Placental Volume of the First Trimester and Pregnancy Outcomes

Activity: Talk or presentation types › Poster presentation

Description

Identify correlations between placental volume in the 1st trimester and pregnancy outcomes. Compare the intraobserver agreement in the measurements of placental volume.. This prospective cohort study was undertaken at the Prenatal Diagnostic Clinic of the Riga Maternity Hospital between Januarry 2021 and May 2022. Unselected Women with singleton pregnancies presenting for the first trimester screening between 11 and 13 weeks were included. All scans were carried out by a speciallist and saved for offline evaluation. All ultrasound examinations were performed by abdominal ultrasonography. The Virtual Organ Computer-aided Analysis technique was used to analyze all stored volumes off-line by one ultrasound specialist and 6th year medicine student. Normal placental volume was considered if between 10th and 90th percentiles. Information regarding the delivery details was collected from the maternity hospital databases. Statistical analysis involved descriptive statistics and inferential statistics. The significance level to reject the null hypothesis was fixed as p ≤ .05. . This study included 123 pregnante women. Pregnancies associated with placental volume above the 90th percentile showed a statistically significant proportion with large for gestational age fetuses, p = 0.009. Women with placental volume in the first trimester was above the 90th percentile showed a borderline significant proportion with macrosomia cases, p = .049. Women, which placental volume in the first trimester was below the 10th percentile had the newborn with statistically significant lower birthweight, p = .003. Inter-observer agreement shows the interclass correlation of 0.894 (good agreement).. This study found the association between placental volume above 90th percentile and macrosomia and large gestational fetuses. Placental volume below 10th percentile resulted in lower birthweight. However measurements for placental volume in the first trimester were not sufficient to establish a great association with fetal growth restriction or preeclampsia
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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