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Obstetric morbidity associated with amniotic sheets.

L D Nelson1, W A Grobman

  • 1Department of Obstetrics and Gynecology, Northwestern University, Chicago, IL 60611, USA. zpde12@bellsouth.net

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
|February 5, 2010
PubMed
Summary
This summary is machine-generated.

Amniotic sheets detected during pregnancy are linked to increased risks for mothers and newborns. This includes higher rates of obstetric complications and neonatal issues like low birth weight and NICU admission.

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Area of Science:

  • Perinatal medicine
  • Obstetrics and Gynecology
  • Fetal imaging

Background:

  • Amniotic sheets are a common finding during second-trimester ultrasounds.
  • The clinical significance of amniotic sheets regarding maternal and neonatal outcomes is not fully understood.

Purpose of the Study:

  • To investigate the association between amniotic sheets and obstetric and neonatal morbidity.

Main Methods:

  • A retrospective cohort study design was employed.
  • Women with diagnosed amniotic sheets (cases) were compared to women without (controls).
  • Maternal and neonatal data were extracted from medical records for comparison.

Main Results:

  • Women with amniotic sheets had significantly higher composite obstetric morbidity (21.3% vs. 8.2%).
  • Neonates born to mothers with amniotic sheets were more likely to have low birth weight (<2500g) and require neonatal intensive care unit admission.
  • No perinatal deaths were observed in either group.

Conclusions:

  • Amniotic sheets are associated with an increased risk of adverse obstetric and neonatal outcomes.
  • The findings suggest closer monitoring may be warranted for pregnancies with diagnosed amniotic sheets.