FETAL CEREBROPLACENTAL RATIO AT TERM PREGNANCY AS A PREDICTOR OF ADVERSE PERINATAL OUTCOME
DOI:
https://doi.org/10.61841/pybq5t74Keywords:
Cerebroplacental ratio,, perinatal outcomeAbstract
The middle cerebral artery (MCA) Doppler accuracy for predicting fetus at risk of wellbeing is not known properly. The study’s objective is to is to evaluate the middle cerebral artery Doppler accuracy for predicting adverse fetal outcome. For studying perinatal outcome in pregnancy at term with normal cerebroplacental ratio,to study perinatal outcome in pregnancy at term with abnormal cerebroplacental ratio,to compare between the perinatal outcomes in pregnancy at term with normal and abnormal cerebroplacental ratio. A cross sectional study including 1000 pregnant women at term between 37 to 40 weeks of gestation. CPR (Pulsatility index of MCA and PI of UA) were calculated of all patients on USG Doppler. Abnormal CPR were related to bad fetal outcome. 1000 women will be studied. The obstetric intervention rate for suspected fetal distress will be higher among cases with lower CPR compared to those with normal CPR. A significantly higher rate of adverse perinatal outcome will be found in fetuses with CPR < 10th percentile compared to those with CPR
≥ 10th percentile. Data will show, low risk term pregnancies with reduced CPR has association with more risk of obstetric intervention because of fetal distress and bad fetal outcomes. Earlier detection of low CPR can be helpful in predicting adverse perinatal outcomes.
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1. E. Blair, F.J. Stanley, Intrapartum asphyxia: a rare cause of cerebral palsy,J. Pediatr. 112 (1988) 515e519.
2. N. Badawi, J.J. Kurinczuk, J.M. Keogh, L.M. Alessandri, F. O'Sullivan, P.J. Pemberton, F.J. Stanley, Antepartum risk factors for newborn encephalopathy: the western australian case-control study, Br. Med.
J. 317 (1998)1549.
3. D.J. Barker, C. Osmond, J. Golding, D. Kuh, M.E. Wadsworth, Growth in utero,blood pressure in childhood and adult life, and mortality from cardiovasculardisease, Br. Med. J. 298 (1989) 564.
4. J. Eriksson, T. Forsen, J. Tuomilehto, C. Osmond, D. Barker, Fetal and childhoodgrowth and hypertension in adult life, Hypertension 36 (2000) 790e794
5. A.A. Baschat, U. Gembruch, The cerebroplacental doppler ratio revisited, UltrasoundObstet. Gynecol. 21 (2003) 124e127
6. P.A. Devine, L.A. Bracero, A. Lysikiemcz, R. Evans, S. Womack, D.W. Byrne,Middle cerebral to umbilical artery doppler ratio in post-date pregnancies,Obstet. Gynecol. 84 (1994) 856e860
7. J. Morales-Rosello, A. Khalil, M. Morlando, A. Bhide, A. Papageorghiou, B. Thilaganathan, Poor neonatal acid-base status in term fetuses with low cerebroplacental ratio, Ultrasound Obstet. Gynecol. 45 (2015) 156e161
8. Singh, Harshika, Manjusha Agrawal, Arvind Bhake, and Nihar Gupta. “COLOUR DOPPLER EVALUATION IN HIGH-RISK PREGNANCY AND PERINATAL OUTCOME.” JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES-JEMDS 7, no. 43 (October 22, 2018): 4603–8.
https://doi.org/10.14260/jemds/2018/1027.
9. Mishra, Kshirod K., Sally John, and Naresh Nebhineni. “Autoimmune Neuropsychiatric Disorders of Childhood.” INDIAN JOURNAL OF PSYCHIATRY 60, no. 5, 1 (February 2018): 31.
10. Bhriegu, R., M. Agrawal, and C. Hariharan. “Assessment of Maternal and Perinatal Outcome in Postdated Pregnancy.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 1 (2017): 35–40. https://doi.org/10.4103/jdmimsu.jdmimsu_20_17.
