Determinação Ultra-sonográfica do Índice do Líquido Amniótico em Grávidas Normais, da 12ª à 42ª Semana de Gravidez

Velho, Maria Teresa de Campos; Morais, Edson Nunes de; Ethur, Anaelena Bragança de Moraes

doi:10.1590/s0100-72032001000400005

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…All patients perform examinations with obstetric ultrasound from the 34th to the 36th gestational weeks were used to diagnose polyhydramnios and macrosomia. Amniotic fluid index (AFI) higher than 18 cm was diagnosed as polyhydramnios, oligohydramnios was diagnosed when the largest pocket was smaller than 2 cm and macrosomia was diagnosed when the waist circumference was higher than the 80th percentile of the gestational age [19][20][21].…”

Section: Methodsmentioning

confidence: 99%

Gestational and Previous Diabetes in Pregnancy: Perinatal Results

Ja¹,

Gqa²,

Pm³

et al. 2020

Asp Biomed Clin Case Rep

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Objective: Evaluating the association between gestational diabetes and fetal/maternal complications such as poor obstetric outcomes. Methods: Historical cohort comprising patients from the High-Risk Service of Federal University of Juiz de Fora (UFJF,) who were diagnosed with diabetes (exposed), as well as patients from the Low-Risk Service of UFJF (non-exposed). Data generated through anamnesis, physical examination and medical conduct, as well as data of newborns such as fetal weight, ICU admission and fetal/neonatal death), were collected and stored in the Epi Info software (version 6.0); p < 0.05. Results: 176 patients treated in the aforementioned services, 108 diabetic, and 68 non-diabetics, were investigated in the current study. In total, 92 (52.2%) of them were diagnosed with Gestational Diabetes Mellitus (GDM); 6 had DM type 1 (3.4%) and 10 had DM type 2 (5.6%). Therefore, 68 patients (38.6%) presented normal glucose metabolism. The mean age of the patients was 30.27 ± 6.77 years, the mean number of births was 1.06 ± 1.20. Macrosomia was diagnosed in 6.81% (n = 6) of the cases; it was associated with maternal glycemia (p < 0.05). D- and F-class pregnant women, who had been previously diagnosed with diabetes, presented lower fetal weight than other pregnant women (p = 0.03). Treatment was based on diet, insulin or metformin, whenever necessary. Fasting glycemia levels decreased throughout the gestational trimesters. Eighteen (10.2%) preterm fetuses were identified; 12 were born from diabetic mothers and 6 were born from non-diabetic ones (p = 0.01; X2 = 10.51). All infants hospitalized in the neonatal ICU (n = 10) were born from diabetic mothers; their mean gestational age was 36.28 + 2.9 weeks, whereas the mean gestational age of infants who were not hospitalized in the ICU was 38.31 ± 1.5 (p = 0.005; T = 12.58). Cesarean section was the most common way of delivery adopted for diabetic pregnant women (p = 0.04). Conclusion: Based on the results, gestational diabetes (GDM) is a predisposing factor to fetal macrosomia, prematurity, and hospitalization in neonatal ICUs. Pregnant women subjected to proper glycemic control in the current study presented lower complication rates in comparison to other studies in the literature.

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Section: Methodsmentioning

confidence: 99%

Gestational and Previous Diabetes in Pregnancy: Perinatal Results

Ja¹,

Gqa²,

Pm³

et al. 2020

Asp Biomed Clin Case Rep

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“…In cases of placental insufficiency and chronic hypoxia, the foetus adapts to the new situation by protecting its important organs. This mechanism leads to decreased diuresis and secretion of pulmonary fluids and subsequently leads to oligohydramnios, which is usually detected via ultrasound [ 24 ]…”

Section: Introductionmentioning

confidence: 99%

Ultrasound findings in pregnant women with uncomplicated vivax malaria in the Brazilian Amazon: a cohort study

Brock

Miranda

Bôtto-Menezes

et al. 2015

Malar J

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BackgroundDuring pregnancy, Plasmodium falciparum-induced malaria can cause placental lesions and intrauterine growth restriction (IUGR). There are few published studies on Plasmodium vivax-induced malaria in pregnancy. Ultrasound is an efficient method for evaluating foetal biometry and placenta. The present study aimed to investigate the occurrence of increased placental thickness, foetal biometry and the amniotic fluid via ultrasound in a cohort of pregnant women with vivax malaria in Manaus, Amazonas, Brazil.MethodsA cohort study was conducted among 118 pregnant women with vivax malaria and 191 pregnant women without malaria. Foetal biometry, placental thicknesses and the amniotic fluid were evaluated via ultrasound. Biometric data were distributed by the trimester in which the infection occurred and converted to Z scores. The results were compared between the groups.ResultsAmong pregnant women from the cohort, increased placental thickness was observed in ten women with malaria (8.5 vs 0%; p <0.001). The Z scores of biometric parameters were not statistically significant when comparing the groups or according to the time of infection. In ultrasound results of the 118 pregnant women with malaria, seven (6%) showed low foetal weight, two (1.7%) showed oligohydramnios and one (0.85%) showed foetal malformation. There was no significant difference when these variables were compared to those of the control group.ConclusionsThe placental thickness changes were significant but caused no foetal repercussions at birth. The ultrasound findings except placental thickness were similar in both groups, possibly because this is a low-endemic area and the pregnant women in the study were followed up in an active detection system that allowed early diagnosis and treatment of new malaria episodes.Electronic supplementary materialThe online version of this article (doi:10.1186/s12936-015-0627-1) contains supplementary material, which is available to authorized users.

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Determinação Ultra-sonográfica do Índice do Líquido Amniótico em Grávidas Normais, da 12ª à 42ª Semana de Gravidez

Cited by 2 publications

References 11 publications

Gestational and Previous Diabetes in Pregnancy: Perinatal Results

Gestational and Previous Diabetes in Pregnancy: Perinatal Results

Ultrasound findings in pregnant women with uncomplicated vivax malaria in the Brazilian Amazon: a cohort study

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