Perinatal outcome in cases of isolated single umbilical artery and its effects on neonatal cord blood gas indices. (October 2014)

• Record Type: Journal Article
• Authors: Doğan, S.; Özyüncü, Ö.; Atak, Z.; Turgal, M.
• Is Part Of: Journal of obstetrics and gynaecology. Volume 34:Number 7(2014)
• Page Start: 576
• Page End: 579
• Publication Date: 2014-10
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; 618.05
• DOI: 10.3109/01443615.2014.919578
• Languages: English
• ISSNs: 0144-3615

Abstract

<abstract> <title>Abstract</title> <p>We aimed to evaluate perinatal outcomes and blood gas indices of isolated single umbilical artery (SUA). In this retrospective study, 134 fetuses with SUA were evaluated. A total of 77 (57.4%) fetuses with isolated SUA (iSUA) were compared with maternal age-matched 95 fetuses with double umbilical arteries (DUA), with respect to pregnancy outcome and umbilical cord blood gas indices. The incidence of SUA in our cohort was 1.04%. Patients with iSUA had lower neonatal birth weight compared with the control group (2, 635 ± 972 g vs 2, 991 ± 669 g; <italic>p</italic> = 0.009). Small for gestational age (SGA) frequency was higher in the group of iSUA when compared with fetuses with DUA (17.4% vs 5.4%; <italic>p</italic> = 0.03). Regarding the umbilical cord blood gas, the parameters were comparable between the two groups. SUA has a favourable obstetric outcome as long as the accompanying malformations are ruled out. Furthermore, neonatal cord blood gas parameters in fetuses with iSUA do not differ from fetuses with DUA.</p> </abstract>