الفهرس 
Table of contentsOnly 14 pages are availabe for public view
 |  | from | 98 |  |  |
| | | from | 98 | | |
Abstract
This was a prospective cohort study conducted in Department of Obstetrics and Gynecology (Women’s Health Hospital), Assiut University, Assiut, Egypt during the period from October 2020 to September 2022.Low risk pregnant women with uncomplicated singleton pregnancy who were planning a vaginal delivery were invited to participate in the study when they attended for routine antenatal appointments The aim of this study was to investigate the screening performance of CPR and biophysical profile score for the prediction of composite of adverse neonatal morbidity and mortality and operative delivery (CS or instrumental) for intra-partum fetal distress in low-risk pregnancies A total of 227 women were recruited in this study Thirteen women of the included participants (5.7%) had an infant with CANO Number of neonates with CANO in women delivered by vaginal delivery (9 out of 204 neonate) was higher than women delivered by CS for IFC (4 out of 23 neonate), however the percentage those neonates were higher in women delivered by CS for IFC (17.4%) compared to women delivered by vaginal delivery (4.4%)ROC curve of screening performance for CPR and BPP, individually and combined as a predictor for CANO was done and AUC of CPR was higher than that of BPP alone and BPP & CRP in combination for the primary outcome CANO. AUC of BPP was higher than that of BPP&CRP in combination so the best predictive performance was for CPR alone followed by BPP followed by BPP&CRP in combination. However, there was no statistically significant difference between areas under the curve between them.According to the mode of delivery there were 2 groups: Twenty-three (10.1%) women delivered by CS for IFC and 204 (89.9 %) women delivered by vaginal delivery.Forty-one of women were primigarvidas (18%); 30 (73.2%) of them delivered vaginally and 11 (26.8%) delivered by CS. However, most of women delivered by CS were primigarvida (N=11) representing 47.8% of all women delivered by CS (N= 23).ROC curve of screening performance for CPR and BPP, individually and combined as a predictor for CS for IFC was done and AUC of CPR was higher than that of BPP alone and BPP & CRP in combination. AUC of BPP&CRP in combination was higher than that of BPP alone, so the best predictive performance was for CPR alone followed by BPP&CRP in combination followed by BPP. However, there was no statistically significant difference between areas under the curve between them.