Aims and objectives
The gravid uterus is supplied by anastomoses between the left and right uterine arteries and the ovarian arteries.[1]The contribution of these vessels to placental blood flow depends on placental location and placental-side indices have been reported to be lower placental vessels in laterally located placentas.[2-4]Non-central placental location has also been reported to be associated with increased adverse peri-natal outcomes,
including pre-eclampsia,
IUGR,
and even post partum heamorrhage.[5,6]Others have found no such association.[7-9]First and second trimester uterine artery Doppler have proven useful in the prediction of...
Methods and materials
Study Design:This was a prospective study of uterine artery Doppler US parameters in healthy pregnant women.
The data was collected over 12 months,
between July 2016 to June 2017.
Study Site: This study was conducted at Braithwaite Memorial Specialist Hospital (BMSH),
a tertiary hospital located in Port-Harcourt city,
the capital of Rivers state in southern Nigeria. The BMSH provides care to over 1.9 million inhabitant of the city and its outskirts.
Study Population: included one hundred and seventy (170) apparently healthy women with singleton pregnancies...
Results
The demographic characteristics of the one hundred and seventy (170) participants are summarized in table 1. Seventy eight (78) women had a centrally located placenta (Group A) while 92 had a laterally located placenta (Fig. 2). Mean gestational age at recruitment was 22 weeks for group A and 21 weeks for group B.
There were no significant differences between the age,
weight,
height,
BMI and parity between both groups. Seven (8.9%) of women in group A developed PrE compared to 6 (6.5%) women in group...
Conclusion
There was a slightly higher prevalence of PrE in subjects with central placenta (9% vs 7%),
but we found no significant association between placental location and PrE X2=0.096,
p= 0.76).
This is similar to the findings by Salama et al[9] and Contro and his colleagues [7].
Seckin et al[5]however reported that PrE was significantly higher in patients with lateral placenta compared to those with central placentas( 4.5% vs.
1.6%; p = 0.027). This difference may be due to the fact that most patients (87.4%) had...
References
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Guiseppe R,
Kurt H,
Renato X.
Methodology of Doppler Assessment of the placental and fetal circulations [Internet].
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2017].
Kofinas AD,
Penry M,
Greiss FC,
Meis PJ,
Nelson LH,
et al: The effect of placental location on uterine artery flow velocity waveforms.
Am J Obstet Gynaecol 1988;159:1504-1508
Gupta V,
Agarwal N.
Correlation between Placental Location and Uterine Artery Flow Waveforms in Uncomplicated Pregnancies.
JIMSA 2014; 27(1):17-18.
Tarzamni M-K,
Kefayati M,
MalekiM,
Fouladi DF.
Placental laterality and uterine blood...