Haydarpasa Numune Med J. 2019; 59(3): 229-234 | DOI: 10.14744/hnhj.2018.95530

Maternal Vücut Kitle Ýndeksi Ýle 11-14 Haftalarda Yapýlan Duktus Venozus Doppler Ýncelemesi Arasýndaki Ýliþki

Zeynep Akçöltekin¹, Cem Terece², Hasan Süt², Sevcan Arzu Arýnkan^2
1Kadýn Hastalýklarý ve Dogum Anabilim Dalý, Marmara Universitesi,Ýstanbul
²Kadýn Hastalýklarý ve Dogum Kliniði, Zeynep Kamil Kadýn ve Cocuk Hastalýklarý Eðitim ve Araþtýrma Hastanesi, Ýstanbul

GÝRÝÞ ve AMAÇ: Bu çalýþmamýzda maternal kilo ile duktus venozus kan akým paterni arasýnda iliþki olup olmadýðýný incelemeyi planladýk.
YÖNTEM ve GEREÇLER: Hastanemiz gebe polikliniðine baþvuran 11-14 hafta arasý, vücut kitle indeksi<25 olan 83 gebe ve vücut kitle indeksi ≥25 olan 123 gebe çalýþmaya dahil edildi.
BULGULAR: Her iki grup arasýnda kombine test, üçlü test, 2.Düzey ultrasonografi sonuçlarý açýsýndan istatiksel anlamlý bir farklýlýk saptanmadý. Çalýþmaya alýnan gebelerin %12’sinde DV’da a dalgasý kaybý ve/veya ters a dalgasý izlendi. Geri kalan gebelerde ise a dalgasý patolojisi izlenmedi. Çalýþmaya alýnan gebelerden VKÝ 25 altýnda olanlarýn %4.8’inde duktus venozus akým paterninde anormallik bulunurken, VKÝ≥25 olan gebelerin %17’sinde duktus venozus akým paterninde bozulma izlendi ve istatistiksel olarak bu fark anlamlý bulundu (p=0,008).
TARTIÞMA ve SONUÇ: Birinci trimester prenatal taramasý normal olup tek anomal bulgusu duktus venozus akým paterninde bozulma olan fetüslerde maternal hipergliseminin ve vücut kitle indeksinin bunda rol oynayabileceði düþüncesindeyiz.

Anahtar Kelimeler: Vücut kitle indeksi, Duktus venozus Doppler, Birinci trimester tarama

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Relationship between Body Mass Index and Ductus Venosus Doppler Measurements at 11-14 Gestational Weeks

Zeynep Akçöltekin¹, Cem Terece², Hasan Süt², Sevcan Arzu Arýnkan^2
1Department of Obstetrics and Gynecology, Marmara University, Istanbul, Turkey
²Department of Obstetrics and Gynecology, Zeynep Kamil Women and Children Diseases Training and Research Hospital, Istanbul, Turkey

INTRODUCTION: In this study, we aimed to investigate the possible causative relationship between maternal obesity and flow patterns of ductus venosus.
METHODS: One hundred twenty three pregnant women with a body mass index of 25 or higher and 83 pregnant women with body mass index lower than 25 in gestational weeks between 11-14, were included in the present study.
RESULTS: The findings showed that there was no statistically significant difference between the two groups for a combined test, three-component antenatal tests, second-level ultrasonography. In 12% of the women, loss of a wave and/or inverse a wave was noted. In the rest of the women, there were no pathological waves. In 4.8% of women with a BMI less than 25, there was an abnormality in ductus venosus flow pattern, whereas this ratio was 17% in the other group consisted of women with BMI higher than 25; and the difference was statistically significant (p=0.008).
DISCUSSION AND CONCLUSION: We concluded that maternal hyperglycemia and high body mass index might cause abnormal flow patterns in ductus venosus in pregnancies with normal first-trimester scanning and abnormal flow patterns of ductus venosus.

Keywords: Body mass index, Ductus venosus Doppler, First trimestr screening

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