Cerebroplacental Ratio and Cerebrouterine Ratio In Predicting Neonatal Outcome In Preeclamptic Pregnant Women
Osama Mostafa ElSaid ElSanter;
Abstract
Background: Doppler ultrasound velocimetry of uteroplacental umbilical and fetal vessels has become an established method of antenatal monitoring, Cerebroplacental and Cerebrouterine ratios have been studied to predict neonatal outcomes.
Aim of the Work: To assess if Cerebrouterine Ratio would be complementary to cerebroplacental Ratio in predicting adverse neonatal outcome in preeclamptic pregnant women.
Patients and Methods: The current study was carried out at Ain Shams University Maternity Hospital on (250) pregnant women with singleton pregnancies who were admitted to the Ain shams maternity Hospital presented with preeclampsia 34-37 weeks gestation, during a period from July 2017 to March 2018.
Results: The current study showed that among patients with abnormal CP ratio 35 case (47%) had fetal distress, 13 case (17.6%) were small for gestational age, 55 cases (47.3%) had APGAR 1 min < 7, 44 cases (59.5%) had APGAR 5 min < 7, 57 case (77%) admitted to NICU, and 9 cases (12.2%) suffered from Neonatal death, while among patient with abnormal CU ratio 49 case (45.8%) had fetal distress, 14 case (13.1%) were small for gestational age, 73 cases (68.2%) had APGAR 1 min < 7, 59 cases (55.1%) had APGAR 5min < 7, 79 case (73.8%) admitted to NICU, and 15 cases (14%) suffered from Neonatal death. In our study, Abnormal CP ratio and CU ratio are related to unfavorable pregnancy outcome. CU ratio had higher sensitivity and negative predictive value than CP ratio in prediction of APGAR 5 min, foetuses small for gestational age, foetal distress, NICU admission and neonatal death, while CP ratio had higher specificity and positive predictive value than CU ratio in prediction of APGAR 5 min, foetuses small for gestational age, foetal distress, NICU admission and neonatal death. Combining both ratios improved the specificity and prediction characteristics of neonatal outcomes compared to any of the ratios used alone.
Aim of the Work: To assess if Cerebrouterine Ratio would be complementary to cerebroplacental Ratio in predicting adverse neonatal outcome in preeclamptic pregnant women.
Patients and Methods: The current study was carried out at Ain Shams University Maternity Hospital on (250) pregnant women with singleton pregnancies who were admitted to the Ain shams maternity Hospital presented with preeclampsia 34-37 weeks gestation, during a period from July 2017 to March 2018.
Results: The current study showed that among patients with abnormal CP ratio 35 case (47%) had fetal distress, 13 case (17.6%) were small for gestational age, 55 cases (47.3%) had APGAR 1 min < 7, 44 cases (59.5%) had APGAR 5 min < 7, 57 case (77%) admitted to NICU, and 9 cases (12.2%) suffered from Neonatal death, while among patient with abnormal CU ratio 49 case (45.8%) had fetal distress, 14 case (13.1%) were small for gestational age, 73 cases (68.2%) had APGAR 1 min < 7, 59 cases (55.1%) had APGAR 5min < 7, 79 case (73.8%) admitted to NICU, and 15 cases (14%) suffered from Neonatal death. In our study, Abnormal CP ratio and CU ratio are related to unfavorable pregnancy outcome. CU ratio had higher sensitivity and negative predictive value than CP ratio in prediction of APGAR 5 min, foetuses small for gestational age, foetal distress, NICU admission and neonatal death, while CP ratio had higher specificity and positive predictive value than CU ratio in prediction of APGAR 5 min, foetuses small for gestational age, foetal distress, NICU admission and neonatal death. Combining both ratios improved the specificity and prediction characteristics of neonatal outcomes compared to any of the ratios used alone.
Other data
| Title | Cerebroplacental Ratio and Cerebrouterine Ratio In Predicting Neonatal Outcome In Preeclamptic Pregnant Women | Other Titles | نسبة التدفق الدموي المخى للمشيمي و نسبة التدفق الدموي المخى للرحمي للتنبؤ بحاله المولود فى حالات تسمم الحمل | Authors | Osama Mostafa ElSaid ElSanter | Issue Date | 2018 |
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