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THE RATE, PREGNANCY OUTCOMES, AND ASSOCIATED FACTORS OF FULL TERM PREGNANCIES WITH ABNORMAL FETAL CEREBROPLACENTAL RATIO AT CANTHO GYNECOLOGY AND OBSTETRICS HOSPITAL
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Abstract
Background: Abnormal fetal cerebroplacental ratio (CPR) reflects the redistribution of arterial blood flow due to the body prioritizing cerebral perfusion in response to fetal hypoxia. CPR is associated with fetal distress during labor, low birth weight, low Apgar scores after birth, higher rates of neonatal intensive care unit (NICU). Objective: To determine the rate of abnormal fetal CPR in term pregnancies and to describe certain clinical characteristics, pregnancy outcomes and associated factors of term pregnant women with abnormal fetal CPR at Can Tho Obstetrics and Gynecology Hospital (CTOGH). Subjects and Methods: A descriptive cross-sectional study, conducted on 410 pregnant women ≥37 weeks pregnant at COHGH from July 2024 to January 2025. Results: Among 410 pregnant women participating in the study, 84 women had abnormal CPR, accounting for 20.48%. Of which, primiparous 73.3%, meconium staining of amniotic fluid 13.1%, abnormal CTG was 6%. Caesarean section was conducted on 63,1% patients, the rate of children with pH cord < 7.2 was 22.62%; 10.7% of children were admitted to the NICU. We found the statistically significant association between low birth weight and admission to the NICU. Conclusion: CPR is an important indicator in assessing fetal health and predicting adverse pregnancy outcomes. Measuring CPR may help clinicians identify and manage term women early to improve neonatal outcomes.
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Keywords
cerebroplacental ratio, pregnancy outcomes, cord blood pH
References
2. Dall’Asta A, et al. (2019), “Cerebroplacental ratio assessment in early labor in uncomplicated term pregnancy and prediction of adverse perinatal outcome: Prospective multicenter study”. Ultrasound Obstet Gynecol 2019; 53: 481–487.
3. D’Antonio F, et al. (2020), “Diagnostic accuracy of Doppler ultrasound in predicting perinatal outcome in pregnancies at term: A prospective longitudinal study”, Acta Obstet Gynecol Scand 2020; 99: 42–47.
4. Fatemeh Golshahi, et al (2022), "Relationship between fetal middle cerebral artery pulsatility index and cerebroplacental ratio with adverse neonatal outcomes in low-risk pregnancy candidates for elective cesarean section: A cross-sectional study", International Journal of Reproductive BioMedicine, Volume 20, Issue no. 8, pp.663-670.
5. Mehmet Mete K. (2023), "Cerebroplacental Ratio During the Third Trimester of Pregnancy: A Prospective Case-Control Study", Bezmialem Science 2023;11(2):170-174.
6. Mariola Ropacka-Lesiak, et al. (2008), “Cerebroplacental ratio in prediction of adverse perinatal outcome and fetal heart rate disturbances in uncomplicated pregnancy at 40 weeks and beyond”, Arch Med Sci 2015; 11, 1: 142–148.
7. Berthold Grüttner, et al. (2019), “Correlation of cerebroplacental ratio with adverse perinatal outcome in singleton pregnancies”, invivo 2019; Sep 3;33(5):1703–1706
8. Ala Aiob, et al. (2022), “Cerebroplacental ratio and neonatal outcome in low-risk pregnancies with reduced fetal movement: A prospective study”, Eur J Obstet Gynecol Reprod Biol X 2022; Mar 10:14:100146.
9. Christopher Flatley, et al. (2018), “Is the fetal cerebroplacental ratio better that the estimated fetal weight in predicting adverse perinatal outcomes in a low risk cohort?”, J Matern Fetal Neonatal Med 2019; Jul;32(14):2380-2386.