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Outcome of fetuses with soft markers: results of 3016 cases in Ahvaz city

Background: Although soft markers may be seen as normal variants, they are important due to their association with chromosomal and congenital abnormalities. Methods: This cross-sectional descriptive-analytical study was done on 3016 women who referred for perinatal care. Fetuses with any of soft mar...

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Autores principales: Masihi, Sara, Barati, Mojgan, Karimi Moghaddam, Elham, Rezazadeh, Afshin, Ronaghi, Fatemeh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iran University of Medical Sciences 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111636/
https://www.ncbi.nlm.nih.gov/pubmed/33996655
http://dx.doi.org/10.47176/mjiri.35.4
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author Masihi, Sara
Barati, Mojgan
Karimi Moghaddam, Elham
Rezazadeh, Afshin
Ronaghi, Fatemeh
author_facet Masihi, Sara
Barati, Mojgan
Karimi Moghaddam, Elham
Rezazadeh, Afshin
Ronaghi, Fatemeh
author_sort Masihi, Sara
collection PubMed
description Background: Although soft markers may be seen as normal variants, they are important due to their association with chromosomal and congenital abnormalities. Methods: This cross-sectional descriptive-analytical study was done on 3016 women who referred for perinatal care. Fetuses with any of soft markers including thickened nuchal fold (TNF), mild pyelectasis (MP), choroid plexus cyst (CPC), single umbilical artery (SUA), mega cisterna magna (MCM) and mild ventriculomegaly (MVM) were followed during pregnancy and birth. Data analysis was carried out using SPSS for Windows (version 22). Data were analyzed using chi-square and T-test. A p-value <0.050 was considered statistically significant. Results: 285 (9.4%) fetuses with soft markers Including 148 (4.9%) fetuses with CPC, 118 (3.9%) fetuses with MP, 2 (0.1%,) fetuses with isolated TNF, 8 (0.3%) fetuses with isolated MVM, 4 (0.13%) fetuses with SUA, 4 (0.13%) fetuses with MCM were identified, and one fetus had TNF and MVM simultaneously. In cases with CPC, no abortion or major structural abnormalities were observed and all 148 neonates had normal phenotypes at birth. Among 118 cases with MP, one case had a major cardiac disorder, and 2 cases of abortions (1.7%) were reported (p=0.481). 83 cases (70.3%) were male and 35 cases (29.7%) were female (p=0.021) and all neonates had a normal phenotype. Both pregnancies with isolated TNF resulted in abortion. Of the 8 cases with isolated MVM, two cases had major structural abnormalities. 2 cases of abortion were reported and all infants had a normal phenotype. In one case, that fetus had TNF and MVM simultaneously. Amniocentesis showed no aneuploidy. No major structural abnormalities were observed in fetuses with SUA. One case of abortion was reported. Among the three births, two pre-term births were reported, and all three infants had normal phenotype. In four cases with MCM, no major structural abnormality was observed and all four neonates had normal phenotype. Conclusion: In cases without association with other structural abnormality, mothers who have fetuses with CPC or MP should be reassured that the pregnancy outcomes are generally favorable.
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spelling pubmed-81116362021-05-13 Outcome of fetuses with soft markers: results of 3016 cases in Ahvaz city Masihi, Sara Barati, Mojgan Karimi Moghaddam, Elham Rezazadeh, Afshin Ronaghi, Fatemeh Med J Islam Repub Iran Original Article Background: Although soft markers may be seen as normal variants, they are important due to their association with chromosomal and congenital abnormalities. Methods: This cross-sectional descriptive-analytical study was done on 3016 women who referred for perinatal care. Fetuses with any of soft markers including thickened nuchal fold (TNF), mild pyelectasis (MP), choroid plexus cyst (CPC), single umbilical artery (SUA), mega cisterna magna (MCM) and mild ventriculomegaly (MVM) were followed during pregnancy and birth. Data analysis was carried out using SPSS for Windows (version 22). Data were analyzed using chi-square and T-test. A p-value <0.050 was considered statistically significant. Results: 285 (9.4%) fetuses with soft markers Including 148 (4.9%) fetuses with CPC, 118 (3.9%) fetuses with MP, 2 (0.1%,) fetuses with isolated TNF, 8 (0.3%) fetuses with isolated MVM, 4 (0.13%) fetuses with SUA, 4 (0.13%) fetuses with MCM were identified, and one fetus had TNF and MVM simultaneously. In cases with CPC, no abortion or major structural abnormalities were observed and all 148 neonates had normal phenotypes at birth. Among 118 cases with MP, one case had a major cardiac disorder, and 2 cases of abortions (1.7%) were reported (p=0.481). 83 cases (70.3%) were male and 35 cases (29.7%) were female (p=0.021) and all neonates had a normal phenotype. Both pregnancies with isolated TNF resulted in abortion. Of the 8 cases with isolated MVM, two cases had major structural abnormalities. 2 cases of abortion were reported and all infants had a normal phenotype. In one case, that fetus had TNF and MVM simultaneously. Amniocentesis showed no aneuploidy. No major structural abnormalities were observed in fetuses with SUA. One case of abortion was reported. Among the three births, two pre-term births were reported, and all three infants had normal phenotype. In four cases with MCM, no major structural abnormality was observed and all four neonates had normal phenotype. Conclusion: In cases without association with other structural abnormality, mothers who have fetuses with CPC or MP should be reassured that the pregnancy outcomes are generally favorable. Iran University of Medical Sciences 2021-01-07 /pmc/articles/PMC8111636/ /pubmed/33996655 http://dx.doi.org/10.47176/mjiri.35.4 Text en © 2021 Iran University of Medical Sciences https://creativecommons.org/licenses/by-nc-sa/1.0/This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial-ShareAlike 1.0 License (CC BY-NC-SA 1.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Masihi, Sara
Barati, Mojgan
Karimi Moghaddam, Elham
Rezazadeh, Afshin
Ronaghi, Fatemeh
Outcome of fetuses with soft markers: results of 3016 cases in Ahvaz city
title Outcome of fetuses with soft markers: results of 3016 cases in Ahvaz city
title_full Outcome of fetuses with soft markers: results of 3016 cases in Ahvaz city
title_fullStr Outcome of fetuses with soft markers: results of 3016 cases in Ahvaz city
title_full_unstemmed Outcome of fetuses with soft markers: results of 3016 cases in Ahvaz city
title_short Outcome of fetuses with soft markers: results of 3016 cases in Ahvaz city
title_sort outcome of fetuses with soft markers: results of 3016 cases in ahvaz city
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111636/
https://www.ncbi.nlm.nih.gov/pubmed/33996655
http://dx.doi.org/10.47176/mjiri.35.4
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