11. Gaikwad, K.B., N.G. Joshi, and S.P. Selkar. “Study of Nitrosative Stress in ‘Pregnancy Induced Hypertension.’” Journal of Clinical and Diagnostic Research 11, no. 3 (2017): BC06–8. https://doi.org/10.7860/JCDR/2017/23960.9396.
12. Roy, M., U.L. Gajbe, B.R. Singh, and P. Thute. “Morphometric Measurement of Fetal Femur Length for the Prediction of Gestational Age in the Ii Nd and Iii Rd Trimester of Pregnancy by Ultrasonography.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 3 (2017): 187–90. https://doi.org/10.4103/jdmimsu.jdmimsu_71_17.
13. Yadav, S., M. Agrawal, C. Hariharan, D. Dewani, K. Vadera, and N. Krishna. “A Comparative Study of Serum Lipid Profile of Women with Preeclampsia and Normotensive Pregnancy.” Journal of Datta Meghe Institute of Medical Sciences University 13, no. 2 (2018): 83–86. https://doi.org/10.4103/jdmimsu.jdmimsu_70_17.
14. Phatak, S., D. Shrivastav, G. Marfani, S. Daga, K. Madurwar, and S. Samad. “Transvaginal Sonography and Elastography Evaluation of Ectopic Pregnancy.” Journal of Datta Meghe Institute of Medical Sciences University 14, no. 2 (2019): 86–89. https://doi.org/10.4103/jdmimsu.jdmimsu_13_19.
15. Wasnik, R.R., and N.R. Akarte. “Evaluation of Serum Zinc and Antioxidant Vitamins in Adolescent Homozygous Sickle Cell Patients in Wardha, District of Central India.” Journal of Clinical and Diagnostic Research 11, no. 8 (2017): BC01–3. https://doi.org/10.7860/JCDR/2017/30855.10320.
16. Gaikwad, K.B., N.G. Joshi, and S.P. Selkar. “Study of Nitrosative Stress in ‘Pregnancy Induced Hypertension.’” Journal of Clinical and Diagnostic Research 11, no. 3 (2017): BC06–8. https://doi.org/10.7860/JCDR/2017/23960.9396.
17. Baliga, S., M. Chaudhary, S. Bhat, P. Bhatiya, N. Thosar, and P. Bhansali. “Determination of Toral Antioxidant Capacity of Saliva in Sickle Cell Anemic Patients - A Cross-Sectional Study.” Journal of Indian Society of Pedodontics and Preventive Dentistry 35, no. 1 (2017): 14–18. https://doi.org/10.4103/0970-4388.199219.
18. Yadav, S., M. Agrawal, C. Hariharan, D. Dewani, K. Vadera, and N. Krishna. “A Comparative Study of Serum Lipid Profile of Women with Preeclampsia and Normotensive Pregnancy.” Journal of Datta Meghe Institute of Medical Sciences University 13, no. 2 (2018): 83–86. https://doi.org/10.4103/jdmimsu.jdmimsu_70_17.
19. “Evaluation of Abdominal Malignancies by Minimal Access Surgery: Our Experience in a Rural Setup in Central India.” World Journal of Laparoscopic Surgery 11, no. 3 (2018): 115–20. https://doi.org/10.5005/jp-journals-10033-1350.
20. Aglawe, P.B., R.K. Jha, V. Mishra, K.M. Sakore, A. Chetan, and D.S. Shrivastava. “Appraisal of Core Therapy, Supportive Therapy, and Alternative Therapy in a Tertiary Care Rural Hospital of Vidarbha Region in Correlation to Plethora of Menopausal Problems.” Journal of Mid-Life Health 10, no. 1 (2019): 14–21. https://doi.org/10.4103/jmh.JMH-131-18.
21. Gupta, M., S. Samal, D. Shrivastava, N. Bagde, N. Mishra, and S. Gupta. “The Study of Ovulatory Pattern Following Use of Clomiphene Citrate and Anastrozole in Infertile Women with Ovulatory Dysfunction: A Comparative Study.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 1 (2017): 17–20. https://doi.org/10.4103/jdmimsu.jdmimsu_14_17.
