Perinatal outcome in cases of isolated single umbilical artery and its effects on neonatal cord blood gas indices
JOURNAL OF OBSTETRICS AND GYNAECOLOGY, cilt.34, sa.7, ss.576-579, 2014 (SCI-Expanded, Scopus)
- 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.