The Association between Cerebroplacental Ratio (CPR) And Neonatal Outcome In Small Gestational Fetus

Restriction of fetal growth is one of the major problems in gynecology and obstetrics for which no effective treatment has been proven so far. The disorder is associated with significant morbidity and perinatal mortality.

In this study, 104 pregnant women with SGA fetuses (3-10%) between preterm (>28 weeks) to full term were evaluated. The patients were divided into two groups: group A, the group with normal CPR as the reference group, and group B with abnormal CPR (ratio <1ref with normal UMA PI and Normal caldopler that were IUGR). Their demographic data including maternal age, gestational age, BMI of the pregnant mother, birth weight, fetal sex, and number of deliveries were examined.

After collecting data and analyzing them, the results showed that the mean neonatal weight was 1432.81 (±560.81) in the abnormal CPR group, and 1845.42 (± 473.32) in the normal group. In addition, the mean Apgar scores of 5 and 1 minutes were significantly different between the groups, being lower in the abnormal CPR group (p-value <0.05). The results also revealed, Apgar scores of one and five minutes were significantly correlated with CPR and gestational age (p-value <0.05).

Finally, according to the data obtained from this study, it has been shown that CPR can be helpful as a predictive index of neonatal outcomes in patients with SGA.