Fatemeh Sharifzadeh Mahalati; Mina Moeini Chaghervand; Shahrzad Hashemi Dizaji; Maryam Chamani
Volume 4, Issue 2 , May and June 2019, , Pages 81-85
Abstract
Background & Objective: Neonates with birth weights below the 10th percentile of gestational age- and sex-specific reference are known as neonates with intrauterine growth restriction (IUGR). Neonates with IUGR are more prone to diseases, infections, respiratory failure, and neonatal mortality. This ...
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Background & Objective: Neonates with birth weights below the 10th percentile of gestational age- and sex-specific reference are known as neonates with intrauterine growth restriction (IUGR). Neonates with IUGR are more prone to diseases, infections, respiratory failure, and neonatal mortality. This study aimed to evaluate the association between perinatal Doppler findings and hematological indices in neonates with intrauterine growth restriction at gestational ages of 32 to 36 weeks.
Materials & Methods: In this analytical cross-sectional study conducted at Akbarabadi Hospital from 2016 to 2017, 90 neonates with IUGR who underwent umbilical artery Doppler ultrasound during pregnancy were haphazardly selected and the umbilical artery Doppler velocity was compared with neonatal hematological indices.
Results: Results indicated that 48, 25, and 17 neonates had normal, absent, and reverse Doppler, respectively. A decreased umbilical artery Doppler velocity was associated with a reduction in platelet level (P < /em>=0.004) and an increase in NRBC level (P < /em>=0.002). Considering a P-value>0.05, white blood cell and hemoglobin levels had no associations with umbilical artery Doppler. However, IVH was correlated with the severity of abnormal umbilical artery Doppler (P < /em>=0.001). There was no significant relationship between hyperbilirubinemia and abnormal umbilical artery Doppler (P < /em><0.05).
Conclusion: The severity of thrombocytopenia and the level of NRBC in IUGR neonates are directly related to abnormal umbilical artery Doppler and consequently, chronic hypoxia in these neonates. Furthermore, IVH is more likely to occur in neonates with chronic hypoxia. Early and perinatal diagnoses of these abnormalities can help us treat them faster and reduce long-term morbidities.
Forough Javanmanesh; Mina Moeini
Volume 3, Issue 3 , September and October 2018, , Pages 133-135
Abstract
Introduction: Heterotopic pregnancy or combination of intra and extra- uterine pregnancy is very rare, but its incidence increased sharply in recent years due to the development of medically assisted reproductive technology. This condition carries a significant maternal morbidity and mortality due to ...
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Introduction: Heterotopic pregnancy or combination of intra and extra- uterine pregnancy is very rare, but its incidence increased sharply in recent years due to the development of medically assisted reproductive technology. This condition carries a significant maternal morbidity and mortality due to the risk of rupture of ectopic pregnancy. This study was a case report of heterotopic pregnancy.
Patient Information A 25 year old pregnant woman with abdominal pain and nausea and vomiting was admitted in 12 March 2018 in Firoozgar hospital that ultrasound examination suggested heterotopic pregnancy and laparotomy and left salpingectomy was performed, and intrauterine pregnancy continued. Conclusion A high index of suspicion can help in timely diagnosis and appropriate intervention and decrease the risk of complications and maternal mortality.
