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Correlation of maternal body mass index with umbilical artery Doppler in pregnancies complicated by fetal growth restriction and associated outcomes

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dc.contributor.author Cody, Fiona
dc.contributor.author Mullers, S.
dc.contributor.author Flood, K.
dc.contributor.author Unterscheider, J.
dc.contributor.author Daly, Sean
dc.contributor.author Geary, Michael P.
dc.contributor.author Kennelly, M.M.
dc.contributor.author McAuliffe, Fionnuala M.
dc.contributor.author O'Donoghue, Keelin
dc.contributor.author Hunter, Alyson
dc.contributor.author Morrison, J.
dc.contributor.author Burke, Gerard
dc.contributor.author Dicker, Patrick
dc.contributor.author Tully, Elizabeth C.
dc.contributor.author Malone, Fergal D.
dc.date.accessioned 2021-02-10T14:20:25Z
dc.date.issued 2021
dc.identifier.uri http://hdl.handle.net/10344/9766
dc.description peer-reviewed en_US
dc.description.abstract Objective To evaluate the correlation between Umbilical Artery (UA) Doppler and its feasibility across categories of maternal BMI in the presence of foetal growth restriction (FGR). Methods 1074 Singleton pregnancies with suspected FGR on ultrasound examination between 24+0 and 36+0 weeks' gestation were reviewed. Evaluation of the UA Doppler was performed at 1‐2 weekly intervals. Abnormal UA Doppler findings and delivery outcomes were compared between the different maternal BMI categories. Results Increased UA pulsatility index (PI > 95th centile) was reported in 81% of obese category 2 patients (BMI <35 ‐ 39.9 kg/m2) compared to a 46% incidence in the remaining categories, normal (BMI <24.9 kg/m2), overweight (BMI <25 ‐ 29.9 kg/) and obese class 1 (BMI <35 ‐ 39.9 kg/m2) (p = 0.001). In absent or reversed end diastolic flow (AEDF/REDF) we found an increasing incidence across the BMI categories (4%‐25%) (p<0.0001). Higher maternal BMI was associated with Lower birthweights and higher C‐section rates. Increasing maternal BMI did not affect successful assessment of UA Doppler. Conclusion There is a positive correlation between increasing maternal BMI and abnormal UA Doppler findings in FGR. Maternal BMI may be considered as an additional risk factor when evaluating UA Doppler for placental insufficiency. en_US
dc.language.iso eng en_US
dc.publisher Wiley and Sons Ltd en_US
dc.relation.ispartofseries International Journal of Gynecology & Obstetrics; 28 (9),pp. 1391-1409
dc.relation.uri https://doi.org/10.1002/ijgo.13586
dc.rights This is the peer reviewed author version of the following article:Correlation of maternal body mass index with umbilical artery Doppler in pregnancies complicated by fetal growth restriction and associated outcomes , which has been published in final form at https://doi.org/10.1002/ijgo.13586 . This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. http://olabout.wiley.com/WileyCDA/Section/id-828039.html#terms en_US
dc.subject pregnancies en_US
dc.subject Umbilical Artery (UA) Doppler en_US
dc.title Correlation of maternal body mass index with umbilical artery Doppler in pregnancies complicated by fetal growth restriction and associated outcomes en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1002/ijgo.13586
dc.date.embargoEndDate 2022-01-08
dc.embargo.terms 2022-01-08 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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