Perinatal outcome in cases of isolated single umbilical artery and its effects on neonatal cord blood gas indices

DOĞAN S., ÖZYÜNCÜ Ö., ATAK Z., Turgal M.

JOURNAL OF OBSTETRICS AND GYNAECOLOGY, cilt.34, sa.7, ss.576-579, 2014 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 7
  • Basım Tarihi: 2014
  • Doi Numarası: 10.3109/01443615.2014.919578
  • Dergi Adı: JOURNAL OF OBSTETRICS AND GYNAECOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.576-579
  • Anahtar Kelimeler: Blood gas parameters, congenital anomalies, perinatal outcome, single umbilical artery, small for gestational age, GROWTH ASSESSMENT, BIRTH-WEIGHT, FETAL-GROWTH, FETUSES, METAANALYSIS, VELOCITY, RISK
  • Akdeniz Üniversitesi Adresli: Evet

Özet

We aimed to evaluate perinatal outcomes and blood gas indices of isolated single umbilical artery (SUA). In this retrospective study, 134 fetuses with SUA were evaluated. A total of 77 (57.4%) fetuses with isolated SUA (iSUA) were compared with maternal age-matched 95 fetuses with double umbilical arteries (DUA), with respect to pregnancy outcome and umbilical cord blood gas indices. The incidence of SUA in our cohort was 1.04%. Patients with iSUA had lower neonatal birth weight compared with the control group (2,635 +/- 972 g vs 2,991 +/- 669 g; p = 0.009). Small for gestational age (SGA) frequency was higher in the group of iSUA when compared with fetuses with DUA (17.4% vs 5.4%; p = 0.03). Regarding the umbilical cord blood gas, the parameters were comparable between the two groups. SUA has a favourable obstetric outcome as long as the accompanying malformations are ruled out. Furthermore, neonatal cord blood gas parameters in fetuses with iSUA do not differ from fetuses with DUA.