{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T18:17:19Z","timestamp":1792261039322,"version":"4.4.0"},"reference-count":49,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,11,4]],"date-time":"2015-11-04T00:00:00Z","timestamp":1446595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To estimate the combined value of fetal cerebral Doppler examination and Bishop score for predicting perinatal outcome after labor induction for small\u2010for\u2010gestational\u2010age (\n                      <jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content>\n                      ) fetuses in the presence of normal umbilical artery Doppler recordings.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a cohort study in two tertiary centers, including 164 women with normal umbilical artery Doppler recordings who underwent induction of labor because of an estimated fetal weight\u2009&lt;\u200910\n                      <jats:sup>th<\/jats:sup>\n                      percentile. The fetal middle cerebral artery pulsatility index and cerebroplacental ratio (\n                      <jats:styled-content style=\"fixed-case\">CPR<\/jats:styled-content>\n                      ) were obtained in all cases within 24\u2009h before induction. Cervical condition was assessed at admission using the Bishop score. A predictive model for perinatal outcomes was constructed using a decision\u2010tree analysis algorithm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both a very unfavorable cervix, defined as a Bishop score\u2009&lt;\u20092, (odds ratio (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      ), 3.18; 95%\u2009\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      , 1.28\u20137.86) and an abnormal\n                      <jats:styled-content style=\"fixed-case\">CPR<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      , 2.54; 95%\u2009\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      , 1.18\u20135.61) were associated with an increased likelihood of emergency Cesarean section for fetal distress, but only the latter was significantly associated with the need for neonatal admission (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      , 2.43; 95%\u2009\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      , 1.28\u20134.59). In the decision\u2010tree analysis, both criteria significantly predicted the likelihood of Cesarean section for fetal distress.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Combined use of the Bishop score and\n                      <jats:styled-content style=\"fixed-case\">CPR<\/jats:styled-content>\n                      improves the ability to predict overall Cesarean section (for any indication), emergency Cesarean section for fetal distress, and neonatal admission after labor induction for late\u2010onset\n                      <jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content>\n                      in the presence of normal umbilical artery Doppler recordings. Copyright \u00a9 2015 ISUOG. Published by John Wiley &amp; Sons Ltd.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/uog.14807","type":"journal-article","created":{"date-parts":[[2015,2,9]],"date-time":"2015-02-09T04:21:28Z","timestamp":1423455688000},"page":"713-717","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Cervical condition and fetal cerebral Doppler as determinants of adverse perinatal outcome after labor induction for late\u2010onset small\u2010for\u2010gestational\u2010age fetuses"],"prefix":"10.1002","volume":"46","author":[{"given":"R.","family":"Garcia\u2010Simon","sequence":"first","affiliation":[{"name":"Obstetrics Department, Hospital Clinico Lozano Blesa University of Zaragoza and Instituto de Investigaci\u00f3n Sanitaria de Arag\u00f3n (IISA)  Zaragoza 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