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Is Fetal Cerebroplacental Ratio an Independent Predictor of Intrapartum Fetal Compromise and Neonatal Unit Admission?

Khalil, A.A.; Morales-Rosello, J.; Morlando, M.; Hannan, H.; Bhide, A.; Papageorghiou, A.; Thilaganathan, B.

Obstetric Anesthesia Digest: June 2016 - Volume 36 - Issue 2 - p 94
doi: 10.1097/01.aoa.0000482630.80689.e9
Mother, Fetus, Neonate
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(Am J Obstet Gynecol. 2015;213:54.e154.e10)

Identifying whether a fetus is at risk for intrapartum hypoxia and other adverse conditions is challenging. Although smaller fetal size is more strongly associated with nonreassuring fetal status, many appropriate weight babies are also at risk for conditions such as cerebral palsy. A recent study suggested that fetal cerebroplacental ratio (CPR) measured within 72 hours of delivery, can successfully identify patients that will require obstetric intervention for intrapartum fetal compromise. The purpose of this study was to determine whether or not the CPR can in fact serve as a reliable indicator of both intrapartum fetal compromise and admission to a neonatal unit.

Fetal Medicine Unit, St George’s Hospital, St George’s University of London, London, UK

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