Fetal Epicardial Fat Thickness in Obese Pregnant Women: Its Effect on Fetal Cardiac Function and Neonatal Outcomes.

IF 0.7 4区医学 Q4 OBSTETRICS & GYNECOLOGY Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-10-01 Epub Date: 2024-03-19 DOI:10.1055/a-2267-5478

Şükran Doğru, Fatih Akkuş, Ülfet Sena Metin, Ali Acar

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Abstract

Objective: This study aimed to evaluate fetal epicardial fat thickness (EFT) together with fetal myocardial performance index (MPI) and its effects on neonatal outcomes in obese pregnant women.

Materials and methods: A total of 102 pregnant women, 51 obese and 51 of normal weight, were included in this prospective study. Fetal EFT, and MPI measurements were performed for all patients.

Results: Fetal EFT and Mod-MPI showed a statistically significant difference between obese pregnant women and the control group (p=0.0001, p=0.001). The optimal fetal EFT predictive cut-off value for the 5th-minute APGAR score below 7 was 1.22 mm, with a sensitivity of 86.96% and a specificity of 54.43% (p=0.001).

Conclusion: Fetal EFT and mod-MPI were higher in obese pregnant women. It is encouraging that fetal EFT predicts low APGAR, but more important information can be obtained if postnatal follow-up of these cardiac changes caused by obesity can be performed.

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肥胖孕妇胎儿心外膜脂肪厚度：对胎儿心脏功能和新生儿预后的影响

目的本研究旨在评估肥胖孕妇胎儿心外膜脂肪厚度（EFT）和胎儿心肌表现指数（MPI）及其对新生儿预后的影响：这项前瞻性研究共纳入 102 名孕妇，其中 51 名肥胖，51 名体重正常。对所有患者进行了胎儿 EFT 和 MPI 测量：结果：胎儿 EFT 和 Mod-MPI 显示，肥胖孕妇与对照组之间存在显著的统计学差异（P=0.0001，P=0.001）。第 5 分钟 APGAR 评分低于 7 分的最佳胎儿 EFT 预测临界值为 1.22 mm，灵敏度为 86.96%，特异度为 54.43%（P=0.001）：结论：肥胖孕妇的胎儿 EFT 和 mod-MPI 均较高。令人鼓舞的是，胎儿EFT可预测低APGAR，但如果能对这些由肥胖引起的心脏变化进行产后随访，则可获得更重要的信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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