The Assessment of Association between Uterine Artery Pulsatility Index at 30–34 Week's Gestation and Adverse Perinatal Outcome
Background: Given the high prevalence of adverse perinatal outcome in the developing countries and the association between uterine artery (UtA) blood flow and fetal status in the uterine, in the current study, we assess the association between UtA pulsatility index (UtA-PI) at 30–34 week's gest...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Advanced Biomedical Research |
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| Online Access: | http://www.advbiores.net/article.asp?issn=2277-9175;year=2018;volume=7;issue=1;spage=111;epage=111;aulast=Zarean |
| _version_ | 1828194619302608896 |
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| author | Elahe Zarean Shahrzad Shabaninia |
| author_facet | Elahe Zarean Shahrzad Shabaninia |
| author_sort | Elahe Zarean |
| collection | DOAJ |
| description | Background: Given the high prevalence of adverse perinatal outcome in the developing countries and the association between uterine artery (UtA) blood flow and fetal status in the uterine, in the current study, we assess the association between UtA pulsatility index (UtA-PI) at 30–34 week's gestation and adverse perinatal outcome. Materials and Methods: This cohort study included 100 pregnant women at 30–34 weeks' gestation. At baseline, UtA-PI was evaluated with color Doppler through abdominal ultrasound. Then, adverse perinatal outcomes including preterm labor, intrauterine fetal death, preeclampsia, low 5-min Apgar score (<7), low umbilical arterial cord blood pH, admitted to Intensive Care Unit in the first 3 days of birth, low birth weight, infant with low weight, death of newborns, cesarean section for respiratory distress, and meconial amniotic fluid were recorded. Ultimately, the collected data were analyzed using SPSS, version 20. Results: The presence of small-for-gestational-age fetuses indicated the highest prevalent adverse prenatal outcome with the incidence of 13.3% and 58.5%, respectively, among pregnancies with normal UtA-PI as well as those with high UtA-PI (P < 0.001). Overall, given that sensitivity and specificity of high UtA-PI were 37.5% and 73.3%, respectively, it could not properly predict adverse perinatal outcome (P = 0.360). Conclusion: According to the results, although the incidence of some of adverse perinatal outcomes in pregnant women with high UtA-PI was higher compared to those with normal UtA-PI, this factor alone cannot predict adverse perinatal outcome well. Therefore, this factor may predict these outcomes well, in the subgroups with high-risk pregnancies or with some blood factors or with pregnancy complications. |
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| format | Article |
| id | doaj.art-68d92dc59bc9426d826537175c1db12e |
| institution | Directory Open Access Journal |
| issn | 2277-9175 |
| language | English |
| last_indexed | 2024-04-12T09:29:18Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Advanced Biomedical Research |
| spelling | doaj.art-68d92dc59bc9426d826537175c1db12e2022-12-22T03:38:24ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752018-01-017111111110.4103/abr.abr_112_17The Assessment of Association between Uterine Artery Pulsatility Index at 30–34 Week's Gestation and Adverse Perinatal OutcomeElahe ZareanShahrzad ShabaniniaBackground: Given the high prevalence of adverse perinatal outcome in the developing countries and the association between uterine artery (UtA) blood flow and fetal status in the uterine, in the current study, we assess the association between UtA pulsatility index (UtA-PI) at 30–34 week's gestation and adverse perinatal outcome. Materials and Methods: This cohort study included 100 pregnant women at 30–34 weeks' gestation. At baseline, UtA-PI was evaluated with color Doppler through abdominal ultrasound. Then, adverse perinatal outcomes including preterm labor, intrauterine fetal death, preeclampsia, low 5-min Apgar score (<7), low umbilical arterial cord blood pH, admitted to Intensive Care Unit in the first 3 days of birth, low birth weight, infant with low weight, death of newborns, cesarean section for respiratory distress, and meconial amniotic fluid were recorded. Ultimately, the collected data were analyzed using SPSS, version 20. Results: The presence of small-for-gestational-age fetuses indicated the highest prevalent adverse prenatal outcome with the incidence of 13.3% and 58.5%, respectively, among pregnancies with normal UtA-PI as well as those with high UtA-PI (P < 0.001). Overall, given that sensitivity and specificity of high UtA-PI were 37.5% and 73.3%, respectively, it could not properly predict adverse perinatal outcome (P = 0.360). Conclusion: According to the results, although the incidence of some of adverse perinatal outcomes in pregnant women with high UtA-PI was higher compared to those with normal UtA-PI, this factor alone cannot predict adverse perinatal outcome well. Therefore, this factor may predict these outcomes well, in the subgroups with high-risk pregnancies or with some blood factors or with pregnancy complications.http://www.advbiores.net/article.asp?issn=2277-9175;year=2018;volume=7;issue=1;spage=111;epage=111;aulast=ZareanAdverse prenatal outcomegestational ageuterine artery pulsatility index |
| spellingShingle | Elahe Zarean Shahrzad Shabaninia The Assessment of Association between Uterine Artery Pulsatility Index at 30–34 Week's Gestation and Adverse Perinatal Outcome Advanced Biomedical Research Adverse prenatal outcome gestational age uterine artery pulsatility index |
| title | The Assessment of Association between Uterine Artery Pulsatility Index at 30–34 Week's Gestation and Adverse Perinatal Outcome |
| title_full | The Assessment of Association between Uterine Artery Pulsatility Index at 30–34 Week's Gestation and Adverse Perinatal Outcome |
| title_fullStr | The Assessment of Association between Uterine Artery Pulsatility Index at 30–34 Week's Gestation and Adverse Perinatal Outcome |
| title_full_unstemmed | The Assessment of Association between Uterine Artery Pulsatility Index at 30–34 Week's Gestation and Adverse Perinatal Outcome |
| title_short | The Assessment of Association between Uterine Artery Pulsatility Index at 30–34 Week's Gestation and Adverse Perinatal Outcome |
| title_sort | assessment of association between uterine artery pulsatility index at 30 34 week s gestation and adverse perinatal outcome |
| topic | Adverse prenatal outcome gestational age uterine artery pulsatility index |
| url | http://www.advbiores.net/article.asp?issn=2277-9175;year=2018;volume=7;issue=1;spage=111;epage=111;aulast=Zarean |
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