Fetal Growth Assessment and Neonatal Birth Weight in Fetuses With an Isolated Single Umbilical Artery

2005 ◽  
Vol 105 (5, Part 1) ◽  
pp. 1093-1097 ◽  
Author(s):  
Mladen Predanic ◽  
Sriram C. Perni ◽  
Alexander Friedman ◽  
Frank A. Chervenak ◽  
Stephen T. Chasen
Keyword(s):  
Birth Weight ◽  
Fetal Growth ◽  
Umbilical Artery ◽  
Single Umbilical Artery ◽  
Neonatal Birth Weight ◽  
Growth Assessment

scholarly journals Should fetal growth be a matter of concern in isolated single umbilical artery?

2014 ◽  
Vol 60 (2) ◽  
pp. 125-130 ◽  
Author(s):  
Lorena Mesquita Caldas ◽  
Adolfo Liao ◽  
Mário Henrique Carvalho ◽  
Rossana Pulcineli Vieira Francisco ◽  
Marcelo Zugaib
Keyword(s):  
Birth Weight ◽  
High Risk ◽  
Low Birth Weight ◽  
Fetal Growth ◽  
Fetal Growth Restriction ◽  
Umbilical Artery ◽  
Growth Restriction ◽  
Control Group ◽  
Single Umbilical Artery ◽  
Singleton Pregnancies

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.

Serial Sonographic Growth Assessment in Pregnancies Complicated by an Isolated Single Umbilical Artery

2008 ◽  
Vol 25 (3) ◽  
pp. 149-152 ◽  
Author(s):  
Samantha Wiegand ◽  
David McKenna ◽  
Christopher Croom ◽  
Gary Ventolini ◽  
Jiri Sonek ◽  
...  
Keyword(s):  
Umbilical Artery ◽  
Single Umbilical Artery ◽  
Growth Assessment

scholarly journals Short- and Long-Term Growth as a Function of Abnormal Doppler Flow in Growth-Restricted Fetuses

2018 ◽  
Vol 8 (1) ◽  
pp. 76-79
Author(s):  
John W. Ross ◽  
Alexandria Betz ◽  
Michael J. Paglia ◽  
Wen Feng ◽  
A. George Neubert ◽  
...  
Keyword(s):  
Fetal Growth ◽  
Prospective Observational Study ◽  
Umbilical Artery ◽  
Reference Population ◽  
Growth Delay ◽  
Short Term ◽  
Umbilical Artery Doppler ◽  
Short And Long Term ◽  
Growth Assessment

Abstract OBJECTIVES: To evaluate short- and long-term growth in fetuses with growth restriction (FGR) and elevated umbilical artery Doppler (UAD) systolic/diastolic (S/D) ratios. METHODS: In this prospective observational study, two UAD waveforms were obtained from each umbilical artery weekly and were classified as normal or abnormal. Fetal growth was assessed every 3 weeks. Short-term growth was calculated from the first visit with elevated ratios until next growth assessment. Results were grouped by number of initial elevated S/D ratios (maximum, 4). Long-term growth was evaluated by change in estimated fetal weight from diagnosis of FGR to birth weight. Fetuses were grouped by average number of elevated S/D ratios and compared to a reference population of growth restricted fetuses with normal testing. RESULTS: Of 241 fetuses evaluated, 105 demonstrated elevated S/D ratios. Short-term growth was impaired when fetuses had elevated S/D ratios. Long-term growth was affected when the average number of elevated S/D ratios was ≥1 per visit. Progressive 3 or 4 growth delay was noted as the average number of abnormal S/D ratios increased. CONCLUSIONS: Short- and long-term fetal growth are affected by elevated UAD S/D ratios. Fetuses with more abnormal values initially and those with a higher average of elevated values over pregnancy demonstrate decreased growth.

scholarly journals The missing umbilical artery – A case report

2021 ◽  
Vol 6 (4) ◽  
pp. 322-324
Author(s):  
Priyatharsini Pari ◽  
Bharathi U ◽  
Pradha Velu ◽  
Sowndaravel S
Keyword(s):  
Case Report ◽  
Birth Weight ◽  
Maternal Care ◽  
Umbilical Artery ◽  
Histopathological Examination ◽  
Umbilical Vein ◽  
Single Umbilical Artery ◽  
Term Baby

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.

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 ◽  
...  
Keyword(s):  
Birth Weight ◽  
Umbilical Artery ◽  
Single Umbilical Artery

scholarly journals Solcoseryl versus Low Molecular Weighte Heparin for Intrauterine Fetal Growth Restriction

2021 ◽  
pp. 215-228
Author(s):  
Samar M. Abd El-Razek ◽  
Mohammed M. Elnamory ◽  
Mona K. Omar ◽  
Hesham M. Eltokhy
Keyword(s):  
Birth Weight ◽  
Fetal Growth ◽  
Gestational Age ◽  
Fetal Growth Restriction ◽  
Umbilical Artery ◽  
Growth Restriction ◽  
Once Daily ◽  
Group A ◽  
Group B ◽  
Doppler Indices

Background: FETAL Growth Restriction (FGR) is a problem where the fetus fails to attain its normal growth potential and this affects nearly about 8% of all pregnancies Solcoseryl is a protein-free and antigen-free haemodialysate derived from calf blood. It is thought to activate the cellular respiratory chain leading to better oxygen utilisation by the tissues. Aim of the study was to compare between Solcoseryl and low molecular weight heparin in treatment of patients suffered from intrauterine growth restriction due to placental insufficiency. Methods: The patients who included in this study were divided randomly via (computer-generated random numeric tables prepared by a statistician) into two groups with 35 cases in each group. Group (A) (Solcoseryl. Group): 35 women received Solcoseryl ampule 42.5 mg intravenous infusion (Misr Compony) Once daily for 3 weeks. Group (B) (LMWH (Clexan) Group): 35 women received single dose of LMWH subcutaneous (clexane 40 mg) once daily for 3 weeks. Results: There is a significant decrease regarding umbilical artery RI in both groups but the significant decrease was better in group A compared to group B. Otherwise, there is no significant difference between the two groups umbilical artery RI at different time intervals. there is significant increase in Gestational age and birth weight in patients who receive solcoseryl and LMWH .There is an improvement in Doppler indices of both (UA and MCA) in  both group but is better in solcoseryl than LMWH and significant increase  in Apgar score at 1min and 5 min in both groups but is better in solcoseryl than LMWH. Conclusions: In this study, LMWH and Solcoseryl administration in IUGR fetuses enhance Doppler indices, promote significant increase in Gestational age so enhance neonatal birth weight.

scholarly journals Multicenter clinical study on birth weight and associated anomalies of single umbilical artery

2009 ◽  
Vol 52 (6) ◽  
pp. 655
Author(s):  
Su-Nam Bae ◽  
Jae-Woo Lim ◽  
Kyong-Og Ko ◽  
Hyun-Seung Jin ◽  
Min-Hee Kim ◽  
...  
Keyword(s):  
Birth Weight ◽  
Clinical Study ◽  
Umbilical Artery ◽  
Associated Anomalies ◽  
Single Umbilical Artery ◽  
Multicenter Clinical Study
Sign in / Sign up

Export Citation Format

Share Document