The relationship between cardiac adaptation to uteroplacental Doppler flow and perinatal outcome in pregnant women with diabetes
Diabetes is a metabolic disorder that complicates pregnancy. Early detection of patients at risk of developing complications is particularly important. Failure of normal cardiovascular adaptation that takes place in pregnancy has been associated with poor perinatal outcome in preeclamptic patients....
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| Veröffentlicht in: | Clinical and experimental obstetrics & gynecology 2010, Vol.37 (1), p.39-42 |
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| container_title | Clinical and experimental obstetrics & gynecology |
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| creator | Parlakgumus, H A Durukan, T |
| description | Diabetes is a metabolic disorder that complicates pregnancy. Early detection of patients at risk of developing complications is particularly important. Failure of normal cardiovascular adaptation that takes place in pregnancy has been associated with poor perinatal outcome in preeclamptic patients. The aim of this study was to investigate if complications were higher in diabetic patients with cardiac maladaptation. Fetal, uteroplacental Doppler and echocardiographic examinations were performed once in the second and third trimesters in diabetic and healthy pregnant patients. Physiological cardiac hypertrophy was apparent in healthy patients. This, although within normal limits, was less prominent in patients with diabetes. The majority of patients were found to have normal Doppler waveforms. The abnormal uteroplacental flow group consisted almost entirely of patients with pregestational diabetes, especially type I diabetes. Neonatal complications were most common in this group. No relationship was found between echocardiographic findings, Doppler waveforms and poor perinatal outcome. |
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Early detection of patients at risk of developing complications is particularly important. Failure of normal cardiovascular adaptation that takes place in pregnancy has been associated with poor perinatal outcome in preeclamptic patients. The aim of this study was to investigate if complications were higher in diabetic patients with cardiac maladaptation. Fetal, uteroplacental Doppler and echocardiographic examinations were performed once in the second and third trimesters in diabetic and healthy pregnant patients. Physiological cardiac hypertrophy was apparent in healthy patients. This, although within normal limits, was less prominent in patients with diabetes. The majority of patients were found to have normal Doppler waveforms. The abnormal uteroplacental flow group consisted almost entirely of patients with pregestational diabetes, especially type I diabetes. Neonatal complications were most common in this group. No relationship was found between echocardiographic findings, Doppler waveforms and poor perinatal outcome.</description><identifier>ISSN: 0390-6663</identifier><identifier>PMID: 20420280</identifier><language>eng</language><publisher>Canada</publisher><subject>Adaptation, Physiological ; Adult ; Blood Pressure - physiology ; Case-Control Studies ; Cesarean Section - statistics & numerical data ; Diabetes, Gestational - physiopathology ; Diastole - physiology ; Echocardiography, Doppler ; Female ; Fetal Growth Retardation - epidemiology ; Heart - physiopathology ; Humans ; Hyperbilirubinemia, Neonatal - epidemiology ; Placenta - blood supply ; Placenta - diagnostic imaging ; Pregnancy ; Pregnancy Complications, Cardiovascular - physiopathology ; Pregnancy in Diabetics - physiopathology ; Pregnancy Trimester, First ; Pregnancy Trimester, Third ; Premature Birth - epidemiology ; Prospective Studies ; Pulse ; Regional Blood Flow - physiology ; Stroke Volume - physiology ; Systole - physiology ; Ultrasonography, Doppler ; Ultrasonography, Prenatal ; Uterus - blood supply ; Uterus - diagnostic imaging ; Vascular Resistance - physiology ; Ventricular Function, Left - physiology</subject><ispartof>Clinical and experimental obstetrics & gynecology, 2010, Vol.37 (1), p.39-42</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,4012</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20420280$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parlakgumus, H A</creatorcontrib><creatorcontrib>Durukan, T</creatorcontrib><title>The relationship between cardiac adaptation to uteroplacental Doppler flow and perinatal outcome in pregnant women with diabetes</title><title>Clinical and experimental obstetrics & gynecology</title><addtitle>Clin Exp Obstet Gynecol</addtitle><description>Diabetes is a metabolic disorder that complicates pregnancy. Early detection of patients at risk of developing complications is particularly important. Failure of normal cardiovascular