The Value of the Cerebroplacental Ratio for the Prediction of Intrapartum Fetal Monitoring in Low-Risk Term Pregnancies

2016 ◽  
Vol 82 (5) ◽  
pp. 475-480 ◽  
Author(s):  
Jing Liu ◽  
Guang Song ◽  
Ge Zhao ◽  
Tao Meng
Keyword(s):  
Fetal Monitoring ◽  
Low Risk ◽  
Cerebroplacental Ratio ◽  
Intrapartum Fetal Monitoring

scholarly journals Intrapartum fetal monitoring by cardiotocography and its correlation with labour outcome

2020 ◽  
Vol 9 (12) ◽  
pp. 4937
Author(s):  
Kanupriya Singh ◽  
Mubassira Pathan ◽  
Mukul Shah
Keyword(s):  
High Risk ◽  
Vaginal Delivery ◽  
Predictive Value ◽  
Fetal Monitoring ◽  
Fetal Outcome ◽  
Low Risk ◽  
Fetal Surveillance ◽  
Intrapartum Fetal Monitoring ◽  
Nicu Admission ◽  
Adverse Fetal Outcome

Background: The intrapartum fetal surveillance has gained significant importance. Avoidance of adverse fetal outcome is the objective of intrapartum fetal monitoring. This study helps in forming the aims to provide simple and clear approach to intrapartum fetal surveillance in high risk population.Methods: In present study 80 laboring patients were analyzed retrospectively who were admitted in GCS Hospital from December 2017 to May 2018. Continuous fetal monitoring was done and results were correlated with maternal and fetal outcome.Results: Cases with high risk (23) had more non-reassuring pattern of 8.7% as compared to low risk which had 5%. With non-reassuring pattern, C-section was done in 38% whereas in reassuring pattern 85% had vaginal delivery. NICU admission in non-reassuring pattern were 7 (63.6%) whereas in reassuring were only 2 (2.89%). This makes false positivity as 36.4%.Conclusions: Predictive value of CTG of reassuring pattern is quite high. In spite of false positives, it is a very effective tool in labor room.

scholarly journals Electronic intrapartum fetal monitoring. A systematic review of international clinical practice guidelines.

2021 ◽  
pp. 100008
Author(s):  
Manoj Mohan ◽  
Joohi Ramawat ◽  
Gene La Monica ◽  
Pradeep Jayaram ◽  
Sherif Abdel Fattah ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Fetal Monitoring ◽  
Intrapartum Fetal Monitoring

ST analysis for intrapartum fetal monitoring

2015 ◽  
Vol 17 (1) ◽  
pp. 5-12 ◽  
Author(s):  
Adalina Sacco ◽  
Javaid Muglu ◽  
Ramesan Navaratnarajah ◽  
Matthew Hogg
Keyword(s):  
Fetal Monitoring ◽  
Intrapartum Fetal Monitoring

scholarly journals Pregnancy outcome in pre-gestational and gestational diabetic women: a prospective observational study

2021 ◽  
Vol 10 (8) ◽  
pp. 3040
Author(s):  
Mamta Mahajan ◽  
Amit Gupta ◽  
Anju Vij ◽  
Aanchal Gupta Sharma
Keyword(s):  
Disease Burden ◽  
Prospective Observational Study ◽  
Fetal Monitoring ◽  
Antenatal Clinic ◽  
Fetal Outcome ◽  
Maternal Complications ◽  
Missed Abortion ◽  
Patient Counselling ◽  
Medical College ◽  
Intrapartum Fetal Monitoring

Background: India is considered the world capital of diabetes, proper care and management of the same is the demand of society. The present study is carried out to identify the disease burden of GDM/ overt DM among antenatal cases. The main objective was to study the maternal and fetal outcome of diabetes complicating pregnancy.Methods: The present study was conducted at Dr. Rajendra Prasad Government Medical College at Tanda, District KangraHP from October 2015 to September 2016. All antenatal cases were screened for diabetes by OGTT 75 gm, 2-hour blood glucose level as per DIPSI guidelines and labelled as GDM/ overt DM. Those who fulfilled selection criteria were enrolled in the study. A total of 6452 cases who attended antenatal clinic during the study duration and were screened were selected for the study. 116 cases were found to have GDM / overt DM. Seventy-nine had GDM with OGTT>140 mg/dl (DIPSI guidelines) and 37 had overt DM with 2 hours PP >200 mg/dl (WHO criteria). Total 100 cases comprised of study group were followed till delivery to study maternal and fetal outcome.Results: The prevalence of diabetes in pregnancy was found to be low 1.79%. GDM was found to be more prevalent than overt diabetes in pregnant women (66% versus 34%). Among the antenatal maternal complications observed missed abortion (11.8% versus 1.55; p=0.026), polyhydraminos (26.4% versus 10.6%; p=0.04) and preterm labour (17.6% versus 4.5%; p=0.003) were significantly more common in overt diabetics than GDM cases. IUFD (8.8% versus 0; p=0.014) was also significantly more common in overt diabetics than GDM case. RDS was found significantly higher in neonates of overt diabetics as compared to GDM mothers (14.7 % versus 1.5%; p=0.009).Conclusions: Early detection and good glycemia control by MNT and insulin, regular antenatal check-ups, patient counselling and compliance, intrapartum fetal monitoring and early neonatal care are keys to improved outcome. 

Prescriptive Reference Standards of Third-Trimester Cerebroplacental Ratio and Its Physiological Determinants

2020 ◽  
Vol 47 (10) ◽  
pp. 757-764
Author(s):  
Marta Rial-Crestelo ◽  
Laura Garcia-Otero ◽  
Annalisa Cancemi ◽  
Mariella Giannone ◽  
Elena Escazzocchio ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Perinatal Outcomes ◽  
Reference Standards ◽  
Low Risk ◽  
Maternal Body Mass Index ◽  
Third Trimester ◽  
Maternal Body ◽  
Cerebroplacental Ratio ◽  
Singleton Pregnancies

<b><i>Objective:</i></b> To construct valid reference standards reflecting optimal cerebroplacental ratio and to explore its physiological determinants. <b><i>Methods:</i></b> A cohort of 391 low-risk pregnancies of singleton pregnancies of nonmalformed fetuses without maternal medical conditions and with normal perinatal outcomes was created. Doppler measurements of the middle cerebral artery and umbilical artery were performed at 24–42 weeks. Reference standards were produced, and the influence of physiological determinants was explored by nonparametric quantile regression. The derived standards were validated in a cohort of 200 low-risk pregnancies. <b><i>Results:</i></b> Maternal body mass index was significantly associated with the 5th centile of the cerebroplacental ratio. For each additional unit of body mass index, the 5th centile was on average 0.014 lower. The derived 5th, 10th, and 50th centiles selected in the validation cohort were 5, 9.5, and 51% of the measurements. <b><i>Conclusions:</i></b> This study provides methodologically sound prescriptive standards and suggests that maternal body mass index is a determinant of a cutoff commonly used for decision-making.

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