22. Gadge, A., N. Acharya, S. Shukla, and S. Phatak. “Comparative Study of Transvaginal Sonography and Hysteroscopy for the Detection of Endometrial Lesions in Women with Abnormal Uterine Bleeding in Perimenopausal Age Group.” Journal of SAFOG 10, no. 3 (2018): 155–60. https://doi.org/10.5005/jp- journals-10006-1580.
23. Roy, M., U.L. Gajbe, B.R. Singh, and P. Thute. “Morphometric Measurement of Fetal Femur Length for the Prediction of Gestational Age in the Ii Nd and Iii Rd Trimester of Pregnancy by Ultrasonography.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 3 (2017): 187–90. https://doi.org/10.4103/jdmimsu.jdmimsu_71_17
24. Chaudhry P, Jaiswal A. Secondary live abdominal ectopic pregnancy: A case report. World J Laparoscopic Surg 2019;12(2):86-87.
25. Agrawal D, Bhake AS, Rastogi N, Laishram S, Wankhade A, Agarwal A. Role of Bethesda system for reporting thyroid lesion and its correlation with histopathological diagnosis. J Datta Meghe Inst Med Sci Univ 2019;14(2):74-81.
26. Sen B, Chaudhary A, Sen J. Hemodynamic changes with intravenous dexmedetomidine and intravenous esmolol for attenuation of sympathomimetic response to laryngoscopy and tracheal intubation in neurosurgical patients: A comparative study. J Datta Meghe Inst Med Sci Univ 2019;14(2):67-73.
27. Khanam N, Wagh V, Gaidhane AM, Quazi SZ. Knowledge, attitude and practice on uses of plastic products, their disposal and environmental pollution: A study among school-going adolescents. J Datta Meghe Inst Med Sci Univ 2019;14(2):57-60.
28. Chaudhary KS, Phatak SV. Choroidal melanoma in a young patient ultrasonography and magnetic resonance imaging. J Datta Meghe Inst Med Sci Univ 2019;14(2):106-108.
29. Phatak S, Shrivastav D, Marfani G, Daga S, Madurwar K, Samad S. Transvaginal sonography and elastography evaluation of ectopic pregnancy. J Datta Meghe Inst Med Sci Univ 2019;14(2):86-89.
30. Madurwar KA, Phatak SV. Benign fibrous histiocytoma of male breast: Ultrasonography, doppler, and elastography imaging with pathological correlation. J Datta Meghe Inst Med Sci Univ 2019;14(2):103-105.
31. Swarnkar M. Giant calcifying aponeurotic fibroma of web space: case report with review of literature. J Krishna Inst Med Sci Univ 2019;8(2):99-102.
32. Dhatrak AA, Chaudhary K, Singh BR, Gajbe U. Evaluation of intensive pulse polio immunization in Solapur District. J Datta Meghe Inst Med Sci Univ 2019;14(2):82-85.
33. Agrawal M, Acharya N, Joshi K, Shrivastava D. Effectiveness of isosorbide mononitrate in cervical ripening before induction of labor in full-term antenatal patients. J SAFOG 2019;11(2):96-99.
34. Walinjkar RS, Khadse S, Kumar S, Bawankule S, Acharya S. Platelet Indices as a Predictor of Microvascular Complications in Type 2 Diabetes. Indian J Endocrinol Metab 2019;23(2):206-210.
35. Sharma SK, Dheda K. What is new in the WHO consolidated guidelines on drug-resistant tuberculosis treatment? Indian J Med Res 2019;149(3):309-312.
36. Varyani UT, Shah NM, Shah PR, Kute VB, Balwani MR, Trivedi HL. C1q nephropathy in a patient of neurofibromatosis type 1: A rare case report. Indian J Nephrol 2019;29(2):125-127.
37. Dangore Khasbage S, Bhake AS. Cervical lymphadenopathy in a dental patient: An eye opener case report. Spec Care Dent 2019;39(1):59-64.
38. Henry D, Singh A, Madke B, Kedia P. A case of altered clinical picture of extensive tinea corporis (Tinea as a great mimicker). Iran J Dermatol 2019;22(3):107-109.
