Placental characteristics of selective intrauterine growth restriction with changing patterns in umbilical artery Doppler flow in monochorionic diamniotic twins
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Xueju Wang
,
Luyao Li
Abstract
Objectives
To compare the placental features between selective intrauterine growth restriction (sIUGR) patients, with dynamic classification (DC) and stable classifications (SC).
Methods
A cohort study was conducted from 1st April 2013 to 1st April 2020, we recruited sIUGR patients who had delivered at our center and examined placental characteristics with dye injection. The primary outcome was placental characteristics.
Results
The prevalence of large artery-artery anastomosis (AAA) was significantly higher in sIUGR with DC than sIUGR with SC (88.2 vs. 46.6%, p=0.001). The total diameter of AAA was significantly larger in sIUGR with DC than sIUGR with SC [2.9 (1.4, 7.0) vs. 2.4 (0.3, 7.1) mm, p=0.032]. The total number of artery-vein anastomosis was significantly smaller in sIUGR with DC than sIUGR with SC [3 (1, 12) vs. 5 (1, 15), p=0.023]. The incidence of neonatal asphyxias of growth-restricted fetuses were higher in sIUGR with DC than sIUGR with SC (23.5 vs. 5.9%, p=0.033).
Conclusions
Large AAA is probably associated to sIUGR with dynamic classification.
Funding source: National Key Research and Development Program of China
Award Identifier / Grant number: 2018YFC1002900
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Research funding: This study was supported by grants from the National Key Research and Development Program of China (2018YFC1002900).
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: Authors state no conflict of interest.
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Informed consent: Informed consent was obtained from all individuals included in this study.
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Ethical approval: Our work received approval from the Ethics Committee at Peking University Third Hospital.
References
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© 2022 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- WAPM Guideline
- The use of antenatal corticosteroids for fetal maturation: clinical practice guideline by the WAPM-World Association of Perinatal Medicine and the PMF-Perinatal Medicine foundation
- Corner of Academy
- Chorioamnionitis has no impact on immunohistochemical expression of IL-6 in placental membranes of the late preterm delivery regardless of the membrane status
- Original Articles – Obstetrics
- Comparison of cardiac morphology and function in small for gestational age fetuses and fetuses with late-onset fetal growth retardation
- Effect of SARS-CoV-2 infection on fetal umbilical vein flow and cardiac function: a prospective study
- One year into the SARS-CoV-2 pandemic: perinatal outcome and data on the transmission of 116 pregnant women
- Adverse perinatal outcomes of chlamydia infections: an ongoing challenge
- Pregnancy outcomes with differences in grain consumption: a randomized controlled trial
- Who needs prenatal counselling with a pediatric surgeon? Experience from a large tertiary care university hospital
- To evaluate the role of placental human papilloma virus (HPV) infection as a risk factor for spontaneous preterm birth: a prospective case control study
- Placental characteristics of selective intrauterine growth restriction with changing patterns in umbilical artery Doppler flow in monochorionic diamniotic twins
- Association between cesarean section rate and maternal age in twin pregnancies
- Maternal and neonatal outcomes associated with delivery techniques for impacted fetal head at cesarean section: a systematic review and meta-analysis
- Experience with direct oral anticoagulants in pregnancy – a systematic review
- Nasal bone in fetal aneuploidy risk assessment: are they independent markers in the first and second trimesters?
- Effects of music on sleep quality and comfort levels of pregnant women
- Original Articles – Fetus
- Rarity of fetal cells in exocervical samples for noninvasive prenatal diagnosis
- Original Articles – Neonates
- Effects of oral stimulation with breast milk in preterm infants oral feeding: a randomized clinical trial
- Perinatal factors associated with admission to neonatal intensive care unit following cesarean delivery in Kano, northern Nigeria
- Letter to the Editor
- Intrapartal fetal decapitation after shoulder dystocia – a forensically acceptable or unacceptable complication?
Articles in the same Issue
- Frontmatter
- WAPM Guideline
- The use of antenatal corticosteroids for fetal maturation: clinical practice guideline by the WAPM-World Association of Perinatal Medicine and the PMF-Perinatal Medicine foundation
- Corner of Academy
- Chorioamnionitis has no impact on immunohistochemical expression of IL-6 in placental membranes of the late preterm delivery regardless of the membrane status
- Original Articles – Obstetrics
- Comparison of cardiac morphology and function in small for gestational age fetuses and fetuses with late-onset fetal growth retardation
- Effect of SARS-CoV-2 infection on fetal umbilical vein flow and cardiac function: a prospective study
- One year into the SARS-CoV-2 pandemic: perinatal outcome and data on the transmission of 116 pregnant women
- Adverse perinatal outcomes of chlamydia infections: an ongoing challenge
- Pregnancy outcomes with differences in grain consumption: a randomized controlled trial
- Who needs prenatal counselling with a pediatric surgeon? Experience from a large tertiary care university hospital
- To evaluate the role of placental human papilloma virus (HPV) infection as a risk factor for spontaneous preterm birth: a prospective case control study
- Placental characteristics of selective intrauterine growth restriction with changing patterns in umbilical artery Doppler flow in monochorionic diamniotic twins
- Association between cesarean section rate and maternal age in twin pregnancies
- Maternal and neonatal outcomes associated with delivery techniques for impacted fetal head at cesarean section: a systematic review and meta-analysis
- Experience with direct oral anticoagulants in pregnancy – a systematic review
- Nasal bone in fetal aneuploidy risk assessment: are they independent markers in the first and second trimesters?
- Effects of music on sleep quality and comfort levels of pregnant women
- Original Articles – Fetus
- Rarity of fetal cells in exocervical samples for noninvasive prenatal diagnosis
- Original Articles – Neonates
- Effects of oral stimulation with breast milk in preterm infants oral feeding: a randomized clinical trial
- Perinatal factors associated with admission to neonatal intensive care unit following cesarean delivery in Kano, northern Nigeria
- Letter to the Editor
- Intrapartal fetal decapitation after shoulder dystocia – a forensically acceptable or unacceptable complication?
