Monitoring of fetuses with intrauterine growth restriction: modern methods

Krzeszowski, Waldemar; Jakubowski, Lucjusz; Kalinka, Jarosław; Grzesiak, Mariusz; Oszukowski, Przemysław; Szaflik, Tomasz; Wojtera, Justyna; Szaflik, Krzysztof

doi:10.17772/gp/61179

Cited by 2 publications

(1 citation statement)

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“…In the same mechanism, the coronary circulation is also increased. As a result of these changes, foetal left ventricular pre-and afterload are significantly higher than in normal physiological pregnancy [30], and this in turn leads to left ventricular overload.…”

Section: Foetal Hypotrophymentioning

confidence: 99%

The effect of intrauterine hypotrophy on the cardiovascular system of neonates

Gazy¹,

Marciniak²,

Sławska³

et al. 2019

polp

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Intrauterine hypotrophy is an important, dangerous, and increasingly common complication of pregnancy. It is also the most common factor identified in cases of stillbirth. Intrauterine growth restriction plays a significant role in short-and long-term outcome and is associated with brain damage and neurodevelopmental impairment. Perinatal asphyxia is observed in 50% of the population of growth-restricted infants, who are also more prone to early complications such as intraventricular haemorrhage, necrotising enterocolitis, persistent pulmonary hypertension, hypoglycaemia, or hypothermia. There are also long-term consequences of intrauterine growth retardation, projecting into adult life, such as increased risk of cardiovascular disease, endocrine disorders, renal dysfunction, or metabolic syndrome. These observations are consistent with Barker's hypothesis, now referred to as the "developmental origins of health and disease". This article is a review of the literature regarding early and long-term complications as well as cardiovascular risk in this group of patients.

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Section: Foetal Hypotrophymentioning

confidence: 99%

The effect of intrauterine hypotrophy on the cardiovascular system of neonates

Gazy¹,

Marciniak²,

Sławska³

et al. 2019

polp

View full text Add to dashboard Cite

show abstract

Effect of Vitamin D Supplementation on the Cerebral Placental Ratio in Pregnancy Complicated with Early Fetal Growth Restriction

Jakubiec-Wisniewska

Huras

Kołak

2022

JCM

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Fetal growth restriction (FGR) is a complication of pregnancy connected with increased risk of intrauterine fetal demise. To increase the diagnostic accuracy, the cerebral placental ratio (CPR) is used. Vitamin D may play a role in the regulation of vascular flow in the fetus. The aim is to assess the relationship between CPR and vitamin D supplementation in fetuses with early FGR. It is a prospective cohort study. Pregnant females were divided into groups with 2000 IU and <500 IU of vitamin D. Both groups were observed for 14 days; USG was performed three times with one-week intervals. EFW and CPR were measured. Absolute CPR values were initially observed to differ significantly (p = 0.0032). Measurements on the seventh day of observation indicated that CPR was significantly higher (p = 0.0455) in fetuses of patients receiving vitamin D at a dose of 2000 IU 1.75 (IQR: 1.47; 2.06) vs. <500 IU group 1.55 (IQR: 1.04; 1.52). Similarly, on day 14: (p < 0.0001)—2.39 (IQR: 1.82; 2.69) vs. 1.21 (IQR: 0.98; 1.52). Supplementation with vitamin D at a dose of 2000 IU may have an influence on the increase in the CPR in fetuses with early FGR.

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Monitoring of fetuses with intrauterine growth restriction: modern methods

Cited by 2 publications

References 0 publications

The effect of intrauterine hypotrophy on the cardiovascular system of neonates

The effect of intrauterine hypotrophy on the cardiovascular system of neonates

Effect of Vitamin D Supplementation on the Cerebral Placental Ratio in Pregnancy Complicated with Early Fetal Growth Restriction

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