Is there a relationship between high birth weight and umbilical vein diameter?

Tutuş, Şadan; Asal, Neşe; Uysal, Gülsüm; Sahin, Hatice Kubra

doi:10.1080/14767058.2020.1814247

Cited by 5 publications

(3 citation statements)

References 21 publications

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“…The umbilical cord's dimensions are a significant indicators of the integrity and functioning of the umbilical cord's ultrastructure. It might also represent its capacity to provide crucial assistance for a fetus that is rapidly growing [14]. This is in agreement with another study which reported that umbilical cord diameter has a strong linear relationship with generally used parameters for the estimation of fetus's gestational age and can be used as a dependable technique to evaluate fetal development and prediction of gestational age [15].…”

Section: Resultssupporting

confidence: 86%

Relationship between Sonographic Umbilical cord Diameter and Gestational Age in Third Trimester of Pregnancy

ALdabouly

Namori

Omar

et al. 2021

JAMMR

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Background: Throughout the fourth week of embryonic development the umbilical cord (UC) is formed, which corresponds to the fifth to the twelfth weeks of gestation. Fetuses with intrauterine growth restriction (IUGR) have leaner UCs than fetuses of appropriate gestational age do, and the caliber of the umbilical vein decreases significantly, resulting in a worsening of the Doppler parameters of the umbilical artery in the mother. The goal of this study was to evaluate the significance of sonographic UC diameter in determining gestational age in third trimester in pregnant women. Methods: We conducted a comparative cross-sectional research on 300 pregnant women aged range between (20-35) years, singleton gestation, gestational age (3rd) trimester estimated from antenatal mothers last menstrual period (LMP), viable fetus, presenting to obstetrics and gynecology department at Tanta university hospital. Results: Highly statistically significant positive correlation between UC diameter and gestational age, BPD, FL, AC, AFI, and estimated fetal weight was found. The increase in UC diameter was positively and significantly correlated with the increase in gestational age and estimated fetal weight, indicating that those who have prolonged gestational age and estimated fetal weight are more likely to have wider UC diameter. Conclusions: The UC diameter (UCD) has the potential to be a valuable indicator of fetal growth, well-being, and perinatal outcome. Sonographic measurement of UC diameter could be an efficient method of measuring fetal growth and predicting gestational age (GA), particularly between 28-40 weeks GA. It is possible that abnormal UC diameter can be a strong indicator to identify antenatal mothers at risk for IUFD and poor fetal outcomes.

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Section: Resultssupporting

confidence: 86%

Relationship between Sonographic Umbilical cord Diameter and Gestational Age in Third Trimester of Pregnancy

ALdabouly

Namori

Omar

et al. 2021

JAMMR

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“…As the umbilical vein diameter decreases in these 20-24 weeks, the estimated fetal birth weight increases. [16] Köflüfl et al examined ultrasonographic umbilical artery and umbilical vein diameters of 720 low-risk pregnant women between 20th and 40th weeks of gestation. Moreover, they compared these measurements to the fetal biometry and predicted fetal weights.…”

Section: Discussionmentioning

confidence: 99%

The relationship between umbilical cord measurements and newborn outcomes

Soysal¹,

Şişman²,

Bıyık³

et al. 2021

Perinatal J

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Objective This study investigated the relationship between umbilical vein diameter and cord length and fetal outcome in low-risk pregnancies (fetuses appropriate for gestational age [AGA]). Methods A prospective cohort study of 39 singleton pregnant women aged 19–44 years at between 38+0 and 41+6 weeks of gestation was conducted. Case demographics, umbilical vein diameter measured by prenatal ultrasound, postnatal birth weight, gender, 1- and 5-minute Apgar scores, blood gas analysis, and umbilical cord length were recorded. Fetuses with a fetal weight in the 10–90th percentile according to week of gestation were accepted as AGA. Results The mean age of the pregnant women was 27.5±5.3 years. 33% (13/39) of the pregnant women were nulliparous. There was no statistically significant correlation between umbilical vein diameter and other variables in correlation analysis (p>0.050). Umbilical cord length and umbilical vein lactate level were found to have a statistically negative and significant correlation (r=-0.418; p=0.015); however, no other pregnancy outcomes were found to have a significant correlation. There was no statistically significant difference between the median values of umbilical vein diameter and cord length by gender (p=0.076 and 0.181, respectively). Conclusion In conclusion, this study found no relationship between umbilical vein diameter and cord length and fetal weight and pregnancy outcome in low-risk 38.0–41.6-week pregnancies (AGA fetuses). However, the obtained results still need to be confirmed by larger series.

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“…(2) Second, researchers such as Fatihoglu and Parra-Saavedra used umbilical vein flow to predict the occurrence of SGA ( 27 , 28 ). (3) In the third trimester of pregnancy, the predictive value of foetal umbilical vein blood flow parameters for LGA has also received obstetric attention ( 29 , 30 ). This study took a different perspective, focusing primarily on the relationship between Quv and foetal weight, as well as weight gain, in normally developing foetuses during late pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Value of foetal umbilical vein standardised blood flow volume in predicting weight gain in the third trimester: a prospective case-cohort study

Fang,

Shi,

Zhang

et al. 2024

Front. Pediatr.

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ObjectiveThis study aims to establish a prediction model of foetal umbilical vein standardised blood flow volume (sQuv) on estimated foetal weight (EFW) in the third trimester.MethodsA case-cohort study involving 200 eligible normal foetuses was conducted at the Ultrasound Department of Longquanyi District of Maternity and Child Healthcare Hospital between June 1, 2020 and December 31, 2021. Ultrasound measurements were taken at two separate intervals to assess EFW and the rate of EFW (rEFW) [first: between 28 w and 33 w6d of gestational age (GA); second: after 4–6 weeks]. Umbilical vein blood flow volume (Quv) and sQuv (normalised with EFW) were calculated only during the initial measurement. Using general linear regression, a prediction model for EFW based on GA and sQuv was developed, with the gestational week employed as a calibration scalar and validated using linear regression cross-validation.ResultsIn the third trimester, EFW exhibited significant correlations with GA, abdominal circumference (AC), head circumference (HC) and Quv (all ρ > 0.6, P < 0.001). Furthermore, the rEFW showed significant correlations with Quv and sQuv (all ρ > 0.6, P < 0.001). A linear regression equation was established using a general linear regression model: rEFW = 0.32689 × sQuv. Additionally, a foetal weight prediction model (EFW = −2,554.6770 + 0.9655 × sQuv + 129.6916 × GA) was established using sQuv. The above two formulas were cross-validated by intra-group linear regression and proved to be of good efficacy.ConclusionsIn the third trimester, EFW displayed significant correlations with GA, AC, HC and Quv. Additionally, the rEFW exhibited significant correlations with Quv and sQuv. The sQuv during the third trimester has predictive value for foetal weight, serving as an early warning indicator.

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Is there a relationship between high birth weight and umbilical vein diameter?

Cited by 5 publications

References 21 publications

Relationship between Sonographic Umbilical cord Diameter and Gestational Age in Third Trimester of Pregnancy

Relationship between Sonographic Umbilical cord Diameter and Gestational Age in Third Trimester of Pregnancy

The relationship between umbilical cord measurements and newborn outcomes

Value of foetal umbilical vein standardised blood flow volume in predicting weight gain in the third trimester: a prospective case-cohort study

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