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

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 su...

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Autores principales:	Doaa Effat, Eatemad Nabil
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	keywords: doppler u/s cerbroplacental ratio cardiotochography adverse perinatal outcomes Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/56259b2793fe451e8bb86f0c8fb9caef
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spelling	oai:doaj.org-article:56259b2793fe451e8bb86f0c8fb9caef2021-12-02T14:44:39ZEffectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy2636-41742682-378010.21608/ijma.2021.63642.1270https://doaj.org/article/56259b2793fe451e8bb86f0c8fb9caef2021-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_163256_5493b1d98b656e1bedfa742ff25ae24d.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Objective 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.Doaa EffatEatemad NabilAl-Azhar University, Faculty of Medicine (Damietta)articlekeywords: doppler u/scerbroplacental ratiocardiotochographyadverse perinatal outcomesMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 2, Pp 1342-1350 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	keywords: doppler u/s cerbroplacental ratio cardiotochography adverse perinatal outcomes Medicine (General) R5-920
spellingShingle	keywords: doppler u/s cerbroplacental ratio cardiotochography adverse perinatal outcomes Medicine (General) R5-920 Doaa Effat Eatemad Nabil Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy
description	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.
format	article
author	Doaa Effat Eatemad Nabil
author_facet	Doaa Effat Eatemad Nabil
author_sort	Doaa Effat
title	Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy
title_short	Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy
title_full	Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy
title_fullStr	Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy
title_full_unstemmed	Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy
title_sort	effectiveness of cerebroplacental ratio estimation early in labor as a predictor of adverse perinatal outcomes in full-term low-risk pregnancy
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/56259b2793fe451e8bb86f0c8fb9caef
work_keys_str_mv	AT doaaeffat effectivenessofcerebroplacentalratioestimationearlyinlaborasapredictorofadverseperinataloutcomesinfulltermlowriskpregnancy AT eatemadnabil effectivenessofcerebroplacentalratioestimationearlyinlaborasapredictorofadverseperinataloutcomesinfulltermlowriskpregnancy
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Effectiveness of Cerebroplacental Ratio Estimation Early in Labor as A predictor of Adverse Perinatal Outcomes in Full-term Low-risk Pregnancy

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