Cerebroplacental Ratio (CPR) as predictor of perinatal outcome in induction of labour

• Main Authors: Salleh, M Fairudzi Afzanizam, Ismail, Hamizah, Pasi, Hafizah, Ismail, Rozihan, Nusee, Zalina
• Format: Conference or Workshop Item
• Language: English
• Published: 2018
• Subjects: RG Gynecology and obstetrics
• 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/

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.