Assessment of the Cardiac Function in Intrauterine Growth-Restricted Fetuses and Appropriate for Gestational Age Fetuses

Journal of Obstetrics and Gynaecology of India
Bhoomika SharmaAnkita Srivastav

Abstract

Aim of the study is to evaluate the myocardial performance index in intrauterine growth restricted fetuses and compare this index with appropriate for gestational age fetuses. A prospective study was conducted in S.M.S Medical College Jaipur, involving 72 singleton fetuses ≥ 28 weeks of gestation divided into two groups: 36 intrauterine growth restricted fetuses (IUGR) and 36 appropriate for gestational age fetuses (AGA). Myocardial performance index was obtained by fetal echocardiography. The mean myocardial performance index in the IUGR fetuses and AGA fetuses was statistically significant and that was 0.62 ± 0.02 and 0.45 ± 0.01, respectively; (p value: < 0.0001). These findings suggest that IUGR induces primary cardiac changes, which could explain the increased predisposition to cardiovascular disease in adult life. This study concluded that Fetal echocardiographic parameters (MPI) identify a high risk group within the IUGR fetuses, which could be targeted for early screening of blood pressure and other cardiovascular risk factors, as well as for promoting a healthy diet and physical exercise.

References

Jan 5, 2000·Pediatrics International : Official Journal of the Japan Pediatric Society·T TsutsumiH Kato
Apr 9, 2005·Early Human Development·Kiyotake IchizukaTakashi Okai
Jan 31, 2006·Lancet·Lionel H OpieMarc A Pfeffer
Aug 21, 2013·Fetal Diagnosis and Therapy·Elena Demicheva, Fatima Crispi
Nov 2, 2013·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Wassim A HassanChristoph C Lees
Apr 8, 2014·Journal of Perinatal Medicine·Ahmed Abobakr NassrBrian Charles Brost
Aug 28, 2014·The Journal of Obstetrics and Gynaecology Research·Suphang ChawengsettakulPrapat Wanitpongpan
Jun 27, 2015·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M Pérez-CruzE Gratacós

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Citations

Nov 30, 2021·The Journal of Obstetrics and Gynaecology Research·Gurcan TurkyilmazLutfiye Uygur

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