105. An interesting case of relation between placenta volume, uterine artery PI in early pregnancy and the prognosis of pregnancy
| Autor: | Kyoko Maruyama, Mariko Serizawa Matsui, Yoshichika Okada, Hiroyuki Matsui, Miwa Yamashita, Akito Odagi, Kyuya Hirai, Megumi Ueda, Aki Mukai |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Fetus
Pregnancy medicine.medical_specialty biology business.industry Obstetrics media_common.quotation_subject Birth weight Obstetrics and Gynecology Early pregnancy factor medicine.disease medicine.anatomical_structure Breech presentation Placenta medicine.artery Internal Medicine biology.protein medicine Girl Uterine artery business media_common |
| Zdroj: | Pregnancy Hypertension. 13:S75 |
| ISSN: | 2210-7789 |
| DOI: | 10.1016/j.preghy.2018.08.224 |
| Popis: | Objective We reported an association between placenta volume in early pregnancy and birth weight. We report our experience with an interesting case to support it. Methods During pregnancy 11–14 weeks, the placenta volume was measured using Vocal mode manual trace of Voluson730/E8. The index of the placenta volume is PQ (placental quotient: placental volume/crow-rump length, normal 0.997 ) The normal of the PQ was measured from 270 cases that we experienced in our department. Results Case is in 34 years old, first pregnancy was established by timing. She was admitted because of hypertensive disorder of pregnancy from pregnancy 24 weeks, in 26–3 weeks her fetus was death intra-uterine, and it was delivered in 564 g (−2.6SD) girl. PQ was 0.632 at 11–2 weeks, UA-PI was 1.21 in pregnancy 20 weeks. Second pregnancy, 37 years old, pregnancy was established in IVF-ET, and she was delivery by a cesarean section because of breech presentation 2,498 g (−0.7SD) boy in 37–0 weeks. PQ was 1.076 at 11–5 weeks, PQ was 0.851 at 13–5 weeks, UA-PI in pregnancy 20 weeks was 0.41. Third pregnancy was established spontaneously, 38 years old. She was admitted because of FGR from pregnancy 30 weeks. An emergency cesarean section was performed due to delivery progressed in 32–2 weeks 1,038 g (−3.1SD) girl. PQ was 0.547 in 12–4 weeks, PQ was 0.412 in 14–4 weeks, UA-PI was 0.39 in pregnancy 20 weeks. Discussions We experienced 1 case 3 delivery to suggest to relation betweeen an early placenta volume, UA-PI and the birth weight. The case that a placenta volume in early pregnancy was small and UA-PI was high needed management as a high risk of FGR and hypertensive disorder in pregnancy. |
| Databáze: | OpenAIRE |
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