الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Fetal hypoxia during intrapartum and before onset of labor induces neonate outcome such as cerebral palsy and even death of the fetus. The use of continuous cardiotocography (CTG) in labor causes low specificity in predicting fetal hypoxia and not specified to decrease the incidence of prenatal mortality or cerebral palsy. Accordingly, the continuous cardiotocography (CTG) is acquired with the risk of hypoxia while the intermittent cardiotocography (CTG) can be used in case of low risk pregnant women. Occurrence of adverse perinatal outcome among pregnant women becomes low risk at the time of labor admission. Thus, the evaluation based on medical history and antepartum characteristics does not well identify the cases and more susceptibility intrapartum hypoxia and more fetal monitoring is recommended. The use of Doppler ultrasound in pregnancies with normal sized fetuses at term will identify those at risk especially hypertensive pregnancy females and normotensive of subclinical placental insufficiency. The reduced cerebroplacental ratio (CPR) at or beyond 37 weeks of gestation is leading to high risk of fetal complication. It has been reported that higher incidence of obstetric intervention due to intrapartum distress in low risk fetuses with reduced CPR within 72h before onset of labor.