Is fetal cerebroplacental ratio an independent predictor of intrapartum fetal compromise and neonatal unit admission?

Neonatal Acid-Base Status in Term Fetuses: Mathematical Models Investigating Cerebroplacental Ratio and Birth Weight

“…In addition, the fact that this association is always higher for venous pH suggests that at least at term the venous pH is probably a better reflection of placental underperfusion than arterial pH [28][29][30] . In summary, our findings suggest that two scenarios may threaten fetal well-being at term: a very low fetal weight and a very low CPR, whose importance seems to surpass that of low fetal weight.…”

The importance of the cerebroplacental ratio in the evaluation of fetal well-being in SGA and AGA fetuses

“…[14][15][16][17][18] The purpose of this article was to review the data from studies in which the CPR has been evaluated in fetuses that were AGA and those with SGA to determine whether this test should be considered for integration into clinical practice.…”

Discordance in fetal biometry and Doppler are independent predictors of the risk of perinatal loss in twin pregnancies

“…12,13 These findings in singleton pregnancies suggest that fetal Doppler assessment should not be limited to pregnancies complicated by low EFW or SGA only, as currently recommended. 30,31 The presence of SGA did not add significant predictive value to the combination of EFW discordance and CPR discordance.…”

“…10,11 Recently assessment of CPR has also been shown to be of value in assessing average for gestational age fetuses that are compromised by placental insufficiency at term. 12,13 CPR is emerging as a better proxy marker of fetal compromise, in particular secondary to placental insufficiency and hypoxemia, than fetal size alone. [12][13][14][15][16] Despite the fact that CPR has been investigated in many studies in singleton pregnancies, there is a paucity of data on the value of CPR in predicting adverse outcome in twin pregnancy.…”

“…12,13 CPR is emerging as a better proxy marker of fetal compromise, in particular secondary to placental insufficiency and hypoxemia, than fetal size alone. [12][13][14][15][16] Despite the fact that CPR has been investigated in many studies in singleton pregnancies, there is a paucity of data on the value of CPR in predicting adverse outcome in twin pregnancy. There is limited evidence suggesting that the value of CPR in twin pregnancies could be similar to that reported in singleton pregnancies.…”