Effect of abnormal placentation on fetal heart function and neonatal outcomes.

Autor: Dogru S; Necmettin Erbakan University Medical School of Meram, Department of Obstetrics and Gynecology, Division of Fetal and Maternal Medicine, Konya, Turkey., Atci AA; Necmettin Erbakan University Medical School of Meram, Department of Obstetrics and Gynecology, Division of Fetal and Maternal Medicine, Konya, Turkey., Akkus F; Necmettin Erbakan University Medical School of Meram, Department of Obstetrics and Gynecology, Division of Fetal and Maternal Medicine, Konya, Turkey., Acar A; Necmettin Erbakan University Medical School of Meram, Department of Obstetrics and Gynecology, Division of Fetal and Maternal Medicine, Konya, Turkey.
Jazyk: angličtina
Zdroj: Journal of clinical ultrasound : JCU [J Clin Ultrasound] 2024 Nov-Dec; Vol. 52 (9), pp. 1386-1393. Date of Electronic Publication: 2024 Sep 06.
DOI: 10.1002/jcu.23790
Abstrakt: Objective: This study aimed to investigate the fetal modified (mod)-myocardial performance index (MPI) for fetal cardiac function in placenta percreta (PPC) pregnancies with placenta previa (PP) and assess neonatal outcomes.
Materials and Methods: This study included 104 pregnant women: 52 with PPC and 52 as the control group. Mod-MPI measurements and neonatal outcomes were evaluated in all cases.
Results: The PPC group had a significantly lower left ejection time (p = 0.044) and significantly higher mod-MPI (p = 0.001) than the control group. The optimal mod-MPI predictive cut-off value at the neonatal intensive care unit (NICU) admission in the PPC group was 0.53 with 53.8% specificity and 88.5% sensitivity (p = 0.019). The optimal mod-MPI predictive cut-off value at the 5th APGAR score below 7 in the PPC group was 0.55 with a specificity of 67.7% and a sensitivity of 76.2% (p = 0.016).
Conclusion: Fetal MPI was higher in pregnant women with PPC compared to the control group. Among the PPC cases, those with MPI above a certain predictive level showed more frequent NICU admissions and lower APGAR scores.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
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