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Published on: September 5, 2011
Perinatal outcomes in singleton pregnancies with a single umbilical artery
Mariña Naveiro-Fuentes1, María Paz Carrillo-Badillo1, Javier Malde-Conde1
1a Department of Gynecology and Obstetrics , Virgen de las Nieves University Hospital , Granada , Spain.
Objective:
To analyze perinatal outcomes in singleton pregnancies with a single umbilical artery (SUA) as an isolated finding with no other underlying disorders.
Methods:
This retrospective observational study compared a group of pregnancies with SUA (n = 127) and a group with a normal 3-vessel umbilical cord (n = 27 752). The study variables comprised maternal and obstetric characteristics and perinatal outcomes.
Results:
The frequency of SUA was 0.45%. Pregnancies with SUA ended more frequently with cesarean delivery, and had a higher risk that the indication for cesarean delivery was non-reassuring fetal heart rate (NRFHR). Neonates in the SUA group had a lower weight for gestational age, and a higher risk of low umbilical cord blood pH.
Conclusion:
Obstetricians should monitor fetal growth closely in pregnancies with SUA, and be alert to NRFHR during labor and delivery.
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