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" The Assessment of Association between Uterine Artery Pulsatility Index at 30-34 Week’s Gestation and Adverse perinatal outcome "
\ Shahrzad Shabaninia
; Elahe Zarean
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Isfahan University of Medical Sciences
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| Document Type
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Latin Dissertation
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| Language of Document
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English
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| Record Number
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114274
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| Doc. No
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T19089
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| Main Entry
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Shabaninia, Shahrzad
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| Title & Author
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The Assessment of Association between Uterine Artery Pulsatility Index at 30-34 Week’s Gestation and Adverse perinatal outcome\ Shahrzad Shabaninia
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| College
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Schools, Medical
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| Date
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, 2018
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| Degree
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Speciality
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| field of study
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, Obstetrics and Gynecology
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| Page No
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21 p.: tab
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| Note
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This is a research dissertation with project ID: 394924
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شهرزاد شعبان نیا
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| Note
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Electronical
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| Abstract
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Background:Given the high prevalence of adverse perinatal outcome in the developing countries and the association between uterine artery blood flow and fetal status in uterine; in the current study, we assess the association between Uterine Artery Pulsatility Index (UtA-PI)at 30-34 week’s gestation and adverse perinatal outcome.Methods: This cohort study included 100 pregnant women at 30-34 weeks’ gestation. At baseline, UtA-PI was evaluated with color Doppler through abdominal ultrasound. Then, adverse perinatal outcome including PTL, intrauterine fetal death (IUFD), pre-eclampsia, low 5-min Apgar score(<7), low umbilical arterial cord blood PH, admitted to ICU in the first three days of birth, low birth weight, infant with low weight, death of newborns, Cesarean section for respiratory distress and meconial amniotic fluid, was recorded. Ultimately, the collected data were analyzed using SPSS, version 20.Results:The presence of small-for-gestational-age (SGA) fetuses indicated the highest prevalent adverse prenatal outcome with the incidences of 13.3% and 58.5% respectively among pregnancies with normal UtA-PI as well as those with high UtA-PI (P-value<0.001). Overall, given that sensitivity and specificity of high UtA-PI were 37.5% and 73.3% respectively, it could not properly predict adverse perinatal outcome (P-value=0.360)Discussion:According to the results; although the incidence of some of adverse perinatal outcomes in pregnant women with high UtA-PI was higher compared to those with normal UtA-PI, This factor alone cannot predict adverse perinatal outcome well. Therefore, this factor may predict these outcomes well, in the subgroups with high-risk pregnancies or with some blood factors or with pregnancy complications.
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| Descriptor
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Pulsatile Flow
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Pregnancy Complications
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Gestational Age
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Uterine Artery
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| Added Entry
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Zarean, Elahe , Thesis advisor
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