Reference values for placental growth factor (PlGF) concentration and uterine artery doppler pulsatility index (PI) at 11-13(+6) weeks of gestation in the Polish population

The aim of the study was to determine placental growth factor (PIGF) concentration and uterine artery (UtA) Doppler pulsatility index (PI) at 11-13(+6) weeks of gestation in the Polish population. A prospective study was performed in pregnant women who underwent routine ultrasound scan at 11-13(+6)...

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Veröffentlicht in:Ginekologia polska 2014-07, Vol.85 (7), p.488-493
Hauptverfasser: Kosiński, Przemysław, Samaha, Robert Brawura Biskupski, Bomba-Opoń, Dorota A, Kozłowski, Szymon, Lipa, Michał, Kaczyński, Bartosz, Zbucka-Kretowska, Monika, Lawicki, Sławomir, Szmitkowski, Maciej, Wolczyński, Sławomir, Wielgoś, Mirosław
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container_end_page 493
container_issue 7
container_start_page 488
container_title Ginekologia polska
container_volume 85
creator Kosiński, Przemysław
Samaha, Robert Brawura Biskupski
Bomba-Opoń, Dorota A
Kozłowski, Szymon
Lipa, Michał
Kaczyński, Bartosz
Zbucka-Kretowska, Monika
Lawicki, Sławomir
Szmitkowski, Maciej
Wolczyński, Sławomir
Wielgoś, Mirosław
description The aim of the study was to determine placental growth factor (PIGF) concentration and uterine artery (UtA) Doppler pulsatility index (PI) at 11-13(+6) weeks of gestation in the Polish population. A prospective study was performed in pregnant women who underwent routine ultrasound scan at 11-13(+6) weeks of gestation. All participants completed a questionnaire about their medical history demographics and current pregnancy. Mean arterial pressure (MAP) was calculated. Gestational age was confirmed by CRL and mean UtA PI was calculated. Blood samples were taken to measure beta HCG, PAPP-A and P/GF concentrations. Out of the 577 analyzed participants, 60 (10.4%) were found to have abnormal placentation disorders (20 -hypertensive disorders and 40-IUGR). The patients were subdivided into two groups, depending on pregnancy outcome: unaffected (n = 517) and affected (n = 60). The study did not confirm the anticipated correlation between maternal BMI and PIGF, but the concentration of PIGF was significantly increased in smokers. UtA PI values were not statistically significantly different depending on maternal age, BMI, method of conception, smoking or parity The study confirms that both, UtA PI and PIGF concentrations are CRL-dependent. Median MoM values for PIGF and UtA PI were obtained for each set of CRL measurements. Median PIGF MoM was decreased in pregnancies complicated by hypertensive disorders and IUGR as compared to the unaffected group. The established reference ranges for UtA PI and PIGF at 11-13(+6) weeks of gestation may be of clinical value in predicting placenta-associated diseases in early stages of pregnancy in the Polish population.
doi_str_mv 10.17772/gp/1758
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Samaha, Robert Brawura Biskupski ; Bomba-Opoń, Dorota A ; Kozłowski, Szymon ; Lipa, Michał ; Kaczyński, Bartosz ; Zbucka-Kretowska, Monika ; Lawicki, Sławomir ; Szmitkowski, Maciej ; Wolczyński, Sławomir ; Wielgoś, Mirosław</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-32bef6b1058ff6d1eead044e2a6f0a35d6e1c8bb45d7cb373563b286ebb924903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Arterial Pressure - physiology</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Male</topic><topic>Maternal Age</topic><topic>Placenta Growth Factor</topic><topic>Poland</topic><topic>Pre-Eclampsia - blood</topic><topic>Pre-Eclampsia - diagnosis</topic><topic>Pre-Eclampsia - diagnostic imaging</topic><topic>Predictive Value of Tests</topic><topic>Pregnancy</topic><topic>Pregnancy Proteins - blood</topic><topic>Pregnancy Trimester, First - blood</topic><topic>Pregnancy Trimester, First - physiology</topic><topic>Prospective Studies</topic><topic>Pulsatile Flow</topic><topic>Reference Values</topic><topic>Ultrasonography, Prenatal</topic><topic>Uterine Artery - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kosiński, Przemysław</creatorcontrib><creatorcontrib>Samaha, Robert Brawura Biskupski</creatorcontrib><creatorcontrib>Bomba-Opoń, Dorota A</creatorcontrib><creatorcontrib>Kozłowski, Szymon</creatorcontrib><creatorcontrib>Lipa, Michał</creatorcontrib><creatorcontrib>Kaczyński, Bartosz</creatorcontrib><creatorcontrib>Zbucka-Kretowska, Monika</creatorcontrib><creatorcontrib>Lawicki, Sławomir</creatorcontrib><creatorcontrib>Szmitkowski, Maciej</creatorcontrib><creatorcontrib>Wolczyński, Sławomir</creatorcontrib><creatorcontrib>Wielgoś, Mirosław</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Ginekologia polska</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kosiński, Przemysław</au><au>Samaha, Robert Brawura Biskupski</au><au>Bomba-Opoń, Dorota A</au><au>Kozłowski, Szymon</au><au>Lipa, Michał</au><au>Kaczyński, Bartosz</au><au>Zbucka-Kretowska, Monika</au><au>Lawicki, Sławomir</au><au>Szmitkowski, Maciej</au><au>Wolczyński, Sławomir</au><au>Wielgoś, Mirosław</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reference values for placental growth factor (PlGF) concentration and uterine artery doppler pulsatility index (PI) at 11-13(+6) weeks of gestation in the Polish population</atitle><jtitle>Ginekologia polska</jtitle><addtitle>Ginekol Pol</addtitle><date>2014-07</date><risdate>2014</risdate><volume>85</volume><issue>7</issue><spage>488</spage><epage>493</epage><pages>488-493</pages><issn>0017-0011</issn><abstract>The aim of the study was to determine placental growth factor (PIGF) concentration and uterine artery (UtA) Doppler pulsatility index (PI) at 11-13(+6) weeks of gestation in the Polish population. 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UtA PI values were not statistically significantly different depending on maternal age, BMI, method of conception, smoking or parity The study confirms that both, UtA PI and PIGF concentrations are CRL-dependent. Median MoM values for PIGF and UtA PI were obtained for each set of CRL measurements. Median PIGF MoM was decreased in pregnancies complicated by hypertensive disorders and IUGR as compared to the unaffected group. The established reference ranges for UtA PI and PIGF at 11-13(+6) weeks of gestation may be of clinical value in predicting placenta-associated diseases in early stages of pregnancy in the Polish population.</abstract><cop>Poland</cop><pmid>25118498</pmid><doi>10.17772/gp/1758</doi><tpages>6</tpages></addata></record>
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source MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals
subjects Adult
Arterial Pressure - physiology
Female
Gestational Age
Humans
Male
Maternal Age
Placenta Growth Factor
Poland
Pre-Eclampsia - blood
Pre-Eclampsia - diagnosis
Pre-Eclampsia - diagnostic imaging
Predictive Value of Tests
Pregnancy
Pregnancy Proteins - blood
Pregnancy Trimester, First - blood
Pregnancy Trimester, First - physiology
Prospective Studies
Pulsatile Flow
Reference Values
Ultrasonography, Prenatal
Uterine Artery - diagnostic imaging
title Reference values for placental growth factor (PlGF) concentration and uterine artery doppler pulsatility index (PI) at 11-13(+6) weeks of gestation in the Polish population
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