title: Predictive Value of Cerebroplacental Ratio in Detection of Perinatal Outcome in High-Risk Pregnancies.
abstract: OBJECTIVE
  To assess the predictive value of cerebroplacental ratio (i.e., S/D ratio of middle cerebral artery to S/D ratio of Umbilical artery) in detection of perinatal outcome in high-risk pregnancies.
  
  
  METHODS
  This retrospective study was conducted on 150 patients between 28 and 40 weeks of gestation (25 low risk and 125 high risk) who attended OPD and indoor wards of Teerthanker Mahaveer medical college and research center, Moradabad. All patients had serial color Doppler ultrasounds done after taking informed consent which was repeated at 2 weeks interval, and data were collected with regard to perinatal outcome.
  
  
  CONCLUSIONS
  Cerebroplacental ratio is having higher sensitivity and negative predictive value in detection of IUGR, Meconium aspiration syndrome, operative interference for fetal distress, and NICU admissions in comparison to its components. So, better prediction of neonatal outcome can be done by C/U ratio.
authors.affiliation: Department of Obstetrics & Gynaecology, Teerthanker Mahaveer Medical College and Research Centre, TMU, Moradabad, India ; Flat No C-001 Faculty Quarter, TMU Campus, Moradabad, UP India.
authors.forename: Rehana
authors.initials: R
authors.lastname: Najam
authors.affiliation: Department of Obstetrics & Gynaecology, Teerthanker Mahaveer Medical College and Research Centre, TMU, Moradabad, India.
authors.forename: Sarika
authors.initials: S
authors.lastname: Gupta
authors.affiliation: Department of Radiodiagnosis, Teerthanker Mahaveer Medical College and Research Centre, TMU, Moradabad, India.
authors.lastname: Shalini
keywords: Cerebroplacental ratio (C/U); Doppler Ultrasound; Meconium aspiration syndrome; Middle cerebral artery (MCA); Systolic flow/end diastolic flow (S/D ratio); Umbilical artery (UA)