Measurement of Cerebro-Placental Doppler Ratio and Amniotic Fluid Index as a Predictor of Perinatal Outcome in Prolonged Pregnancy

Rabei, Noha Hamed; Taha, Mohamed; Etman, Mohamed K.; Omar, Naser

doi:10.21608/ebwhj.2020.20645.1064

Cited by 2 publications

(3 citation statements)

References 20 publications

(32 reference statements)

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“…7,14 These findings collectively emphasize the importance of CPR as a predictor of adverse perinatal outcomes. In the case of relationship of perinatal outcomes with CPR we find that significantly higher percentage of perinatal asphyxia and NICU admission in abnormal CPR group.…”

mentioning

confidence: 78%

The role of cerebro placental ratio as a predictor of adverse perinatal outcome in uncomplicated term pregnancies

Gupta,

Agarwal,

Akanksha

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Aim of the study was to study role of cerebro placental ratio (CPR) as a predictor of adverse perinatal outcome in uncomplicated term pregnancies. Methods: This prospective observational study took place at the Department of Obstetrics and Gynecology in SNMC Agra. We enrolled 140 uncomplicated antenatal cases with gestational age between 37 to 41 weeks, based on specific inclusion and exclusion criteria. Each participant underwent comprehensive assessments, including history-taking, examinations, and ultrasound color Doppler evaluations. We then analyzed perinatal outcomes in correlation with CPR. Results: Adverse perinatal outcomes i.e., asphyxia and NICU admissions were found to be significantly higher in patients with CPR<1. We also observed APGAR<7 at 1 and 5 minutes, cord blood ABG with pH<7.3, pO2<50, PCO2>45 in patients with CPR<1. Conclusions: CPR serves as a noninvasive means to identify fetal compromise in seemingly healthy pregnancies, aiding in the decision-making process regarding the mode of delivery. Clinical significance-CPR can assist in stratifying at risk pregnancies, subsequently influencing decisions regarding the mode and place of delivery.

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mentioning

confidence: 78%

The role of cerebro placental ratio as a predictor of adverse perinatal outcome in uncomplicated term pregnancies

Gupta,

Agarwal,

Akanksha

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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“…Rabei et al (5) studied the correlation between serial amniotic fluid index changes and adverse fetal outcome in post term pregnancies and found that prominent changes in the amniotic fluid index had no association with adverse fetal outcome irrespective of the rate of change, provided, the final value remained > 5 cm and significant fetal heart rate decelerations and meconium was detected in patients whose final AFI was< 5 cm. Also, Chandra et al (6) compared pregnancies with low AFI and normal AFI on routine intrapartum amniotic fluid volume assessment and found that the variable decelerations and caesarean delivery for fetal distress occurred more in oligohydramnios because of less number of women who had crossed 40 weeks of gestation and there was no difference in Apgar score or neonatal complications between two groups.…”

Section: Discussionmentioning

confidence: 99%

“…(5) AFI calculated to be between 5 and 8 cm. with normal AFI (8-22cm) or borderline AFI (5-8cm) was involved in our study (5) Patient is sure of her dates.…”

Section: Inclusion Criteriamentioning

confidence: 99%

Assessment of Perinatal Outcomes in Pregnant Women with Borderline Amniotic Fluid Index

El-sayed¹,

Mohammed²,

Kewan³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Antenatal testing is done to assess the health of the fetus and the likelihood of unfavorable consequences throughout pregnancy. Amniotic fluid is a crucial component of pregnancy that aids in the fetus's healthy growth, stimulates the development of its muscles and skeleton, and facilitates easier fetal movement. Objective: The aim of this study was to assess the perinatal outcomes in pregnant women having borderline amniotic fluid index (AFI). Patients and Methods: This prospective case control study was conducted on all pregnant women who were enrolled from patients attending Zagazig university hospitals and Al-Ahrar teaching hospital for antenatal care. Patients were divided into two groups: 1-Group A: included 42 patients with normal AFI (8-22cm). 2-Group B: included 42 patients with borderline AFI (5-8 cm). Results: There was highly statistically significant difference between two groups regarding Amniotic fluid index and the baby weight. Also, this study showed statistically significant difference between two groups regarding NICU. Regarding the correlations of AFI, there was highly statistically significant difference between amniotic fluid index and Gestational age (Week), Also, there were highly statistically significant differences between Amniotic fluid index and LIQUOR, and fetal distress syndrome. Conclusion: It could be concluded that adverse perinatal outcome is seen in higher percentage of patients having oligohydramnios than that of borderline AFI.

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Measurement of Cerebro-Placental Doppler Ratio and Amniotic Fluid Index as a Predictor of Perinatal Outcome in Prolonged Pregnancy

Cited by 2 publications

References 20 publications

The role of cerebro placental ratio as a predictor of adverse perinatal outcome in uncomplicated term pregnancies

The role of cerebro placental ratio as a predictor of adverse perinatal outcome in uncomplicated term pregnancies

Assessment of Perinatal Outcomes in Pregnant Women with Borderline Amniotic Fluid Index

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