The effect of nuchal umbilical cord on fetal cardiac and cerebral circulation-cross-sectional study
| Autor: | Julia Murlewska, Maria Respondek-Liberska, Oskar Sylwestrzak, Przemysław Poszwa |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Middle Cerebral Artery medicine.medical_specialty Heart Ventricles Gestational Age Pulse Wave Analysis 030204 cardiovascular system & hematology Umbilical cord Ultrasonography Prenatal Umbilical Arteries Umbilical Cord 03 medical and health sciences Fetal Heart 0302 clinical medicine Pregnancy Internal medicine medicine.artery medicine Humans Correlation of Data Isovolumetric contraction Fetus 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Gestational age medicine.disease medicine.anatomical_structure Fetal circulation Ventricle Cerebrovascular Circulation Heart Function Tests Pediatrics Perinatology and Child Health Middle cerebral artery Cardiology Female Nuchal Translucency Measurement business Nuchal cord |
| Zdroj: | Journal of Perinatal Medicine. 49:590-595 |
| ISSN: | 1619-3997 0300-5577 |
| DOI: | 10.1515/jpm-2020-0316 |
| Popis: | Objectives The subject of our analysis is the influence of umbilical cord collision around the fetal neck on the fetal heart function and cerebral circulation. Methods Our study was carried out on a group of 115 fetuses from single pregnancies with physiological course, during the 15th to 40th week of pregnancy. In our analysis, we examined the following parameters: Tei index for right ventricle, Tei index for left ventricle with Tei index components: isovolumetric contraction time, isovolumetric relaxation time, ejection time and cardiothoracic area ratio, middle cerebral artery peak systolic velocity (PS MCA), middle cerebral artery pulsatility index (PI MCA). Gestational age in our study was: 28+2±34. The study group of patients with fetal umbilical cord around neck group (fUCAN) included 38 fetuses (20 males, 18 females). The control group of patients with no fetal umbilical cord around neck group (NfUCAN) included 77 fetuses (43 males, 34 females). Results In our study, we found no significant differences in the values obtained: Tei LV in fUCAN: 0.5±0.1 vs. in NfUCAN: 0.5±0.1; p=0.42), Tei RV in fUCAN: 0.5±0.2 vs. in NfUCAN: 0.4±0.1; (p=0.2). Tricuspid valve regurgitation-TR was observed with the following frequency: fUCAN: 7/38, 18% vs. NfUCAN: 13/77, 17%; p=0.8. MCA PS in study fUCAN group was significantly higher than in NfUCAN (40.2±11.5 vs. 32.5±9.5; p=0.003), although other hemodynamic and clinical variables did not differ between the study and control groups. Conclusions The fetal nuchal umbilical cord collision did not affect the fetal heart function expressed as Tei index, at the time of fetal heart examination (at mean gestational age 29+4 weeks). The fUCAN group presented elevated PS MCA, which was not related to other hemodynamic and clinical variables between the study and control groups. |
| Databáze: | OpenAIRE |
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