STUDY OF THE CEREBROPLACENTAL DOPPLER RATIO IN PREGNANT WOMEN INDICATED FOR CESAREAN SECTION DUE TO FETAL DISTRESS AT CAN THO OBSTETRICS AND GYNECOLOGY HOSPITAL IN 2024 - 2025
Main Article Content
Abstract
Background: Acute intrapartum fetal distress is an important cause of perinatal morbidity and mortality. The cerebroplacental Doppler ratio (CPR) reflects changes in fetal circulation in the setting of hypoxia or placental dysfunction. Several studies have shown that Doppler assessment of fetal cerebral artery and umbilical artery (Cerebroplacental Ratio - CPR) may support the early detection of fetal distress and fetal growth restriction, as well as the prediction of adverse perinatal outcomes. Objectives: To describe the clinical and paraclinical characteristics of pregnant women indicated for cesarean section due to fetal distress at Can Tho Obstetrics and Gynecology Hospital in 2024–2025, and to identify factors associated with the cerebroplacental Doppler ratio in this group. Materials and methods: A descriptive cross-sectional study was conducted on 270 pregnant women with gestational age ≥37 weeks who were diagnosed with fetal distress and underwent cesarean section at Can Tho Obstetrics and Gynecology Hospital from November 2024 to August 2025. Results: Among the 270 pregnant women included in the study, meconium-stained amniotic fluid accounted for 65.6%, group 3 cardiotocography patterns accounted for 7.8%, and abnormal cerebroplacental Doppler ratio was recorded in 44 cases, accounting for 16.30%. The study found an association between meconium-stained amniotic fluid, abnormal cardiotocography patterns, and abnormal cerebroplacental Doppler ratio. Conclusion: The cerebroplacental Doppler ratio was associated with amniotic fluid color and cardiotocography patterns in pregnant women undergoing cesarean section for fetal distress. Further studies with larger sample sizes, repeated Doppler assessments, and additional analyses of factors such as gestational age, oligohydramnios, fetal growth restriction, and maternal diseases are needed to further clarify this association.
Keywords
CPR, Cerebro-Placental Ratio, fetal distress
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References
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