{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:26:08Z","timestamp":1790785568166,"version":"4.1.0"},"reference-count":18,"publisher":"Walter de Gruyter GmbH","issue":"9","license":[{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jpm-2025-0114_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the relationship of cerebroplacental ratio (CPR) with non-reassuring\/abnormal cardiotocography (CTG) tracing and perinatal outcomes like operative delivery, birth weight, NICU admission, meconium-stained liquor, and APGAR score in low-risk pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0114_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective cohort study at tertiary center in western India which included low risk singleton pregnancies between 35 and 37+6\u00a0weeks with cephalic presentation. Ultrasound was done between 35 and 37+6\u00a0weeks gestation including fetal biometry and Doppler for CPR calculation. Patients were divided into two groups, with normal CPR (&gt;10th centile) and abnormal CPR (\u226410th centile), and maternal and neonatal outcomes were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0114_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of 172 cases enrolled, CPR was abnormal in 55 (31.97\u202f%) patients and normal in 117 (68.02\u202f%) patients. In abnormal CPR group, CTG tracing was reassuring in 61.81\u202f%, non-reassuring in 18.18\u202f%, and abnormal in 20\u202f%. While in normal CPR group, CTG tracing was reassuring in 81.19\u202f%, non-reassuring in 11.11\u202f%, and abnormal in 7.69\u202f%. This was significant difference between the two groups (p=0.027). Cesarean and operative vaginal delivery rates were comparable in both groups, (p value=0.63, 0.33). Lower birth weight was observed in 45.45 % of women in the abnormal CPR group, while 21.36\u202f% of women had low birth weight in the normal CPR group (p-value=0.006). No significant difference was found in APGAR score and NICU admissions between the two groups (p-value-0.94,\u00a00.87).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0114_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We conclude that CPR measurement has good negative predictive value for fetal outcome in low risk pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jpm-2025-0114","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T16:44:11Z","timestamp":1758213851000},"page":"1224-1229","source":"Crossref","is-referenced-by-count":1,"title":["Antepartum cerebroplacental ratio in low risk pregnancy and its relationship with adverse perinatal outcome: a prospective cohort study"],"prefix":"10.1515","volume":"53","author":[{"given":"Neha","family":"Rathore","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology , AIIMS , Jodhpur , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manu","family":"Goyal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , AIIMS , Jodhpur , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratibha","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , AIIMS , Jodhpur , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taruna","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology , AIIMS , Jodhpur , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashank","family":"Shekhar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , AIIMS , Jodhpur , India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2025,9,15]]},"reference":[{"key":"2025121815535108524_j_jpm-2025-0114_ref_001","doi-asserted-by":"crossref","unstructured":"Alfirevic, Z, Devane, D, Gyte, GM, Cuthbert, A. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labor. Cochrane Database Syst Rev 2017;2:CD006066. https:\/\/doi.org\/10.1002\/14651858.CD006066.pub3.","DOI":"10.1002\/14651858.CD006066.pub3"},{"key":"2025121815535108524_j_jpm-2025-0114_ref_002","doi-asserted-by":"crossref","unstructured":"Flatley, C, Kumar, S. Is the fetal cerebroplacental ratio better than the estimated fetal weight in predicting adverse perinatal outcomes in a low risk cohort? J\u00a0Matern Fetal Neonatal Med 2019:2380\u20136. https:\/\/doi.org\/10.1080\/14767058.2018.1438394.","DOI":"10.1080\/14767058.2018.1438394"},{"key":"2025121815535108524_j_jpm-2025-0114_ref_003","doi-asserted-by":"crossref","unstructured":"Khalil, AA, Morales-Rosello, J, Morlando, M, Hannan, H, Bhide, A, Papageorghiou, A, et al.. Is fetal cerebroplacental ratio an independent predictor of intrapartum fetal compromise and neonatal unit admission? 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