Association of maternal serum beta human chorionic gonadotropin (B-hCG) level with intrayterine growth restriction: a case control study

Introduction: Intrauterine growth restriction (IUGR) is a major cause of perinatal morbidity and mortality. The human chorionic gonadotropin (B-hCG) is suggested to be released in large amounts into the maternal circulation due to placental dysfunction. Studies have shown that raised levels of B-hCG...

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Main Author: Yeshey Dorjey
Format: Article
Language:English
Published: Khesar Gyalpo University of Medical Sciences of Bh 2019-05-01
Series:Bhutan Health Journal
Online Access:https://bhj.com.bt/index.php/bhj/article/view/74
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author Yeshey Dorjey
author_facet Yeshey Dorjey
author_sort Yeshey Dorjey
collection DOAJ
description Introduction: Intrauterine growth restriction (IUGR) is a major cause of perinatal morbidity and mortality. The human chorionic gonadotropin (B-hCG) is suggested to be released in large amounts into the maternal circulation due to placental dysfunction. Studies have shown that raised levels of B-hCG was associated with IUGR in the first and second trimesters. However, no study was done during the third trimester. Therefore, the objective of the study was to determine the association of B-hCG level with IUGR during 3rd trimester.  Methods: A case-control one year-period study completed in the Department of Obstetrics and Gynaecology, BSMMU, Bangladesh. Pregnant mothers diagnosed with IUGR were taken as case (n=55) and mothers without IUGR as control (n=55). Serum B-hCG levels of these two groups were measured. The data was analysed with SPSS-16 software. Chi-square test was used for analysis. Results: The mean estimated fetal weight (EFW) of case was significantly less as compared to control (p<0.001). Out of 55 pregnancies with IUGR, 14 (25.5%) had raised level of B-hCG as compared to only 4(7.3%) of control had raised B-hCG level. The odds ratio (OR) of developing IUGR in pregnant women with raised B-hCG level was found to be 4.4 fold (95% CI: 1.331- 14.237) higher than the pregnant women with normal level of B-hCG. Conclusions: The study concluded a significant association between the raised levels of B-hCG with IUGR.
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spelling doaj.art-46fc6b49632e4e8d9942fa8363909fcf2023-10-25T10:01:33ZengKhesar Gyalpo University of Medical Sciences of BhBhutan Health Journal2413-29932415-11142019-05-01511810.47811/bhj.110145Association of maternal serum beta human chorionic gonadotropin (B-hCG) level with intrayterine growth restriction: a case control studyYeshey Dorjey0https://orcid.org/0000-0001-7324-3028Phuentsholing General Hospital, Chukha, BhutanIntroduction: Intrauterine growth restriction (IUGR) is a major cause of perinatal morbidity and mortality. The human chorionic gonadotropin (B-hCG) is suggested to be released in large amounts into the maternal circulation due to placental dysfunction. Studies have shown that raised levels of B-hCG was associated with IUGR in the first and second trimesters. However, no study was done during the third trimester. Therefore, the objective of the study was to determine the association of B-hCG level with IUGR during 3rd trimester.  Methods: A case-control one year-period study completed in the Department of Obstetrics and Gynaecology, BSMMU, Bangladesh. Pregnant mothers diagnosed with IUGR were taken as case (n=55) and mothers without IUGR as control (n=55). Serum B-hCG levels of these two groups were measured. The data was analysed with SPSS-16 software. Chi-square test was used for analysis. Results: The mean estimated fetal weight (EFW) of case was significantly less as compared to control (p<0.001). Out of 55 pregnancies with IUGR, 14 (25.5%) had raised level of B-hCG as compared to only 4(7.3%) of control had raised B-hCG level. The odds ratio (OR) of developing IUGR in pregnant women with raised B-hCG level was found to be 4.4 fold (95% CI: 1.331- 14.237) higher than the pregnant women with normal level of B-hCG. Conclusions: The study concluded a significant association between the raised levels of B-hCG with IUGR.https://bhj.com.bt/index.php/bhj/article/view/74
spellingShingle Yeshey Dorjey
Association of maternal serum beta human chorionic gonadotropin (B-hCG) level with intrayterine growth restriction: a case control study
Bhutan Health Journal
title Association of maternal serum beta human chorionic gonadotropin (B-hCG) level with intrayterine growth restriction: a case control study
title_full Association of maternal serum beta human chorionic gonadotropin (B-hCG) level with intrayterine growth restriction: a case control study
title_fullStr Association of maternal serum beta human chorionic gonadotropin (B-hCG) level with intrayterine growth restriction: a case control study
title_full_unstemmed Association of maternal serum beta human chorionic gonadotropin (B-hCG) level with intrayterine growth restriction: a case control study
title_short Association of maternal serum beta human chorionic gonadotropin (B-hCG) level with intrayterine growth restriction: a case control study
title_sort association of maternal serum beta human chorionic gonadotropin b hcg level with intrayterine growth restriction a case control study
url https://bhj.com.bt/index.php/bhj/article/view/74
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