Predictive value of middle cerebral artery to uterine artery pulsatility index ratio in hypertensive disorders of pregnancy

International Journal of Reproductive Medicine
Prashanth AdigaAnjali Mundkur

Abstract

Aims and Objectives. (i) To determine the predictive value of cerebrouterine (CU) ratio (middle cerebral artery to uterine artery pulsatility index, MCA/UT PI) in assessing perinatal outcome among hypertensive disorders of pregnancy. (ii) To compare between CU ratio and CP ratio (MCA/Umbilical artery PI) as a predictor of adverse perinatal outcome. Methods. A prospective observational study was done in a tertiary medical college hospital, from September 2012 to August 2013. One hundred singleton pregnancies complicated by hypertension peculiar to pregnancy were enrolled. Both CU and CP ratios were estimated. The perinatal outcomes were studied. Results. Both cerebrouterine and cerebroplacental ratios had a better negative predictive value in predicting adverse perinatal outcome. However, both CU and CP ratios when applied together were able to predict adverse outcomes better than individual ratios. The sensitivity, specificity, positive predictive value, and the negative predictive values for an adverse neonatal outcome with CU ratio were 61.3%, 70.3%, 56%, and 78.9%, respectively, compared to 42%, 57.5%, 62%, and 76% as with CP ratio. Conclusion. Cerebrouterine ratio and cerebroplacental ratio were complementary to each other ...Continue Reading

References

Sep 1, 1990·British Journal of Obstetrics and Gynaecology·S VyasS Campbell
Sep 1, 2000·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·C J LeeT H Hung
Jun 2, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·P JohnsonP Sarkar
Dec 21, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M TchirikovH J Schröder
Oct 10, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D Simanaviciute, S Gudmundsson
Mar 5, 2010·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A KhalilE Jauniaux
Sep 3, 2010·Archives of Gynecology and Obstetrics·Ahmet EserNurı Danısman

❮ Previous
Next ❯

Citations

Jul 20, 2021·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Jade LodgeSailesh Kumar

❮ Previous
Next ❯

Methods Mentioned

BETA
SGA

Software Mentioned

Statistical Package for Social Sciences ( SPSS

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Related Papers

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
D Simanaviciute, S Gudmundsson
© 2021 Meta ULC. All rights reserved