Comparison of umbilical arterial doppler and middle cerebral arterial doppler assessments of fetal well-being in mothers with diabetes mellitus : a prospective study
المؤلفون المشاركون
Shariat, Mamak
Nirumanish, Shirin
Eftekhariyazdi, Mitra
Rabii, Maryam
Shirazi, Mahbubih
Mortazavi, Forough
المصدر
Iranian Red Crescent Medical Journal
العدد
المجلد 19، العدد 4 (30 إبريل/نيسان 2017)، ص ص. 1-6، 6ص.
الناشر
تاريخ النشر
2017-04-30
دولة النشر
الإمارات العربية المتحدة
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background: Diabetes mellitus may accompany and complicate a pregnancy, resulting in poor neonatal outcomes.
Objectives: The aim of this study was to compare middle cerebral arterial (MCA) and umbilical arterial (UA) Doppler assessments for the evaluation of fetal well-being in mothers with pre-gestational or gestational diabetes mellitus.
Methods: This cohort study was performed on 103 pregnant diabetic women, admitted for prenatal care to the department of gynecology and obstetrics of Jame Zanan hospital (Tehran, Iran) in 2015.
Sampling was performed, using the convenience method.
All women underwent one or more Doppler ultrasound examinations in the third trimester of pregnancy, which included blood flow measurement through umbilical and middle cerebral arteries.
Women with abnormal UA or MCA Doppler test results were subjected to labor induction or cesarean section, according to different parameters.
The outcomes included neonatal acidosis, oneand five-min Apgar scores, hypoglycemia, hypocalcaemia, neonatal intensive care unit(NICU) admission, gestational age at delivery, and neonatal death.
Chi-square test, t-test or Fisher’s exact test, and logistic regression analysis were performed to analyze the data.
Results: Based on the findings, poor outcomes were detected in 48 women.
Nearly 17.5% and 9.7% of women had abnormal UA and MCA Doppler test results, respectively.
In total, 62% of women gave birth via cesarean section.
The UA Doppler test results were significantly relatedwith hypoglycemia, respiratory distress syndrome(RDS), one-min Apgar score< 7, five-min Apgar score< 7, and NICU admission, while the MCA Doppler results were significantly associated with RDS and neonatal death (P < 0.05).
The sensitivity of both tests ranged between 20% and 60%.
Logistic regression analysis revealed that UA Doppler test could predict poor outcomes after fasting blood sugar control (P = 0.028, OR = 3.6, CI: 1.15 - 11.13).
Conclusions: Both UA and MCA Doppler tests were associated with some neonatal outcomes.
However, sensitivity of both UA and MCA assessments was low in the prediction of adverse neonatal outcomes.
By the comparison of these two methods, we found that UA Doppler assessment is a better predictor of neonatal outcomes.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Nirumanish, Shirin& Shirazi, Mahbubih& Eftekhariyazdi, Mitra& Shariat, Mamak& Rabii, Maryam& Mortazavi, Forough. 2017. Comparison of umbilical arterial doppler and middle cerebral arterial doppler assessments of fetal well-being in mothers with diabetes mellitus : a prospective study. Iranian Red Crescent Medical Journal،Vol. 19, no. 4, pp.1-6.
https://search.emarefa.net/detail/BIM-796812
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Nirumanish, Shirin…[et al.]. Comparison of umbilical arterial doppler and middle cerebral arterial doppler assessments of fetal well-being in mothers with diabetes mellitus : a prospective study. Iranian Red Crescent Medical Journal Vol. 19, no. 4 (Apr. 2017), pp.1-6.
https://search.emarefa.net/detail/BIM-796812
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Nirumanish, Shirin& Shirazi, Mahbubih& Eftekhariyazdi, Mitra& Shariat, Mamak& Rabii, Maryam& Mortazavi, Forough. Comparison of umbilical arterial doppler and middle cerebral arterial doppler assessments of fetal well-being in mothers with diabetes mellitus : a prospective study. Iranian Red Crescent Medical Journal. 2017. Vol. 19, no. 4, pp.1-6.
https://search.emarefa.net/detail/BIM-796812
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 6
رقم السجل
BIM-796812
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر