Correlation of efficacy of cerebro placental ratio with adverse perinatal outcome in clinically suspected IUGR pregnancies

CTG is a test usually done in the third trimester of pregnancy. The basic objective of a CTG is to assess coordination between foetal nervous system and the cardiovascular system based on the fact that a well oxygenated healthy foetus with an intact CNS-cardiac functioning will show accelerations with foetal movements. In normal pregnancy, resistance to blood flow in the uteroplacental unit decreases as pregnancy advances resulting in an increase in the diastolic flow and the abnormality in this is detected by Colour Doppler. We aim to compare the efficacy of Electronic Foetal Monitoring and COLOUR DOPPLER as a means of foetal monitoring in utero in order to prognosticate the perinatal and neonatal outcome in high risk pregnancy. Conclusion:Both the test are complementary to one another in the fetal surveillance of high risk pregnancies and no single test should be considered for decision making because each test reflects different aspects of maternal and fetal pathophysiology. The choice of test can be dictatded by the clinician.

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“…There is significant difference in the Cerebroplacental Ratio and all the variables except APGAR. [11,12,13,14] .…”

Section: Discussionmentioning

confidence: 99%

Fetal heart tracing and colour doppler: A comparative analysis with respect to maternal and neonatal outcome

Sharma¹,

Singh²,

Aafrin³

et al. 2020

Int. J. Clin. Obstet. Gynaecol.

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“…This shows that CPR is highly significant indicator of adverse perinatal outcome. [11,12,13,14] . There was significant difference of Doppler values with perinatal outcome, keeping EFM traces normal.…”

Section: Discussionmentioning

confidence: 99%

Can cerebroplacental ratio overcome the gaps present in the tests of antepartum foetal surveillance in improving the perinatal outcome?

Tahilyani¹,

Pandey²,

Lal³

et al. 2019

Int. J. Clin. Obstet. Gynaecol.

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Background: Timely antenatal identification of the fetus at risk, fetal monitoring and serial assessment are crucial to ensure fetal wellbeing, which is measured in terms of perinatal outcome by using various tests of antepartum surveillance. Materials and Methods: It was a prospective study conducted in the department of Obstetrics and Gynaecology of Upper India Sugar Exchange Maternity hospital, G.S.V.M Medical College, Kanpur from 2016 to 2018 with total number of 130 cases. All antenatal cases with > 32 weeks of gestation with high risk factors, were simultaneously subjected to Electronic foetal monitoring and Colour Doppler. Perinatal outcomes were recorded in terms of presence or absence of meconium stained liquor, Apgar score, NICU admission requirement and respiratory distress. Results: There was significant statistical correlation between the different types of EFM and Doppler velocimetry with the perinatal outcome variables such as NICU admissions, neonatal complications and mode of termination, p-value was <0.001, i.e highly significant. There was significant difference between the Cerebro placental Ratio and all the variables except APGAR. The mean of PI of middle cerebral artery was 1.53±0.39.and that of umbilical artery was 1.08±0.35. Percentage of NICU admissions required was higher in patients have EFM pathological followed by suspicious as compared to EFM normal. Conclusion:With Umbilical artery and Middle cerebral artery Doppler, the Cerebroplacental Ratio is postulated to be a better predictor of foetal compromise than either of the vessel considered individually even when their respective indices are in normal range.

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Umbilical and Middle Cerebral Artery Doppler Indices at Late Third Trimester in the Prediction of Perinatal Outcome in Growth Restricted Fetuses

Ktatny

Mohamed

2020

The Egyptian Journal of Hospital Medicine

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Correlation of efficacy of cerebro placental ratio with adverse perinatal outcome in clinically suspected IUGR pregnancies

Cited by 3 publications

References 16 publications

Fetal heart tracing and colour doppler: A comparative analysis with respect to maternal and neonatal outcome

Fetal heart tracing and colour doppler: A comparative analysis with respect to maternal and neonatal outcome

Can cerebroplacental ratio overcome the gaps present in the tests of antepartum foetal surveillance in improving the perinatal outcome?

Umbilical and Middle Cerebral Artery Doppler Indices at Late Third Trimester in the Prediction of Perinatal Outcome in Growth Restricted Fetuses

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