The role of abnormal cerebroplacental ratio in predicting adverse fetal outcome in pregnancies with scheduled induction of labor

2020 ◽  
Author(s):  
Taner Günay ◽  
Reyhan A. Bilir ◽  
Meryem Hocaoğlu ◽  
Ergül D. Bör ◽  
Özkan Özdamar ◽  
...  
Keyword(s):  
Fetal Outcome ◽  
Induction Of Labor ◽  
Cerebroplacental Ratio ◽  
Adverse Fetal Outcome

scholarly journals Role of modified biophysical profile and cerebroplacental ratio in fetal outcome in low risk and high risk pregnancies

2018 ◽  
Vol 7 (3) ◽  
pp. 1104
Author(s):  
Urvashi . ◽  
Sujani B. K. ◽  
Krishna Sai Sushma
Keyword(s):  
High Risk ◽  
Perinatal Outcome ◽  
Pulsatility Index ◽  
Stress Test ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
Low Risk ◽  
Cerebroplacental Ratio ◽  
Biophysical Profile

Background: The timely detection of morbid changes in the fetal status followed by adequate interventions to avoid death or disability is one of the most important objectives of prenatal care. Objective of present study was to Comparing the role of modified biophysical profile and the cerebroplacental ratio in fetal outcome in low risk and high risk pregnancies.Methods: Two hundred and seventy three singleton pregnant women were included in this study. Following routine examination, amniotic fluid index, pulsatility index of middle cerebral artery and pulsatility index of umbilical artery, uterine artery mean pulsatility index were evaluated. Non stress test (NST) was done. Modified biophysical profile (MBPP) and Cerebroplacental ratio (CPR in percentile) was generated. Caeserean section because of Fetal distress, birth weight <10th centile, 5min APGAR <7, NICU stay >24hours were used in evaluating the perinatal outcome.Results: Out of 273 cases, 107 cases had poor perinatal outcome. Out of 107 cases, 35.5% cases were IUGR, 39.2% cases underwent caesarean section in view of fetal distress, 39.2% babies had 5min APGAR <7 and 32.7% babies had stayed in NICU for >24hrs. In high risk cases, poor perinatal outcome was seen in 45.5% pregnancies and 36.7% in low risk pregnancies. Sixty seven percent of these cases had abnormal modified biophysical profile and only 7.4% cases had cerebroplacental ratio <1.Conclusions: Modified biophysical profile was proved to be more significant than cerebroplacental ratio in prediction of perinatal outcome. 

Role of dexamethazone on cervical ripening and induction of labor in term pregnancy

2019 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Tarek Saleh Zaher ◽  
Mahmoud Gharib ◽  
Amal El Saied ◽  
Abdelaziz Amin
Keyword(s):  
Induction Of Labor ◽  
Cervical Ripening ◽  
Term Pregnancy

scholarly journals An Increased Adverse Fetal Outcome Has Been Observed among Teen Pregnant Women in Rural Eastern Ethiopia: A Comparative Cross-Sectional Study

2021 ◽  
Vol 8 ◽  
pp. 2333794X2199915
Author(s):  
Haymanot Mezmur ◽  
Nega Assefa ◽  
Tadesse Alemayehu
Keyword(s):  
Pregnant Women ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
World Health ◽  
Adult Women ◽  
Sectional Study ◽  
Fetal Outcomes ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Adverse Fetal Outcome

