Cerebroplacental Ratio (CPR) and Amniotic-Umbilical-to-Cerebral Ratio (AUCR), in in Women With Hypertensive Disorders of Pregnancy.

Comparison Between Cerebroplacental Ratio (CPR) and Amniotic-Umbilical-to-Cerebral Ratio (AUCR), in Predicting of Adverse Perinatal Outcome in Women With Hypertensive Disorders of Pregnancy.

The primary aim of this study is to evaluate the predictive value of the Amniotic-Umbilical-to-Cerebral Ratio (AUCR) in predicting composite adverse perinatal outcomes in women with hypertensive disorders of pregnancy and to compare its predictive performance with the traditional Cerebroplacental Ratio (CPR)

A prospective cohort study will be conducted to compare the predictive accuracy of the cerebroplacental ratio (CPR) and the amniotic-umbilical-to-cerebral ratio (AUCR) for composite adverse perinatal outcomes among women with hypertensive disorders of pregnancy.

Inclusion Criteria:

• Women aged 18-40 years, inclusive.
• Singleton viable pregnancy.
• Gestational age ≥32 weeks.
• Pregnancy complicated by a hypertensive disorder.
• Women who provide written informed consent.

Exclusion Criteria:

• Multiple gestation.
• Fetuses with known chromosomal or major congenital anomalies.
• Maternal diseases likely to independently affect fetal circulation or perinatal outcome, such as significant cardiac disease or other major systemic diseases.
• Inability to complete the required follow-up.