Azhar University, Egypt
2Department of Pediatrics and Neonatology, Faculty of Medicine for Girls, Al-Azhar University, Egypt
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.
Keywords
Keywords: Doppler U/S; cerbroplacental ratio; Cardiotochography; adverse perinatal outcomes
Statistics
Article View: 313
PDF Download: 217