Objectives: We aim to compare the diagnostic value of cerebroplacental ratio, rBPP, modified biophysical profile (MBP) and non- stress test (NST) in predicting fetal outcome in cases with asymmetrical IUGR.
Methods: The study was conducted from June2020 to June 2021 after approval of Alexandria university Ethics Committee, Alexandria, Egypt. After signing an informed consent, pregnant patients with asymmetrically growth retarded fetuses just before delivery were clinically examined and subjected to Doppler ultrasonography assessing cerebroplacental ratio(CPR), modified biophysical profile testing (MBPP), non- stress test (NST) and rapid biophysical profile (rBPP).
Results: Results of CPR were statistically significant (Neonatal acidaemia; X2= 12.379, p= 0.001*, Apgar at one minute; X2= 9.114, p= 0.004*and Apgar at five minutes; X2=7.593, p= 0.014*). rBPP was statistically significant only inone minute apgar score but not with acidaemia but all its normal cases had normal CPR.
Conclusion: The CPR is a good predictor of adverse neonatal outcomes in cases of IUGR. RBP may be a good, inexpensive and less time-consuming alternative for evaluating antepartum fetal well-being.