Cerebroplacental Ratio (CPR) as predictor of perinatal outcome in induction of labour
Doppler velocimetry studies of the placenta and the fetal circulation provide important information regarding the fetal well-being. When apply in appropriate conditions it may provide an opportunity to improve the perinatal outcome. Objective : To assess the usefulness of cerebro-placental ratio...
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| Main Authors: | , , , , |
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| Format: | Conference or Workshop Item |
| Language: | English |
| Published: |
2018
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/98349/35/98349_%20Cerebroplacental%20Ratio%20%28CPR%29%20as%20predictor%20of%20perinatal%20outcome.pdf http://irep.iium.edu.my/98349/ |
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| Summary: | Doppler velocimetry studies of the placenta and the fetal circulation provide important information regarding the fetal well-being. When apply in appropriate conditions it may provide an opportunity to improve the perinatal outcome.
Objective :
To assess the usefulness of cerebro-placental ratio (CPR) Doppler in predicting perinatal outcomes among women who were scheduled for induction of labor.
Methodology:
There were 203 antenatal women recruited for CPR Doppler studies at 37 week and above gestations. CPR less than 1 was taken as predictor of adverse perinatal outcomes. The adverse perinatal outcomes were evaluated by intrapartum cardiotocograph (CTG), mode of delivery, meconeium-stained liquor, arterial cord blood pH, Apgar score at 5 minutes and admission to neonatal intensive care unit (NICU).
Result:
Low CPR was significantly associated with abnormal intrapartum CTG (p<0.001), caesarean or operative deliveries for fetal compromised (p<0.001) and low arterial cord blood pH (p<0.001).
Conclusion :
CPR was a valuable investigation in predicting the perinatal outcomes prior to induction of labor. |
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