{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:25:45Z","timestamp":1772990745938,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T00:00:00Z","timestamp":1714089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T00:00:00Z","timestamp":1714089600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study will evaluate whether fetal cerebroplacental ratio (CPR) can predict perinatal adverse outcomes in singleton pregnancies with mild and moderate idiopathic polyhydramnios (IP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This study was designed as a prospective case\u2013control study between January 2023 and November 2023. Pregnant women diagnosed with mild\u2010to\u2010moderate IP and low\u2010risk singleton pregnancies were included in the study. In all cases, umbilical artery (UA) and middle cerebral artery (MCA) pulsatility indices (PIs) were measured at 36\u201340\u2009weeks of gestation, and CPR was calculated. The group with polyhydramnios was divided into two parts according to whether the CPR value was below 1.08 or 1.08 and above. Perinatal outcomes of all groups were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 140 patients were included in the study. Seventy of these were IP cases, and 70 were low\u2010risk pregnant women. UA PI in the IP group was not statistically different from that in the low\u2010risk group, but MCA PI and CPR were significantly lower in the IP group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.07,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.001, and\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.004, respectively). IP cases were divided into a low group (&lt;1.08,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200918) and a normal group (\u22651.08,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200952) according to the CPR value. Cesarean section rates due to fetal distress were significantly higher in the low\u2010CPR group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098 [44.4%] vs 5 [9.6%],\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.001). In the low\u2010CPR group, 5\u2010min Apgar &lt;7, and neonatal intensive care unit (NICU) admission rates were significantly higher (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.045 and\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.001, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>It is encouraging that in cases with mild\u2010to\u2010moderate IP, low CPR predicts emergency delivery due to fetal distress, a low Apgar score at 5\u2009min, and NICU admission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15556","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T04:33:36Z","timestamp":1714106016000},"page":"322-329","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Cerebroplacental ratio and perinatal outcomes in mild\u2010to\u2010moderate idiopathic polyhydramnios cases"],"prefix":"10.1002","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3383-2837","authenticated-orcid":false,"given":"Sukran","family":"Dogru","sequence":"first","affiliation":[{"name":"Division of Fetal and Maternal Medicine, Department of Obstetrics and Gynecology Necmettin Erbakan University Medical School of Meram  Konya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7037-9165","authenticated-orcid":false,"given":"Fatih","family":"Akkus","sequence":"additional","affiliation":[{"name":"Division of Fetal and Maternal Medicine, Department of Obstetrics and Gynecology Necmettin Erbakan University Medical School of Meram  Konya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9074-258X","authenticated-orcid":false,"given":"Ali","family":"Acar","sequence":"additional","affiliation":[{"name":"Division of Fetal and Maternal Medicine, Department of Obstetrics and Gynecology Necmettin Erbakan University Medical School of Meram  Konya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ogx.0000290349.58707.e0"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2013.853736"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.07.016"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.32.5.851"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.24973"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/3-540-28903-8"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/aji.12653"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2014.929660"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13265"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.19113"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199203000-00018"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-020-01540-x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.24888"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767050802531870"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/children9111624"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2018.1509310"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.18809"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6661(199611\/12)5:6<299::AID-MFM1>3.0.CO;2-K"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.placenta.2021.03.014"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007529.pub4"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-022-06596-z"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1072-5161"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.03.002"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.10.024"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1399-8915"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.19185"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.2002.00652.x"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31820b0884"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.23537"}],"container-title":["International Journal of Gynecology &amp; 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