Background: According to the World Health Organization, teenage pregnancies are high-risk due to increased risks of fetal and infant morbidity and mortality. This study compares adverse fetal outcomes between teen and adult pregnant women from rural Eastern Ethiopia. Methods: Institutional-based cross-sectional study was conducted among women visiting maternity units from surrounding rural areas. A total of 481 teenagers (13-19 years old) and 481 adults (20-34 years old) women with a singleton pregnancy were included in the study. Two hospitals and 3 health centers were selected in Eastern Hararghe Zone, Eastern Ethiopia. Comparative analysis was carried out using the log-binomial regression model to identify factors associated with adverse fetal outcomes in both categories. The results are reported in adjusted prevalence ratios with 95% confidence intervals. Results: High proportion of adverse fetal outcome was observed among teenage women than adult (34.9% vs 21%). Statistically significant difference ( P < .05) in the proportion of low birth weight (21.1% vs 9.3%), preterm birth (18.7% vs 10.6%), APGAR score at 5th minute (9.3% vs 4%) were found in teenagers compared to adult women. Antenatal care attendance (APR = 0.44; 95% CI: 0.23, 0.86); eclampsia (APR = 1.96; 95% CI: 1.26, 3.06); pre-eclampsia (APR = 1.73; 95% CI: 1.12, 2.67); and wealth index (rich) (APR = 0.55; 95% CI: 0.32, 0.94) were significantly associated with adverse fetal outcomes among the teenage women. Whereas intimate partner violence (APR = 2.22; 95% CI: 1.26, 3.90); preeclampsia (APR = 3.05; 95% CI: 1.61, 5.69); antepartum hemorrhage (APR = 2.77; 95% CI: 1.73, 4.46); and hyperemesis gravderm (APR = 1.75; 95% CI: 1.09, 2.79) were significantly associated with adverse fatal outcomes among the adult women. Conclusion: teenage pregnancy is associated with a high rate of adverse fetal outcomes. Early identification and treatment of problems during antenatal follow-up should be the mainstay to avert the massive adverse fetal effects.

Meconium Stained Liquor: A View from a District Hospital

1996 ◽  
Vol 26 (1) ◽  
pp. 14-17
Author(s):  
Ludwig M Apers
Keyword(s):  
Recent Literature ◽  
District Hospital ◽  
Current Knowledge ◽  
Fetal Outcome ◽  
District Level ◽  
Adverse Fetal Outcome

Meconium stained liquor (MSL) is a common problem in obstetrics, but its management at district level causes some specific questions. Recent literature was reviewed to obtain an insight in the current knowledge about the significance, the related pathology and the possible strategies to prevent adverse fetal outcome. The acquired data were used to propose some recommendations to tackle this problem at district level.

scholarly journals DOPPLER ASSESSMENT OF TROPHOBLASTIC BLOOD FLOW TO PREDICT ADVERSE PREGNANCY OUTCOME

2020 ◽  
pp. 46-50
Author(s):  
A. V. Pomortsev ◽  
J. Yu. Dyachenko ◽  
M. A. Matosyan
Keyword(s):  
Blood Flow ◽  
Pregnancy Outcome ◽  
Adverse Pregnancy Outcome ◽  
High Sensitivity ◽  
Fetal Outcome ◽  
Diagnostic Utility ◽  
Resistivity Index ◽  
Adverse Pregnancy ◽  
Adverse Fetal Outcome ◽  
Vascularization Index

Objective. To evaluate the diagnostic utility of trophoblastic blood flow Doppler parameters in predicting an adverse pregnancy outcome.Material and methods. This was a retrospective study of 218 pregnancies of women between 8 and 11 weeks’ gestation. Depending on the pregnancy outcome, patients were divided into 4 clinical groups. All women underwent an ultrasound examination using Voluson S8, Voluson E8 with high-quality grey scale, color flow mapping and pulsed-wave Doppler modes. We used a program for obstetric research with the following instrument settings: 100 MHz Doppler frequency, thermal index (TI) was <1, mechanical index (MI) was 1. The examination time did not exceed 20 minutes. There was no radiation exposure. Transvaginal and transabdominal sonographies were performed.Results. To form a risk group for an adverse fetal outcome due to fetoplacental insufficiency, it is necessary to identify ultrasound markers of inadequate placental perfusion by means of a Doppler study of fetoplacental blood flow. For this purpose, we examined 218 pregnancies of women between 8 and 11 weeks’ gestation to determine the diagnostic utility of various parameters: resistivity index, pulsatility index, systolic/diastolic ratio and chorionic vascularization index (k, %). We received results proving high sensitivity (76.9%) and specificity (89.7%) of the chorionic vascularization index (k, %), as well as low specificity (54.7%) and high sensitivity (81.5%) of trophoblastic blood flow resistivity index.Conclusion. Thus, the chorionic vascularization index (k, %) is of high diagnostic utility for predicting an adverse fetal outcome. 

scholarly journals Role Of Uterine Artery Doppler For Prediction Of Fetal Outcome In Preeclamptic Patients

2019 ◽  
Vol 23 (2) ◽  
pp. 209-215
Author(s):  
Hany Saber ◽  
sabry mahmoud ◽  
Allam Abd El- Monem ◽  
HAZEM ABD EL GAFFAR
Keyword(s):  
Uterine Artery ◽  
Fetal Outcome ◽  
Uterine Artery Doppler
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