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Maternal and perinatal characteristics of small-for-gestational-age newborns: Ten-year experience of a single center
OBJECTIVE: To analyze the maternal and perinatal characteristics of small-for-gestational-age (SGA) newborns compared with appropriate-for-gestational-age (AGA) newborns in singleton pregnancies managed at our hospital between January 2006 and December 2015. MATERIAL AND METHODS: The study (n=456) a...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Galenos Publishing
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5458442/ https://www.ncbi.nlm.nih.gov/pubmed/28490415 http://dx.doi.org/10.4274/jtgga.2016.0228 |
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author | Şahin Uysal, Nihal Gülümser, Çağrı Bilgin Yanık, Filiz |
author_facet | Şahin Uysal, Nihal Gülümser, Çağrı Bilgin Yanık, Filiz |
author_sort | Şahin Uysal, Nihal |
collection | PubMed |
description | OBJECTIVE: To analyze the maternal and perinatal characteristics of small-for-gestational-age (SGA) newborns compared with appropriate-for-gestational-age (AGA) newborns in singleton pregnancies managed at our hospital between January 2006 and December 2015. MATERIAL AND METHODS: The study (n=456) and control (n=4925) groups included pregnancies resulting in SGA and AGA newborns, respectively. Additionally, two SGA subgroups were defined according to abnormal (n=34) and normal (n=57) Doppler findings. Maternal demographic features; intracytoplasmic sperm injection (ICSI) pregnancies; gestational age at delivery; birth weight; major congenital anomalies, karyotype abnormalities, and genetic syndromes; maternal and obstetric problems such as hypertensive disorders, diabetes, oligohydramnios, preterm birth; admission to the neonatal intensive care unit (NICU), and perinatal mortality were recorded, and the two groups were compared with respect to these parameters. RESULTS: Mean maternal age, parity, gestational age at delivery, and birthweight were significantly lower; the frequencies of ICSI pregnancies, hypertensive disorders, oligohydramnios, preterm delivery, major congenital anomalies, karyotype abnormalities and genetic syndromes, admission to the NICU and perinatal mortality were significantly higher in the study group (p<0.05). None of the study parameters were significantly different between the two SGA subgroups (p>0.05). CONCLUSION: The association of SGA with ICSI pregnancies, hypertensive disorders, oligohydramnios, preterm delivery, congenital/chromosomal anomalies, NICU admission and perinatal mortality may be important in perinatal care. Clinical suspicion of SGA necessitates appropriate monitorization and management. Although obstetric outcomes were not significantly different between the two SGA subgroups with abnormal and normal Doppler findings in this study, this finding must be evaluated with caution due to the small sizes. |
format | Online Article Text |
id | pubmed-5458442 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Galenos Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-54584422017-06-13 Maternal and perinatal characteristics of small-for-gestational-age newborns: Ten-year experience of a single center Şahin Uysal, Nihal Gülümser, Çağrı Bilgin Yanık, Filiz J Turk Ger Gynecol Assoc Original Investigation OBJECTIVE: To analyze the maternal and perinatal characteristics of small-for-gestational-age (SGA) newborns compared with appropriate-for-gestational-age (AGA) newborns in singleton pregnancies managed at our hospital between January 2006 and December 2015. MATERIAL AND METHODS: The study (n=456) and control (n=4925) groups included pregnancies resulting in SGA and AGA newborns, respectively. Additionally, two SGA subgroups were defined according to abnormal (n=34) and normal (n=57) Doppler findings. Maternal demographic features; intracytoplasmic sperm injection (ICSI) pregnancies; gestational age at delivery; birth weight; major congenital anomalies, karyotype abnormalities, and genetic syndromes; maternal and obstetric problems such as hypertensive disorders, diabetes, oligohydramnios, preterm birth; admission to the neonatal intensive care unit (NICU), and perinatal mortality were recorded, and the two groups were compared with respect to these parameters. RESULTS: Mean maternal age, parity, gestational age at delivery, and birthweight were significantly lower; the frequencies of ICSI pregnancies, hypertensive disorders, oligohydramnios, preterm delivery, major congenital anomalies, karyotype abnormalities and genetic syndromes, admission to the NICU and perinatal mortality were significantly higher in the study group (p<0.05). None of the study parameters were significantly different between the two SGA subgroups (p>0.05). CONCLUSION: The association of SGA with ICSI pregnancies, hypertensive disorders, oligohydramnios, preterm delivery, congenital/chromosomal anomalies, NICU admission and perinatal mortality may be important in perinatal care. Clinical suspicion of SGA necessitates appropriate monitorization and management. Although obstetric outcomes were not significantly different between the two SGA subgroups with abnormal and normal Doppler findings in this study, this finding must be evaluated with caution due to the small sizes. Galenos Publishing 2017-06 2017-06-01 /pmc/articles/PMC5458442/ /pubmed/28490415 http://dx.doi.org/10.4274/jtgga.2016.0228 Text en ©Copyright 2017 by the Turkish-German Gynecological Education and Research Foundation http://creativecommons.org/licenses/by/2.5/ Journal of the Turkish-German Gynecological Association publishing by Galenos Publishing House. |
spellingShingle | Original Investigation Şahin Uysal, Nihal Gülümser, Çağrı Bilgin Yanık, Filiz Maternal and perinatal characteristics of small-for-gestational-age newborns: Ten-year experience of a single center |
title | Maternal and perinatal characteristics of small-for-gestational-age newborns: Ten-year experience of a single center |
title_full | Maternal and perinatal characteristics of small-for-gestational-age newborns: Ten-year experience of a single center |
title_fullStr | Maternal and perinatal characteristics of small-for-gestational-age newborns: Ten-year experience of a single center |
title_full_unstemmed | Maternal and perinatal characteristics of small-for-gestational-age newborns: Ten-year experience of a single center |
title_short | Maternal and perinatal characteristics of small-for-gestational-age newborns: Ten-year experience of a single center |
title_sort | maternal and perinatal characteristics of small-for-gestational-age newborns: ten-year experience of a single center |
topic | Original Investigation |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5458442/ https://www.ncbi.nlm.nih.gov/pubmed/28490415 http://dx.doi.org/10.4274/jtgga.2016.0228 |
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