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STUDY TO KNOW THE EFFECTS OF PLACENTAL WEIGHT AND BIRTH WEIGHT RATIO (PW/BW) ON PERINATAL OUTCOME AND THEIR RELATIONSHIP

Dr Fariha Shoukat, Dr Shaista Khan, Dr Shazia Afzal

Objective: Placental weight / birth weight ratio (PW / BW) has been shown to be related with some long-term fetal outcomes; however, its relationship with short-term outcomes has not been determined yet. The aim of this study was to evaluate the relationship between PW / BW ratio relationship and short-term adverse obstetric outcome for gestational age (AGA) in full-term neonates. Study Design: A Prospective, randomized study. Place and duration: In the Obstetrics and Gynecology department of Sir Ganga Ram Hospital Lahore for one year duration from January 2018 to January 2019. Methods: In our study, three groups of neonates were taken and compared according to PW / BW ratio (low, normal and high). Our primary outcome is the ratio of NICU admissions of neonates and <7 minutes Apgar score with secondary results. Results: Our study showed that the increase ratio of PW / BW group result in much admission in NICU and Apgar score <7 in 5 minutes as with normal PW/BW ratio comparison. The decrease PW / BW ratio group have less NICU admission rates. The high rate of PW / BW was significantly associated with short-term inverse perinatal outcomes. Conclusion: The PW / BW relationship can predict the newborns short-term health risks. Key words: Placental Weight, Birth Weight, Pw / Bw Ratio.

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