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Predictive Value of Middle Cerebral Artery to Uterine Artery Pulsatility Index Ratio in Hypertensive Disorders of Pregnancy
Joint Authors
Prashanth, Adiga
Hebbar, Shripad
Mundkur, Anjali
Kantharaja, Indumathi
Guruvare, Shyamala
Lavanya, Rai
Source
International Journal of Reproductive Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-01
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
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 in predicting the adverse perinatal outcomes.
Individually, both ratios were reassuring for favorable perinatal outcome with high negative predictive value.
American Psychological Association (APA)
Prashanth, Adiga& Kantharaja, Indumathi& Hebbar, Shripad& Lavanya, Rai& Guruvare, Shyamala& Mundkur, Anjali. 2015. Predictive Value of Middle Cerebral Artery to Uterine Artery Pulsatility Index Ratio in Hypertensive Disorders of Pregnancy. International Journal of Reproductive Medicine،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1066955
Modern Language Association (MLA)
Prashanth, Adiga…[et al.]. Predictive Value of Middle Cerebral Artery to Uterine Artery Pulsatility Index Ratio in Hypertensive Disorders of Pregnancy. International Journal of Reproductive Medicine No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1066955
American Medical Association (AMA)
Prashanth, Adiga& Kantharaja, Indumathi& Hebbar, Shripad& Lavanya, Rai& Guruvare, Shyamala& Mundkur, Anjali. Predictive Value of Middle Cerebral Artery to Uterine Artery Pulsatility Index Ratio in Hypertensive Disorders of Pregnancy. International Journal of Reproductive Medicine. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1066955
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1066955