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Ultrasound measurement of fetal adrenal gland in fetuses with intrauterine growth restriction, an early predictive method for adverse outcomes.
Farzad Mohajeri, Zohre; Aalipour, Soroush; Sheikh, Mahdi; Shafaat, Masoumeh; Hantoushzadeh, Sedigheh; Borna, Sedigheh; Khazardoost, Soghra.
Afiliación
  • Farzad Mohajeri Z; a Maternal, Fetal and Neonatal Research Center , Vali-asr Hospital, Tehran University of Medical Sciences , Tehran , Iran.
  • Aalipour S; a Maternal, Fetal and Neonatal Research Center , Vali-asr Hospital, Tehran University of Medical Sciences , Tehran , Iran.
  • Sheikh M; a Maternal, Fetal and Neonatal Research Center , Vali-asr Hospital, Tehran University of Medical Sciences , Tehran , Iran.
  • Shafaat M; b Breastfeeding Research Center , Vali-asr Hospital, Tehran University of Medical Sciences , Tehran , Iran.
  • Hantoushzadeh S; a Maternal, Fetal and Neonatal Research Center , Vali-asr Hospital, Tehran University of Medical Sciences , Tehran , Iran.
  • Borna S; b Breastfeeding Research Center , Vali-asr Hospital, Tehran University of Medical Sciences , Tehran , Iran.
  • Khazardoost S; a Maternal, Fetal and Neonatal Research Center , Vali-asr Hospital, Tehran University of Medical Sciences , Tehran , Iran.
J Matern Fetal Neonatal Med ; 32(9): 1485-1491, 2019 May.
Article en En | MEDLINE | ID: mdl-29251009
OBJECTIVES: Comparing the sonographic measurements of fetal adrenal gland in pregnancies with intrauterine growth restriction (IUGR) versus healthy controls and to assess whether the changes in adrenal gland measurements could predict adverse pregnancy outcomes in IUGR fetuses. METHODS: This prospective cohort study evaluated 97 pregnant women (48 with IUGR pregnancies and 49 healthy controls) during their third gestational trimester. All mothers underwent two dimensional ultrasonography of the fetal adrenal gland, and the fetal zone in transverse, sagittal, and coronal planes. Adrenal gland volume (AGV) and fetal zone volume (FZV) were calculated and corrected (c) for fetal weight. The mothers were then followed until delivery. RESULTS: Fetuses in the IUGR group had larger corrected adrenal gland volume (c_AGV) and smaller corrected fetal zone volume (c_FZV) compared to the fetuses in the control groups (p < .001). In the IUGR group, significantly smaller c_AGV and higher fetal/adrenal were detected in IUGR fetuses who had nonreassuring fetal status before delivery, preterm birth, very low birth weight delivery, and also those who required neonatal intensive care unit admission (p < .01 for all). CONCLUSIONS: Third trimester fetal adrenal gland sonography could potentially be used as an easy noninvasive method for identifying those IUGR fetuses who might have poorer outcomes.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Resultado del Embarazo / Glándulas Suprarrenales / Retardo del Crecimiento Fetal Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Newborn / Pregnancy Idioma: En Revista: J Matern Fetal Neonatal Med Asunto de la revista: OBSTETRICIA / PERINATOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Irán

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Resultado del Embarazo / Glándulas Suprarrenales / Retardo del Crecimiento Fetal Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Newborn / Pregnancy Idioma: En Revista: J Matern Fetal Neonatal Med Asunto de la revista: OBSTETRICIA / PERINATOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Irán