Utility of Cerebroplacental Ratio in IUGR Fetuses from Pregnancy with Preeclampsia in Prediction the Risk for Perinatal Complications.

التفاصيل البيبلوغرافية
العنوان: Utility of Cerebroplacental Ratio in IUGR Fetuses from Pregnancy with Preeclampsia in Prediction the Risk for Perinatal Complications.
المؤلفون: Novac MV; PhD Student, University of Medicine and Pharmacy of Craiova, Romania., Moldoveanu A; PhD Student, University of Medicine and Pharmacy of Craiova, Romania., Tudorache Ş; Obstetrics and Gynecology Department, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, Romania., Oprescu ND; Department of Obstetrics-Gynecology and Neonatology, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Miescu M; PhD Student, University of Medicine and Pharmacy of Craiova, Romania., Siminel MA; Department of Neonatology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, Romania., Vrabie S; Obstetrics and Gynecology Department, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, Romania., Novac MB; Anesthesiology and Intensive Care Department, Faculty of Medicine, University of Medicine and Pharmacology of Craiova, Romania., Iliescu DG; Obstetrics and Gynecology Department, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, Romania.
المصدر: Current health sciences journal [Curr Health Sci J] 2017 Jul-Sep; Vol. 43 (3), pp. 231-235. Date of Electronic Publication: 2017 Sep 28.
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Medical University Publishing House Country of Publication: Romania NLM ID: 101597164 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2067-0656 (Print) NLM ISO Abbreviation: Curr Health Sci J Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: <2013>- : Craiova : Medical University Publishing House
Original Publication: Craiova : Editura Medicală Universitară
مستخلص: Purpose: The aim of this study was to show that is the incidence of intrauterine growth restriction (IUGR) in women with preeclampsia (PE), assessment of cerebroplacental ratio (CPR) to establish the diagnostic value of CPR in fetuses with preeclampsia with/without IUGR.
Material and Methods: We performed an analysis of 49 cases with gestational hypertension and PE and 16 cases with normal pregnancy for control lot, study in Obstetrics and Gynecology Clinic of the Municipal Hospital Filantropia, Craiova, between October 2013 and October 2015. It was performed clinical and laboratory evaluation and management of each case. CPR ratio was measured in the third trimester in all cases, being studied according to the normal and abnormal values obtained, following the evolution of the newborn.
Results: Mild PE cases were predominant with 21 cases (19.27%), severe PE accounted for 16 cases (14.68%) and gestational hypertension was found in 16 cases in our study. Distribution of IUGR cases presented interesting and contradictory data, because we met cases of IUGR in pregnancies without PE, at a rate of only 1.54%. The incidence of IUGR was significantly higher in cases with severe early-onset PE (10.20%). Cases of severe PE, but with late-onset, had IUGR in only 2.04% of cases. We found a significant statistical significance (p <0.005) on the incidence of IUGR in cases with severe early-onset PE. CPR identified adverse perinatal outcomes in 18.46% of cases with CPR <1.08.
Conclusions: This study shows that early onset severe PE and concomitantly IUGR affects a significant proportion of pregnancies. CPR can be used to identify fetuses with an increased risk of intrauterine compromise.
References: Biol Reprod. 2003 Jul;69(1):1-7. (PMID: 12620937)
Am J Obstet Gynecol. 2006 Apr;194(4):921-31. (PMID: 16580277)
Obstet Gynecol. 1992 Mar;79(3):416-20. (PMID: 1738525)
Semin Perinatol. 2009 Jun;33(3):130-7. (PMID: 19464502)
J Perinatol. 2009 Oct;29(10):680-4. (PMID: 19609308)
J Obstet Gynaecol Res. 2009 Oct;35(5):882-7. (PMID: 20149036)
Ginekol Pol. 2012 Jan;83(1):38-45. (PMID: 22384638)
J Obstet Gynaecol Can. 2013 Aug;35(8):741-748. (PMID: 24007710)
BMC Res Notes. 2013 Nov 19;6:477. (PMID: 24252303)
Arch Med Sci. 2015 Mar 16;11(1):142-8. (PMID: 25861301)
Pregnancy Hypertens. 2014 Jul;4(3):244-5. (PMID: 26104644)
Am J Obstet Gynecol. 2015 Oct;213(4 Suppl):S115-22. (PMID: 26428489)
Am J Obstet Gynecol. 2016 Feb;214(2):297-298. (PMID: 26454122)
فهرسة مساهمة: Keywords: cerebroplacental ratio; intrauterine growth restriction; preeclampsia
تواريخ الأحداث: Date Created: 20190101 Latest Revision: 20201001
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6284838
DOI: 10.12865/CHSJ.43.03.08
PMID: 30595881
قاعدة البيانات: MEDLINE
الوصف
تدمد:2067-0656
DOI:10.12865/CHSJ.43.03.08