39. Patond S, Mohite P, Ninave S, Pande V. Knowledge about medicolegal aspect of documentation amongst residents and faculty-a cross-sectional study. J Indian Acad Forensic Med 2019;41(2):117-119.
40. Singh R, Singam A. Comparative evaluation of dexmedetomedine versus clonidine as an adjuvant in supraclavicular brachial plexus block. J Krishna Inst Med Sci Univ 2019;8(3):53-65.
41. Jain S, Deshmukh PT, Lakhotia P, Kalambe S, Chandravanshi D, Khatri M. Anatomical study of the facial recess with implications in round window visibility for cochlear implantation: Personal observations and review of the literature. Int Arch Otorhinolaryngol 2019;23(3):E281-E291.
42. Deshpande SS, Phatak SV. A rare case of bilateral multiple ovarian dermoids with uterine fibroid and ectopic kidney. J Datta Meghe Inst Med Sci Univ 2019;14(1):39-41.
43. Bajaj A, Kumar S, Inamdar AH, Agrawal L. Noninvasive ventilation in acute hypoxic respiratory failure in medical intensive care unit: A study in rural medical college. Intl J Crit Illn Inj Sci 2019;9(1):36-42.
44. Aglawe PB, Jha RK, Mishra V, Sakore KM, Chetan A, Shrivastava DS. Appraisal of core therapy, supportive therapy, and alternative therapy in a tertiary care rural hospital of vidarbha region in correlation to plethora of menopausal problems. J Mid-Life Health 2019;10(1):14-21.
45. Wankhade A, Vagha S, Shukla S, Bhake A, Laishram S, Agrawal D, et al. To correlate histopathological changes and transvaginal sonography findings in the endometrium of patients with abnormal uterine bleeding. J Datta Meghe Inst Med Sci Univ 2019;14(1):11-15.
46. Patond S, Nagrale N, Jain K. Correlation between stature and skull dimensions in the population of central india: A cross sectional study. J Forensic Med Toxicol 2019;36(1):56-58.
47. Nagrale N, Patond S, Jain K. Estimation of cephalic index of chhattisgarhi population: An anthropometric study from central India. J Forensic Med Toxicol 2019;36(1):9-12.
48. Shrivastava D, Master A. Fetal Growth Restriction. J Obstet Gynecol India 2019.
49. Khanam N, Wagh V, Gaidhane AM, Quazi SZ. Assessment of work-related musculoskeletal morbidity, perceived causes and preventive activities practiced to reduce morbidity among brick field workers. Ind J Community Health 2019;31(2):213-219.
50. Swarnkar M, Jindal R. Obstructed obturator hernia: A diagnostic dilemma. J Krishna Inst Med Sci Univ 2019;8(3):115-117.
51. Marfani G, Phatak SV, Madurwar KA, Samad S. Role of sonoelastography in diagnosing endometrial lesions: Our initial experience. J Datta Meghe Inst Med Sci Univ 2019;14(1):31-35.
52. Gulve SS, Phatak SV. Parathyroid adenoma: Ultrasonography, Doppler, and elastography imaging. J Datta Meghe Inst Med Sci Univ 2019;14(1):47-49.
53. Bhayani P, Rawekar R, Bawankule S, Kumar S, Acharya S, Gaidhane A, et al. Profile of urinary tract infection in a rural tertiary care hospital: Two-year cross-sectional study. J Datta Meghe Inst Med Sci Univ 2019;14(1):22-26.
54. Laishram S, Gupta V, Bhake A, Wankhede A, Agrawal D. To assess the utility of proliferative marker Ki- 67 in surface epithelial ovarian tumor. J Datta Meghe Inst Med Sci Univ 2019;14(1):6-10.
55. Swarnkar K, Gaikwad S, Uke P, Vagha K, Dalal Y. Apert syndrome presenting with omphalocele. J Krishna Inst Med Sci Univ 2019;8(1):95-99.
56. Balwani MR, Pasari A, Tolani P. Widening spectrum of renal involvement in psoriasis: First reported case of C3 glomerulonephritis in a psoriatic patient. Saudi J Kidney Dis Transpl 2019;30(1):258-260.
