The impact of intrahepatic cholestasis of pregnancy on fetal cardiac and peripheral circulation

Esra Bahar Gür, Seçil Kurtulmuş, Deniz Öztekin, Ebru Şahin Güleç, Duygu Okyay, İbrahim Gülhan

Bilgiler
Özet

Künye

The impact of intrahepatic cholestasis of pregnancy on fetal cardiac and peripheral circulation. Perinatoloji Dergisi 2015;23(3):S48 - S49 DOI: 10.2399/prn.15.S001084

Yazar Bilgileri

Esra Bahar Gür¹,

Seçil Kurtulmuş¹,

Deniz Öztekin¹,

Ebru Şahin Güleç²,

Duygu Okyay²,

İbrahim Gülhan²

İzmir Katip Çelebi Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İzmir
Ege Doğumevi, İzmir

Yazışma Adresi

Esra Bahar Gür, İzmir Katip Çelebi Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İzmir, [email protected]

Yayın Geçmişi

Gönderilme Tarihi: 30 Ağustos 2015

Son Revizyon Tarihi: 30 Ağustos 2015

Kabul Edilme Tarihi: 01 Eylül 2015

Erken Baskı Tarihi: 01 Ekim 2015

Çıkar Çakışması

Çıkar çakışması bulunmadığı belirtilmiştir.

Amaç

The aim of this study was to evaluate changes in fetal cardiac and peripheral circulation in pregnancies complicated with intrahepatic cholestasis

Yöntem

The Doppler examination results of 22 pregnant subjects complicated with intrahepatic cholestasis of pregnancy (ICP) and 44 healthy controls were compared. The parameters of fetal cardiac circulation were pulmonary artery and aortic (Ao) peak systolic velocity (PSV), pulmonary vein (Pv), peak velocity index (PVI) and pulsatility index (PI), mitral valve (MV) and tricuspid valve (TV), early diastole (E)- and atrial contraction(A)-wave peak velocity ratio (E/A), and isthmus aortic peak systolic velocity (IAo PSV). The parameters of fetal peripheral circulation weremiddle cerebral artery (MCA) and umbilical artery (UA) PI, resistance index (RI), systolic/diastolic (S/D) ratio. Fetal obstetric Doppler monitoring wasconducted weekly before 36 weeks and biweekly after that, and the results were compared with the normal reference values for gestational age.

Bulgular

The Doppler parameters of fetal cardiac and peripheral circulation did not significantly differ between the two groups. S/D ratio readings in the ICP group were significantly above 2 SD before 35 weeks of gestation. Women with ICP had increased risks of preterm delivery, neonatal unit admission, and meconium-stained amniotic fluid compared with those in the controls.

Sonuç

Fetuses of pregnant women with ICP showed no differences in the evaluation of cardiac and peripheral Doppler measurements compared with fetuses of healthy mothers. The Doppler investigation of the umbilical artery may be useful in monitoring of pregnancies complicated by early onset intrahepatic cholestasis.