Evaluation of the Caval aortic index in fetal growth restriction: A case–control study in a tertiary center

Denizli R., TANAÇAN A., Sakcak B., Farisoğulları N., Ağaoğlu Z., TURGUT E., ...Daha Fazla

International Journal of Gynecology and Obstetrics, cilt.163, sa.1, ss.186-193, 2023 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 163 Sayı: 1
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1002/ijgo.14808
  • Dergi Adı: International Journal of Gynecology and Obstetrics
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Gender Studies Database, Public Affairs Index
  • Sayfa Sayıları: ss.186-193
  • Anahtar Kelimeler: aortic diameter, Caval aortic index, fetal growth rate, inferior vena cava diameter, inferior vena cava, aortic index
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: To examine the inferior vena cava (IVC) diameter, aortic diameter, and caval aortic index in fetuses with growth restriction and to compare the findings with fetuses from uncomplicated pregnancies at similar gestational weeks. Methods: This prospective study was conducted with a total of 176 pregnant women. According to the diagnostic criteria, 84 pregnancies diagnosed with fetal growth restriction (FGR) were compared with a control group of 92 uncomplicated pregnancies at similar gestational weeks. Results: The aortic and IVC diameter values were significantly lower in the FGR group (P < 0.001), whereas the caval aortic index was similar between the two groups. The examination of the ultrasound parameters of the cases with FGR according to the neonatal intensive care requirement revealed similar aortic diameter and caval aortic index values but a significantly smaller IVC diameter in the cases requiring neonatal intensive care (P = 0.022). Conclusion: We determined that the aortic and IVC diameter values were smaller in the fetuses with growth restriction, but the caval aortic index was similar in the two groups. The measurement of the IVC diameter in FGR may be useful in predicting the neonatal intensive care requirements of these fetuses.