Second trimester marginal cord insertion is associated with adverse perinatal outcomes
| Autor: | Anthony M. Vintzileos, Martin R. Chavez, M. Baraa Allaf, Natalie Crnosija, Maria Andrikopoulou, Jolene Muscat |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Cord Ultrasonography Prenatal Umbilical Cord 03 medical and health sciences 0302 clinical medicine Pregnancy Placenta Medicine Humans Prospective Studies Prospective cohort study Fetus 030219 obstetrics & reproductive medicine business.industry Obstetrics Pregnancy Outcome Obstetrics and Gynecology Infant Low Birth Weight Sagittal plane Low birth weight medicine.anatomical_structure 030220 oncology & carcinogenesis Case-Control Studies Pregnancy Trimester Second Pediatrics Perinatology and Child Health Conventional PCI Gestation Feasibility Studies Premature Birth Female medicine.symptom business |
| Zdroj: | The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 32(18) |
| ISSN: | 1476-4954 |
| Popis: | Objectives: To determine the feasibility in visualizing placental cord insertion (PCI) during second-trimester fetal anatomical survey and the association between marginal cord insertion (MCI) and preterm delivery (PTD) and low birth weight (LBW). Our secondary objectives were to evaluate the association of MCI with adverse composite obstetrical and neonatal outcomes.Methods: A prospective cohort study was performed over a 28-month period. Women with singleton pregnancies presenting for routine anatomical survey between 18 and 22 weeks’ gestation were included. PCI site was visualized on 2D grayscale and color Doppler and the shortest distance from the sagittal and transverse planes to the placental edge were recorded. MCI was diagnosed when any of measured distances was ≤2 cm. Correlations were assessed via bivariate chi-squared, independent t-test analyses and Fisher’s exact tests. Regression models evaluated associations between MCI and adverse composite outcomes.Results: Three hundred one wome... |
| Databáze: | OpenAIRE |
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