DOPPLER CEREBROPLACENTAL AND CEREBROUTERINE RATIO IN PREDICTING ADVERSE PERINATAL OUTCOMES IN HYPERTENSIVE DISORDERS OF PREGNANCY-Reference-Cited by-同舟云学术

DOPPLER CEREBROPLACENTAL AND CEREBROUTERINE RATIO IN PREDICTING ADVERSE PERINATAL OUTCOMES IN HYPERTENSIVE DISORDERS OF PREGNANCY

Published:2021-06-01 Issue: Volume: Page:35-37
ISSN:
Container-title:INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH
language:en
Short-container-title:ijsr

Author:

Saxena Shoadashi¹,Bhatnagar Rachna²,Singh Shivani³,Kunwar Shipra³,Khanduri Sachin⁴,Verma Garima⁵,Singh Mukul⁶

Affiliation:

1. Senior Resident Department Of Obstetrics & Gynaecology, B.R.D. Medical College And Hospital, Gorakhpur.

2. Professor , Department Of Paediatrics, BRD Medical College Gorakhpur.

3. Department Of Obstetrics And Gynaecology, Era's Lucknow Medical College And Hospital.

4. Department Of Radiodiagnosis, Era's Lucknow Medical College And Hospital

5. Department Of Paediatrics, Era's Lucknow Medical College And Hospital.

6. Assistant Professor, Department Of General Surgery B.R.D. Medical College And Hospital Gorakhpur

Abstract

AIM:To compare cerebroplacental and cerebrouterine ratio as predictors of perinatal outcome in hypertensive disorders of pregnancy. METHODS: A prospective cohort study was done at a tertiary hospital in Northern India. Singleton pregnancies of gestational age >28 weeks, having BP>140/90mm of Hg with/without proteinuria >30mg/dL(+1 dipstick)were included. Doppler indices were measured, and perinatal outcomes studied. RESULTS:Cerebrouterine(CU) and cerebroplacental(CP) ratios had a better negative predictive value for adverse perinatal outcomes(except Apgar and preterm birth). CP ratio had highest sensitivity and specicity for outcomes perinatal death (100% and 95.9%), ventilatory support (100% and 97.2%) and hypoglycemia (100% and 95.9%). CU ratio had maximum sensitivity and specicity for the outcome hypoglycemia (100% and 95.9%). CONCLUSIONS:CP ratiohas a higher efcacy than CU ratio, however CU ratio compliments its predictive ability. Higher negative predictive values indicate that these ratios correctly ruled out unfavourable perinatal outcomes. Further studies to derive more sensitive values of CU ratio with normotensive patients and a larger sample size would be benecial.

Publisher

World Wide Journals

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