Comparison of fetal cardiac functions between small-for-gestational age fetuses and late-onset growth-restricted fetuses
- Resource Type
- Authors
- Deniz Kanber Acar; Serdar Kaya; Başak Kaya; Ahmet Tayyar
- Source
- Journal of Perinatal Medicine. 47:879-884
- Subject
- Adult
Cardiac function curve
medicine.medical_specialty
Doppler imaging
Young Adult
03 medical and health sciences
Fetal Heart
0302 clinical medicine
Pregnancy
Internal medicine
medicine.artery
medicine
Humans
030212 general & internal medicine
Uterine artery
Isovolumetric contraction
Small-For-Gestational Age
reproductive and urinary physiology
Fetus
Fetal Growth Retardation
030219 obstetrics & reproductive medicine
business.industry
Infant, Newborn
Obstetrics and Gynecology
Ultrasonography, Doppler
Umbilical artery
medicine.disease
Detal Cardiac Function
embryonic structures
Infant, Small for Gestational Age
Pediatrics, Perinatology and Child Health
Cardiology
Small for gestational age
Gestation
Female
Late-Onset Fetal Growth Restriction
business
- Language
- ISSN
- 1619-3997
0300-5577
Background This study aimed to investigate fetal cardiac functions by spectral tissue Doppler imaging (s-TDI) in pregnancies complicated with late-onset fetal growth restriction (LO-FGR) and small-for-gestational age (SGA). Methods Forty pregnancies complicated with late-onset FGR and 40 pregnancies complicated with SGA between the 34th and 37th weeks of gestation were enrolled in this study. Forty gestational age-matched pregnant women with no obstetrics complication were randomly selected as a control group. Small fetuses were classified as fetal growth restriction or SGA according to estimated fetal weight (EFW), umbilical artery pulsatility index (PI), cerebroplacental ratio (CPR) and uterine artery PI. s-TDI measurements were obtained at the right atrioventricular valve annulus. Results SGA and LO-FGR fetuses had significantly lower A′ and S′ values, and higher E′/A′ ratio than the control group (P Conclusion The signs of cardiac dysfunction were observed both in fetuses with SGA and LO-FGR. The fetal cardiac function assessment with s-TDI could be a valuable method in the diagnosis of true growth restricted fetuses and in the management of these fetuses.