Ultrasound predictors of birth weight in euploid fetuses with isolated single umbilical artery

2010 ◽  
Vol 36 (6) ◽  
pp. 724-727 ◽  
Author(s):  
F. Bugatto ◽  
R. Quintero-Prado ◽  
V. Melero-Jiménez ◽  
M. A. Fajardo-Expósito ◽  
B. Hervías-Vivancos ◽  
...  
2021 ◽  
Vol 6 (4) ◽  
pp. 322-324
Author(s):  
Priyatharsini Pari ◽  
Bharathi U ◽  
Pradha Velu ◽  
Sowndaravel S

Single umbilical artery (SUA) is a condition where one umbilical artery exists. Normally, the umbilical artery contains two umbilical artery and one umbilical vein. The incidence of SUA varies from 0.2% to 0.8%. We present a case of SUA in a term baby with birth weight of 1.7kg delivered by a 28-year-old mother. SUA is a condition which must be kept in mind during histopathological examination since it helps in improving the neonatal and maternal care.


2009 ◽  
Vol 52 (6) ◽  
pp. 655
Author(s):  
Su-Nam Bae ◽  
Jae-Woo Lim ◽  
Kyong-Og Ko ◽  
Hyun-Seung Jin ◽  
Min-Hee Kim ◽  
...  

2015 ◽  
Vol 31 (1) ◽  
pp. 19-22 ◽  
Author(s):  
Kaerli M. Christensen ◽  
Marta E. Heilbrun ◽  
Neel Patel ◽  
Paula J. Woodward ◽  
Anne Kennedy

2005 ◽  
Vol 105 (5, Part 1) ◽  
pp. 1093-1097 ◽  
Author(s):  
Mladen Predanic ◽  
Sriram C. Perni ◽  
Alexander Friedman ◽  
Frank A. Chervenak ◽  
Stephen T. Chasen

2014 ◽  
Vol 60 (2) ◽  
pp. 125-130 ◽  
Author(s):  
Lorena Mesquita Caldas ◽  
Adolfo Liao ◽  
Mário Henrique Carvalho ◽  
Rossana Pulcineli Vieira Francisco ◽  
Marcelo Zugaib

Objective: To examine birth weight in pregnancies with isolated single umbilical artery (ISUA). Methods: Case control study with retrospective review of 131 singleton pregnancies with isolated single umbilical artery diagnosed before birth. Control group consisted of 730 singleton pregnancies recruited prospectively, that had histological confirmation of a 3 vessels cord. Pregnancies were classified as uncomplicated or high-risk according to the presence of diseases that increase the risk of placental insufficiency during pregnancy. Mean birth weight and frequency of low birth weight (< 2.500 g), very low birth weight (< 1.500 g) and fetal growth restriction below the 5th and 10th centiles were compared between groups. Results: Mean birth weight difference between ISUA (n=131, 2840±701g) and control (n=730, 2.983 ± 671g) pregnancies was 143g (95% CI= 17-269; p=0.04) and birth weight below the 5thcentile was significantly more common in ISUA group [28/131 (21.4%) versus 99/730 (13.6%), p=0.02]. When only uncomplicated pregnancies were considered in both groups, no birth weight differences were observed. Amongst high-risk subgroups, birth weight below the 5th centile remained significantly more common in ISUA compared to control pregnancies [10/35 (28.6%) versus 53/377 (14.1%), p=0.04]. Conclusion: Isolated single umbilical artery does not increase the risk of fetal growth restriction in uncomplicated singleton pregnancies.


Author(s):  
Homeira Vafaei ◽  
Khatoon Rafeei ◽  
Maryam Dalili Maryam Dalili ◽  
Nasrin Asadi ◽  
Nosaibe Seirfar ◽  
...  

Background: Single umbilical artery (SUA) is found in 0.5–6% of all pregnancies worldwide. Although the association of SUA with some congenital malformations is mainly accepted, its effect on pregnancy/neonatal outcomes is still controversial. Objective: This is the first study aimed to approximate the SUA prevalence in southern part of Iran. SUA epidemiologic features accompanied by some of its effects on pregnancy/neonatal outcomes are investigated as well. Materials and Methods: In this cross-sectional study, data from two referral centers in Southern Iran were analyzed. In total, 1,469 pregnancies, fetuses, and neonates were examined for epidemiological features associated with SUA. SUA was confirmed by pathological examination, while congenital anomalies were diagnosed by clinical, ultrasound, and echocardiographical examinations. Data on pregnancy outcome were recorded based on the patients’ medical records. Results: The prevalence of SUA was 3.47% (95% CI: 2.6–4.6%). Fetal anomalies including renal, cardiac, and other congenital anomalies, intrauterine fetal death, early neonatal death, low birth weight, low placental weight, and preterm birth were significantly higher in the SUA group (OR = 68.02, 31.04, 16.03, 3.85, 11.31, 3.22, 2.70, and 2.47, respectively). However, the maternal multiparity was lower in the SUA group (OR = 0.65; 95% CI: 0.44–0.98). Conclusion: A significant association was observed between SUA and increased risk of intrauterine fetal death and early neonatal death, as well as low birth weight and preterm birth. Obstetrical history of the mother like parity was identified as an important predictor of SUA. Further investigations are suggested on risk stratification of neonates in this regard.   Key words: Umbilical cord, Single umbilical artery, Pregnancy outcome, Congenital abnormalities.


1998 ◽  
Vol 33 (4) ◽  
pp. 580-585 ◽  
Author(s):  
Maheshwar R Thummala ◽  
Tonse N.K Raju ◽  
Patricia Langenberg

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