Journals / Haydarpaşa Numune Medical Journal / 2019 / Cilt: 59 - Sayı: 3

Relationship between Body Mass Index and Ductus Venosus Doppler Measurements at 11-14 Gestational Weeks

Pages
229–234
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Discussion and Conclusion: We concluded that maternal hyperglycemia and high body mass index might cause abnormal flow patterns in ductus venosus in pregnancies with normal first-trimester scanning and abnormal flow patterns of ductus venosus.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: In this study, we aimed to investigate the possible causative relationship between maternal obesity and flow patterns of ductus venosus.
📊
Key Findings & Data:Methods: One hundred twenty three pregnant women with a body mass index of 25 or higher and 83 pregnant women with body mass index lower than 25 in gestational weeks between 11-14, were included in the present study.
💡
Conclusion & Impact:Discussion and Conclusion: We concluded that maternal hyperglycemia and high body mass index might cause abnormal flow patterns in ductus venosus in pregnancies with normal first-trimester scanning and abnormal flow patterns of ductus venosus.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Introduction: In this study, we aimed to investigate the possible causative relationship between maternal obesity and flow patterns of ductus venosus. Methods: One hundred twenty three pregnant women with a body mass index of 25 or higher and 83 pregnant women with body mass index lower than 25 in gestational weeks between 11-14, were included in the present study. Results: The findings showed that there was no statistically significant difference between the two groups for a combined test, three-component antenatal tests, second-level ultrasonography. In 12% of the women, loss of a wave and/or inverse a wave was noted. In the rest of the women, there were no pathological waves. In 4.8% of women with a BMI less than 25, there was an abnormality in ductus venosus flow pattern, whereas this ratio was 17% in the other group consisted of women with BMI higher than 25; and the difference was statistically significant (p=0.008). Discussion and Conclusion: We concluded that maternal hyperglycemia and high body mass index might cause abnormal flow patterns in ductus venosus in pregnancies with normal first-trimester scanning and abnormal flow patterns of ductus venosus.

🔖

Cite This Article

AKÇÖLTEKİN, Z., TERECE, C., SÜT, H., ARINKAN, S. A. (2019). Relationship between Body Mass Index and Ductus Venosus Doppler Measurements at 11-14 Gestational Weeks. Haydarpaşa Numune Medical Journal, Cilt: 59 - Sayı: 3, 229–234. https://ajindex.com/articles/192465

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Stothard KJ, Tennant PW, Bell R, Rankin J. Maternal overweight and obesity and the risk of congenital anomalies: a systematic review and meta-analysis. JAMA 2009;301:636–50
  2. Higgins L, Mills A, Greenwood S, Cowley E, Sibley C, Jones R. Maternal obesity and its effect on placental cell turnover. J Matern Fetal Neonatal Med 2013;26:783–8
  3. Prats P, Ferrer Q, Comas C, Rodriquez I. Is the addition of the ductus venosus useful when screening for aneuploidy and congenital heart disease in fetuses with normal nuchal translucency? Fetal Diagn.Ther 2012;32:138–43
  4. Borrell A, Martinez JM, Farre MT, Azulay M, Cararach V, Fortuny A. Reversed end-diastolic flow in first-trimester umbilical artery: an ominous new sign for fetal outcome. Am J Obstet Gynecol 2001;185:204–7
  5. Scott-Pillai R, Spence D, Cardwell CR, Hunter A, Holmes VA. The impact of body mass index on maternal and neonatal outcomes: a retrospective study in a UK obstetric population, 2004-2011. BJOG 2013;120:932–9
  6. Blomberg M. Maternal obesity, mode of delivery, and neonatal outcome. Obstet Gynecol 2013;122:50–5
  7. Turan S, Turan OM, Miller J, Harman C, Reece EA, Baschat AA. Decreased fetal cardiac performance in the first trimester correlates with hyperglycemia in pregestational maternal diabetes. Ultrasound Obstet Gynecol 2011;38:325–31
  8. Lehtoranta L, Vuolteenaho O, Laine J, Polari L, Ekholm E, Räsänen J. Placental structural abnormalities have detrimental hemodynamic consequences in a rat model of maternal hyperglycemia. Placenta 2016;44:54–60
  9. Stuart A, Amer-Wåhlin I, Gudmundsson S, Maršál K, Thuring A, Källen K. Ductus venosus blood flow velocity waveform in diabetic pregnancies. Ultrasound Obstet Gynecol 2010;36:344–9
  10. Girsen A, Ala-Kopsala M, Mäkikallio K, Vuolteenaho O, Räsänen J. Cardiovascular hemodynamics and umbilical artery Nterminal peptide of proB-type natriuretic peptide in human fetuses with growth restriction. Ultrasound Obstet Gynecol 2007; 29:296–303
  11. Oh C, Harman C, Baschat AA. Abnormal first-trimester ductus venosus blood flow: a risk factor for adverse outcome in fetuses with normal nuchal translucency. Ultrasound Obstet Gynecol 2007;30:192–6
  12. Matias A, Gomes C, Flack N, Montenegro N, Nicolaides KH. Screening for chromosomal abnormalities at 10–14 weeks: the role of ductus venosus blood flow. Ultrasound Obstet Gynecol 1998;12:380–4
  13. Murta CG, Moron AF, Avila MA, Weiner CP. Application of ductus venosus Doppler velocimetry for the detection of fet