57. Balwani MR, Bawankule CP, Pasari A, Tolani P, Vakil S, Yadav R. Minimal change disease and Kimura's disease responding to tacrolimus therapy. Saudi J Kidney Dis Transpl 2019;30(1):254-257.
58. Balwani MR, Bawankule CP, Khetan P, Pasari A. Awareness about kidney and its related function/dysfunction in school going children: A survey from the Central India. Saudi J Kidney Dis Transpl 2019;30(1):202-207.
59. Sharma SK, Mohan A, Singh AD, Mishra H, Jhanjee S, Pandey RM, et al. Impact of nicotine replacement therapy as an adjunct to anti-tuberculosis treatment and behaviour change counselling in newly diagnosed pulmonary tuberculosis patients: An open-label, randomised controlled trial. Sci Rep 2018;8(1).
60. Samad SA, Phatak SV. An unusual case of abdominoscrotal swelling in a young patient-hydrocele en bissac. J Clin Diagn Res 2018;12(11).
61. Widmer M, Piaggio G, Nguyen TMH, Osoti A, Owa OO, Misra S, et al. Heat-Stable Carbetocin Versus Oxytocin to Prevent Hemorrhage after Vaginal Birth. Obstet Gynecol Surv 2018;73(11):613-614.
62. Acharya S, Shukla S. Metabolic healthy obesity-a paradoxical fallacy? J Clin Diagn Res 2018;12(10):OE07-OE10.
63. Samad S, Phatak S. Bilateral axillary accessory breast with ductal ectasia: Ultrasonography and elastographic appearance. J Datta Meghe Inst Med Sci Univ 2018;13(4):206-208.
64. Modi S, Agrawal A, Bhake A, Agrawal V. Role of adenosine deaminase in pleural fluid in tubercular pleural effusion. J Datta Meghe Inst Med Sci Univ 2018;13(4):163-167.
65. Gotarkar S, Ingole A. Knowledge of Anganwadi worker with respect to early childhood development. J Datta Meghe Inst Med Sci Univ 2018;13(4):168-170.
66. Goje K, Phatak S. Testicular torsion causing infarction of testis, ultrasonography and color Doppler imaging. J Datta Meghe Inst Med Sci Univ 2018;13(4):215-216.
67. Sarode RD, Tendolkar VD. Psychological pain as predictor of impulse control among BAMS new entrants: A correlation study. J Datta Meghe Inst Med Sci Univ 2018;13(4):171-174.
68. Mishra KK, Kelkar P, Kumar K. An interesting case of trichotillomania in a pre-school child. J Indian Assoc Child Adolesc Ment Health 2018;14(4):131-135.
69. Sthapak E, Gajbe U, Singh BR. Study of communication between musculocutaneous and median nerves in man. J Anat Soc India 2018;67:S37-S44.
70. Tripathi A, Avasthi A, Grover S, Sharma E, Lakdawala BM, Thirunavukarasu M, et al. Gender differences in obsessive-compulsive disorder: Findings from a multicentric study from northern India. Asian J Psychiatry 2018;37:3-9.
71. Yeola ME, Gode D, Bora AK. Evaluation of abdominal malignancies by minimal access surgery: Our experience in a rural setup in central India. World J Laparoscopic Surg 2018;11(3):115-120.
72. Sharma S, Singh AD, Sharma SK, Tripathi M, Das CJ, Kumar R. Gallium-68 DOTA-NOC PET/CT as an alternate predictor of disease activity in sarcoidosis. Nucl Med Commun 2018;39(8):768-778.
73. Daigavane S, Prasad M. To observe the proportion of amblyopia among children presenting in a rural hospital in Central India. J Datta Meghe Inst Med Sci Univ 2018;13(3):119-121.
74. Gadge A, Acharya N, Shukla S, Phatak S. Comparative study of transvaginal sonography and hysteroscopy for the detection of endometrial lesions in women with abnormal uterine bleeding in perimenopausal age group. J SAFOG 2018;10(3):155-160.
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