Cerebroplacental Ratio During the Third Trimester of Pregnancy: A Prospective Case-Control Study
Objective:The aim of this study is to evaluate iron deficiency anemia and its severity in relation to the cerebroplacental ratio (CPR) in the third trimester of pregnancy.Methods:The research was planned as a prospective study. The World Health Organization (WHO) recommends that hemoglobin (Hb) leve...
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Galenos Publishing House
2023-04-01
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| Series: | Bezmiâlem Science |
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http://bezmialemscience.org/archives/archive-detail/article-preview/cerebroplacental-ratio-during-the-third-trimester-/60268
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| author | Mehmet Mete KIRLANGIÇ Meral ÇEVİK Osman Sertaç SADE Dilek ÜNER Mefkure ERASLAN ŞAHİN |
| author_facet | Mehmet Mete KIRLANGIÇ Meral ÇEVİK Osman Sertaç SADE Dilek ÜNER Mefkure ERASLAN ŞAHİN |
| author_sort | Mehmet Mete KIRLANGIÇ |
| collection | DOAJ |
| description | Objective:The aim of this study is to evaluate iron deficiency anemia and its severity in relation to the cerebroplacental ratio (CPR) in the third trimester of pregnancy.Methods:The research was planned as a prospective study. The World Health Organization (WHO) recommends that hemoglobin (Hb) level should remain above 11.0 g/dL during pregnancy. The WHO guidelines define Hb values between 10 and 10.9 g/dL as mild anemia, and between 7 and 9.9 g/dL as moderate anemia. The CPR was calculated by dividing the middle cerebral artery pulsatility index (MCA PI) by the umbilical artery (UA) PI.Results:Of the 108 pregnant women in this study, 40 were grouped as moderately anemic, 34 as mild anemic, and 34 as healthy. Demographic characteristics were similar between the groups. MCA PI values were 1.89±0.34 in the moderate anemia group, 1.63±0.32 in the mild anemia group, and 1.57±0.39 in the control group, and there was a significant difference among the groups (p<0.001). UA PI values were 0.92±0.18 in the moderate anemia group, 1.01±0.15 in the mild anemia group, and 1.01±0.14 in the control group (p=0.013). While the MCA resistance index (RI) values were similar between the groups (p=0.836), there was a significant difference between the groups in terms of UA RI (p=0.042). CPR PI values were 2.11±0.43 in the moderate anemia group, 1.62±0.22 in the mild anemia group, and 1.56±0.4 in the control group (p<0.001).Conclusion:Our results suggested that MCA PI, UA PI, UA RI, and CPR PI were altered in the presence of iron deficiency anemia in the third trimester of pregnancy. |
| first_indexed | 2024-04-09T15:42:27Z |
| format | Article |
| id | doaj.art-d68d2b1babdf4ddb84b8200e360c8d4d |
| institution | Directory Open Access Journal |
| issn | 2148-2373 |
| language | English |
| last_indexed | 2024-04-09T15:42:27Z |
| publishDate | 2023-04-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Bezmiâlem Science |
| spelling | doaj.art-d68d2b1babdf4ddb84b8200e360c8d4d2023-04-27T07:08:52ZengGalenos Publishing HouseBezmiâlem Science2148-23732023-04-0111217017410.14235/bas.galenos.2022.4834313049054Cerebroplacental Ratio During the Third Trimester of Pregnancy: A Prospective Case-Control StudyMehmet Mete KIRLANGIÇ0Meral ÇEVİK1Osman Sertaç SADE2Dilek ÜNER3Mefkure ERASLAN ŞAHİN4 Tuzla Government Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey Tuzla Government Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey Tuzla Government Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey Tuzla Government Hospital, Clinic of Radiology, İstanbul, Turkey Kayseri City Hospital, Clinic of Obstetrics and Gynecology, Kayseri, Turkey Objective:The aim of this study is to evaluate iron deficiency anemia and its severity in relation to the cerebroplacental ratio (CPR) in the third trimester of pregnancy.Methods:The research was planned as a prospective study. The World Health Organization (WHO) recommends that hemoglobin (Hb) level should remain above 11.0 g/dL during pregnancy. The WHO guidelines define Hb values between 10 and 10.9 g/dL as mild anemia, and between 7 and 9.9 g/dL as moderate anemia. The CPR was calculated by dividing the middle cerebral artery pulsatility index (MCA PI) by the umbilical artery (UA) PI.Results:Of the 108 pregnant women in this study, 40 were grouped as moderately anemic, 34 as mild anemic, and 34 as healthy. Demographic characteristics were similar between the groups. MCA PI values were 1.89±0.34 in the moderate anemia group, 1.63±0.32 in the mild anemia group, and 1.57±0.39 in the control group, and there was a significant difference among the groups (p<0.001). UA PI values were 0.92±0.18 in the moderate anemia group, 1.01±0.15 in the mild anemia group, and 1.01±0.14 in the control group (p=0.013). While the MCA resistance index (RI) values were similar between the groups (p=0.836), there was a significant difference between the groups in terms of UA RI (p=0.042). CPR PI values were 2.11±0.43 in the moderate anemia group, 1.62±0.22 in the mild anemia group, and 1.56±0.4 in the control group (p<0.001).Conclusion:Our results suggested that MCA PI, UA PI, UA RI, and CPR PI were altered in the presence of iron deficiency anemia in the third trimester of pregnancy. http://bezmialemscience.org/archives/archive-detail/article-preview/cerebroplacental-ratio-during-the-third-trimester-/60268 iron deficiency anemiathird trimestercerebroplacental ratiocpr |
| spellingShingle | Mehmet Mete KIRLANGIÇ Meral ÇEVİK Osman Sertaç SADE Dilek ÜNER Mefkure ERASLAN ŞAHİN Cerebroplacental Ratio During the Third Trimester of Pregnancy: A Prospective Case-Control Study Bezmiâlem Science iron deficiency anemia third trimester cerebroplacental ratio cpr |
| title | Cerebroplacental Ratio During the Third Trimester of Pregnancy: A Prospective Case-Control Study |
| title_full | Cerebroplacental Ratio During the Third Trimester of Pregnancy: A Prospective Case-Control Study |
| title_fullStr | Cerebroplacental Ratio During the Third Trimester of Pregnancy: A Prospective Case-Control Study |
| title_full_unstemmed | Cerebroplacental Ratio During the Third Trimester of Pregnancy: A Prospective Case-Control Study |
| title_short | Cerebroplacental Ratio During the Third Trimester of Pregnancy: A Prospective Case-Control Study |
| title_sort | cerebroplacental ratio during the third trimester of pregnancy a prospective case control study |
| topic | iron deficiency anemia third trimester cerebroplacental ratio cpr |
| url |
http://bezmialemscience.org/archives/archive-detail/article-preview/cerebroplacental-ratio-during-the-third-trimester-/60268
|
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