CEREBRO PLACENTAL RATIO IN GROWTH RESTRICTED FETUSES AND ITS CORRELATION WITH PERINATAL OUTCOMES
Dr. Ibrahim Khalil Ullah*, Dr. Madhurjya Kumar Thakur, Dr. Rumen Chandra Boro, Dr. Dixit Varma and Dr. Kritika Sharma
Background: Currently, the ACOG (2021a) and the Society for Maternal-Fetal Medicine (2020) recommend defining FGR as either an EFW <10th percentile for gestational age or an AC<10th percentile for gestational age. Aim and Objectives: The association between the severity of FGR and cerebroplacental ratio and predictive value of CPR with relevance to perinatal outcome. Methodology: Prospective observational study of singleton pregnant women complicated by IUGR were enrolled during the study period from December 2021 to November 2022. 100 participants were included in the study. The chi square test was used to analyze the association between the variables. Results and Analysis: Out of the total 100 cases, Abnormal CPR was present in 24% of cases, out of these 79% had abnormal perinatal outcome. There were 16 neonatal deaths and 15 neonatal complications among the adverse perinatal outcomes. CPR had a 61.29%, 92.75%, 79.17%, 84.21% and 83.00% sensitivity, specificity, positive predictive value, negative predictive value and accuracy with relevance to perinatal outcomes. Neonatal sepsis, necrotizing enterocolitis and hypoxic ischemic injury was the leading cause of morbidity. Conclusion: CPR is a sensitive parameter and has a high Positive and Negative predictive value and Accuracy in relation to adverse perinatal outcomes.
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