Effect of abnormal placentation on fetal heart function and neonatal outcomes

IF 1.4 4区医学 Q3 ACOUSTICS Journal of Clinical Ultrasound Pub Date : 2024-09-06 DOI:10.1002/jcu.23790

Sukran Dogru, Asli Altinordu Atci, Fatih Akkus, Ali Acar

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Abstract

Objective

This study aimed to investigate the fetal modified (mod)-myocardial performance index (MPI) for fetal cardiac function in placenta percreta (PPC) pregnancies with placenta previa (PP) and assess neonatal outcomes.

Materials and Methods

This study included 104 pregnant women: 52 with PPC and 52 as the control group. Mod-MPI measurements and neonatal outcomes were evaluated in all cases.

Results

The PPC group had a significantly lower left ejection time (p = 0.044) and significantly higher mod-MPI (p = 0.001) than the control group. The optimal mod-MPI predictive cut-off value at the neonatal intensive care unit (NICU) admission in the PPC group was 0.53 with 53.8% specificity and 88.5% sensitivity (p = 0.019). The optimal mod-MPI predictive cut-off value at the 5th APGAR score below 7 in the PPC group was 0.55 with a specificity of 67.7% and a sensitivity of 76.2% (p = 0.016).

Conclusion

Fetal MPI was higher in pregnant women with PPC compared to the control group. Among the PPC cases, those with MPI above a certain predictive level showed more frequent NICU admissions and lower APGAR scores.

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胎盘异常对胎儿心脏功能和新生儿预后的影响

研究目的本研究旨在探讨胎盘前置（PP）孕妇的胎儿改良（mod）-心肌表现指数（MPI）对胎儿心脏功能的影响，并评估新生儿的预后：本研究包括 104 名孕妇：52 名前置胎盘孕妇和 52 名对照组孕妇。对所有病例的 Mod-MPI 测量结果和新生儿预后进行了评估：结果：与对照组相比，PPC 组的左心射血时间明显较低（p = 0.044），mod-MPI 则明显较高（p = 0.001）。在新生儿重症监护室（NICU）入院时，PPC 组的最佳 mod-MPI 预测临界值为 0.53，特异性为 53.8%，灵敏度为 88.5%（p = 0.019）。PPC组在第5次APGAR评分低于7分时的最佳mod-MPI预测截断值为0.55，特异性为67.7%，灵敏度为76.2%（p = 0.016）：结论：与对照组相比，患有多囊卵巢综合征的孕妇胎儿MPI较高。结论：与对照组相比，PPC 孕妇的胎儿 MPI 较高，其中 MPI 高于一定预测水平的孕妇入住新生儿重症监护室的频率更高，APGAR 评分更低。

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.