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Cerebro placental ratio at 30–34 weeks’ gestation in the prediction of perinatal outcome in low-risk and high-risk pregnancy

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Original Article

Author Details : Patil Purnima Jaiprakash*, Sujani B K , Urvashi , Mamatha , Gavatri Devi

Volume : 9, Issue : 2, Year : 2022

Article Page : 280-287

https://doi.org/10.18231/j.ijogr.2022.052

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Abstract

Background: Doppler ultrasound velocimetry of umbilical and fetal vessels has become an established method of antenatal monitoring, allowing the non-invasive assessment of neonatal circulation. Cerebro placental ratio (CPR) is emerging as a significant predictor of adverse pregnancy outcome.
To predict perinatal outcome in low and high-risk pregnancy in early and late-onset FGR using CPR.
Materials and Methods: The study group comprised 410 pregnant women at 30-34 weeks, evaluated with ultrasound Doppler study, and other routine investigations and CPR were calculated. Women were categorized into high-risk and low-risk pregnancies and followed up until delivery, and fetal outcome was noted.
Results: Period of prolongation of pregnancy was significantly lower with high-risk patients than low-risk patients (31.09 ± 13.9 vs 37.79 ± 15.1, p=0.0003). NICU admissions significantly increased with high-risk patients than low-risk patients (22.22% vs 9.4%, p=0.002). Low-risk patients underwent significantly more vaginal deliveries as compared to high-risk patients (74.22% vs 44.87%, p < 0> Conclusion: Doppler velocimetry becomes an important tool for high-risk cases and late-onset mild FGR(after 32 weeks). CPR is helpful in high-risk pregnancies and also to predict peripartum fetal distress.
 

Keywords: CPR, Doppler, FGR.

How to cite : Jaiprakash P P, Sujani B K, Urvashi, Mamatha, Devi G, Cerebro placental ratio at 30–34 weeks’ gestation in the prediction of perinatal outcome in low-risk and high-risk pregnancy. Indian J Obstet Gynecol Res 2022;9(2):280-287

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