Role of cerebroplacental index and uterine artery Doppler in the diagnosis and prognosis of fetal growth restriction
DOI:
https://doi.org/10.62452/9dv1p266Keywords:
Fetal growth restriction, cerebroplacental ratio, uterine artery doppler, perinatal outcomes, prenatal diagnosis, fetal prognosisAbstract
This study aimed to evaluate the accuracy of the cerebroplacental ratio (CPR) and uterine artery Doppler in predicting adverse perinatal outcomes in cases of fetal growth restriction (FGR). A literature review of studies published since 2014 was conducted, using databases such as PubMed and EMBASE, focusing on cohort and cross-sectional studies that analyzed the relationship between these Doppler parameters and perinatal outcomes. The results showed that CPR had moderate to high accuracy for predicting perinatal death, with pooled sensitivity and specificity of 93% and 76%, respectively. However, its accuracy was low for other adverse outcomes, such as emergency cesarean section or neonatal acidosis. Uterine artery Doppler alone detected less than 40% of FGR cases, but its combination with other parameters improved predictive accuracy. It is concluded that CPR and uterine artery Doppler are useful tools in the diagnosis and prognosis of FGR, although further studies are needed to assess their impact on fetal neurodevelopment.
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