Correlation of Anxiety and Uterine Artery Doppler Flow in Pregnant Women with High Risk of Down syndrome: A Prospective Cohort Study

Shirazi, Mahboobeh; Torkzaban, Mehnoosh; ghaemi, Marjan; Moshfeghi, Maryam; Shirazi, Mahmoud; Emadzadeh, Maryam; Ahmadi, Lida; Mirzaeian, Sara

doi:10.21203/rs.3.rs-39241/v1

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…The increased Doppler indices observed in this study could be attributed to a number of factors discussed in the international literature. Stress hormone levels 34,35 and transient changes in maternal hormone concentrations 14 14 in uence uterine blood ow parameters. The current study found that PI and RI levels were higher in MR pregnant sheep than in LR pregnant sheep.…”

Section: Discussionmentioning

confidence: 99%

Noninvasive uterine and umbilical blood flow changes and variates the expressions of angiogenic proteins and fetal growth: Behavioral study in pregnant Ossimi sheep

Elmetwally,

Adlan,

Samy

et al. 2024

Preprint

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The objective of this prospective study was to investigate whether Doppler- and B-mode sonography could be used to assess a possible influence of maternal temperament on fetal and pregnancy-related endpoints in sheep during pregnancy. On the basis of behavioral testing related to an anxiety-eliciting stimulus (arena test), 20 sheep were divided into two groups, namely more reactive/anxious (MR: 12 sheep) and less reactive/anxious (LR: 8 sheep). After mating, several endpoints were assessed by transrectal and/or transabdominal ultrasonography every 2 weeks (wk) from breeding to wk 20 of pregnancy and blood samples were taken to evaluate the expression of angiogenic proteins at parturition. Gestational length, fetal weight and fetal numbers were also investigated. The resistance index (RI), as well as the pulsatility index (PI) of the uterine (UtA) and the fetal umbilical arteries (UMA), were measured with non-invasive Doppler sonography. Further parameters were measured with B-mode ultrasonography: diameter of amniotic vesicles (AVD; only wk 2–8), umbilicus (UMD), fetal chest (FCHD), and metacarpal length (MCL). The UtA-PI was significantly higher in MR compared to LR ewes at pregnancy between 6–12 wks (P > 0.01), while a tendency was recognized at wk 14 (P = 0.054). The same was true for UtA-RI during the first 8 wk of pregnancy (P < 0.03) when MR and LR animals were compared. Similarly, UMA-RI was higher in fetuses of MR than LR ewes at wk 14 (P < 0.0003) and 20 (P < 0.02) of pregnancy. The differences in UMA-PI reached significance at wk 6, 8, 10, and 20 (P < 0.05–0.003). Furthermore, AVD (P < 0.03, wk 2–8), FCHD (P < 0.002, wk 8–18) as well as the UMD (P < 0.054, wk 8–18) were higher in LR than MR pregnant ewes. A significant variation in the gestational length, fetal weight and fetal numbers were recorded. The expressions of VEGF, NOS3 and VEGFR1 protein genes was increased in the less reactive sheep (P < 0.001). In conclusion, using Doppler- and B-mode sonography, the effects of maternal temperament on fetal growth, as well as maternal and umbilical blood flow in sheep could be successfully demonstrated. The maternal anxiety affects the expression of mRNAs for VEGF, NOS3 and HIF 1α at time of parturition.

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Section: Discussionmentioning

confidence: 99%

Noninvasive uterine and umbilical blood flow changes and variates the expressions of angiogenic proteins and fetal growth: Behavioral study in pregnant Ossimi sheep

Elmetwally,

Adlan,

Samy

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

The Impact of Maternal Anxiety on Uterine, Umbilical Arteries Doppler Indices and Fetal growth during the second half of Ossimi pregnant sheep

Elmetwally,

Adlan,

Samy

et al. 2024

Preprint

View full text Add to dashboard Cite

The objective of this prospective study was to investigate whether Doppler- and B-mode sonography could be used to assess a possible influence of maternal temperament on fetal and pregnancy-related endpoints in sheep during pregnancy. On the basis of behavioral testing related to an anxiety-eliciting stimulus (arena test), 20 sheep were divided into two groups, namely more reactive/anxious (MR: 12 sheep) and less reactive/anxious (LR: 8 sheep). After mating, several endpoints were assessed by transrectal and/or transabdominal ultrasonography every 2 weeks (wk) from breeding to wk 20 of pregnancy and blood samples were taken to evaluate the expression of angiogenic proteins at parturition. Gestational length, fetal weight and fetal numbers were also investigated. The resistance index (RI), as well as the pulsatility index (PI) of the uterine (UtA) and the fetal umbilical arteries (UMA), were measured with non-invasive Doppler sonography. Further parameters were measured with B-mode ultrasonography: diameter of amniotic vesicles (AVD; only wk 2–8), umbilicus (UMD), fetal chest (FCHD), and metacarpal length (MCL). The UtA-PI was significantly higher in MR compared to LR ewes at pregnancy between 6–12 wks (P > 0.01), while a tendency was recognized at wk 14 (P = 0.054). The same was true for UtA-RI during the first 8 wk of pregnancy (P < 0.03) when MR and LR animals were compared. Similarly, UMA-RI was higher in fetuses of MR than LR ewes at wk 14 (P < 0.0003) and 20 (P < 0.02) of pregnancy. The differences in UMA-PI reached significance at wk 6, 8, 10, and 20 (P < 0.05–0.003). Furthermore, AVD (P < 0.03, wk 2–8), FCHD (P < 0.002, wk 8–18) as well as the UMD (P < 0.054, wk 8–18) were higher in LR than MR pregnant ewes. A significant variation in the gestational length, fetal weight and fetal numbers were recorded. The expression of VEGF, NOS3 and VEGFR1 was increased in the less reactive sheep (P < 0.001). In conclusion, using Doppler- and B-mode sonography, the effects of maternal temperament on fetal growth, as well as maternal and umbilical blood flow in sheep and goats could be successfully demonstrated. The maternal anxiety affects the expression of mRNAs for VEGF, NOS3 and HIF 1α at time of parturition.

show abstract

Correlation of Anxiety and Uterine Artery Doppler Flow in Pregnant Women with High Risk of Down syndrome: A Prospective Cohort Study

Cited by 2 publications

References 25 publications

Noninvasive uterine and umbilical blood flow changes and variates the expressions of angiogenic proteins and fetal growth: Behavioral study in pregnant Ossimi sheep

Noninvasive uterine and umbilical blood flow changes and variates the expressions of angiogenic proteins and fetal growth: Behavioral study in pregnant Ossimi sheep

The Impact of Maternal Anxiety on Uterine, Umbilical Arteries Doppler Indices and Fetal growth during the second half of Ossimi pregnant sheep

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