adaptation that takes place in pregnancy has been associated with poor perinatal outcome in preeclamptic patients. The aim of this study was to investigate if complications were higher in diabetic patients with cardiac maladaptation. Fetal, uteroplacental Doppler and echocardiographic examinations were performed once in the second and third trimesters in diabetic and healthy pregnant patients. Physiological cardiac hypertrophy was apparent in healthy patients. This, although within normal limits, was less prominent in patients with diabetes. The majority of patients were found to have normal Doppler waveforms. The abnormal uteroplacental flow group consisted almost entirely of patients with pregestational diabetes, especially type I diabetes. Neonatal complications were most common in this group. No relationship was found between echocardiographic findings, Doppler waveforms and poor perinatal outcome.</description><subject>Adaptation, Physiological</subject><subject>Adult</subject><subject>Blood Pressure - physiology</subject><subject>Case-Control Studies</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Diabetes, Gestational - physiopathology</subject><subject>Diastole - physiology</subject><subject>Echocardiography, Doppler</subject><subject>Female</subject><subject>Fetal Growth Retardation - epidemiology</subject><subject>Heart - physiopathology</subject><subject>Humans</subject><subject>Hyperbilirubinemia, Neonatal - epidemiology</subject><subject>Placenta - blood supply</subject><subject>Placenta - diagnostic imaging</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Cardiovascular - physiopathology</subject><subject>Pregnancy in Diabetics - physiopathology</subject><subject>Pregnancy Trimester, First</subject><subject>Pregnancy Trimester, Third</subject><subject>Premature Birth - epidemiology</subject><subject>Prospective Studies</subject><subject>Pulse</subject><subject>Regional Blood Flow - physiology</subject><subject>Stroke Volume - physiology</subject><subject>Systole - physiology</subject><subject>Ultrasonography, Doppler</subject><subject>Ultrasonography, Prenatal</subject><subject>Uterus - blood supply</subject><subject>Uterus - diagnostic imaging</subject><subject>Vascular Resistance - physiology</subject><subject>Ventricular Function, Left - physiology</subject><issn>0390-6663</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1ULtOxDAQTAHijoNfQO6oIjm241xKdDylk2iOOtrEG87IsY3tKKLj0zGvYjWrmdGsdk6KNeUtLaWUfFWcx_hGqRCNrM6KFaOCUbal6-LzcEQS0EDSzsaj9qTHtCBaMkBQGgYCCnz6kUlyZE4YnDcwoE1gyK3z3mAgo3ELAauIx6AtfEtuToObkGhLfMBXCzaRJROWLDodSc7OlzBeFKcjmIiXf7gpXu7vDrvHcv_88LS72ZeeVTSVNWtHJlXLGJVjfkLyvmLNyBpQomozw7coqh4V5TxPJRrVgsz7yOqhZ8A3xfVvrg_ufcaYuknHAY0Bi26OXcM5qxsu6uy8-nPO_YSq80FPED66_9L4F8laaa0</recordid><startdate>2010</startdate><enddate>2010</enddate><creator>Parlakgumus, H A</creator><creator>Durukan, T</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>2010</creationdate><title>The relationship between cardiac adaptation to uteroplacental Doppler flow and perinatal outcome in pregnant women with diabetes</title><author>Parlakgumus, H A ; 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Early detection of patients at risk of developing complications is particularly important. Failure of normal cardiovascular adaptation that takes place in pregnancy has been associated with poor perinatal outcome in preeclamptic patients. The aim of this study was to investigate if complications were higher in diabetic patients with cardiac maladaptation. Fetal, uteroplacental Doppler and echocardiographic examinations were performed once in the second and third trimesters in diabetic and healthy pregnant patients. Physiological cardiac hypertrophy was apparent in healthy patients. This, although within normal limits, was less prominent in patients with diabetes. The majority of patients were found to have normal Doppler waveforms. The abnormal uteroplacental flow group consisted almost entirely of patients with pregestational diabetes, especially type I diabetes. Neonatal complications were most common in this group. No relationship was found between echocardiographic findings, Doppler waveforms and poor perinatal outcome.</abstract><cop>Canada</cop><pmid>20420280</pmid><tpages>4</tpages></addata></record> |
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| ispartof | Clinical and experimental obstetrics & gynecology, 2010, Vol.37 (1), p.39-42 |
| issn | 0390-6663 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_733257345 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adaptation, Physiological Adult Blood Pressure - physiology Case-Control Studies Cesarean Section - statistics & numerical data Diabetes, Gestational - physiopathology Diastole - physiology Echocardiography, Doppler Female Fetal Growth Retardation - epidemiology Heart - physiopathology Humans Hyperbilirubinemia, Neonatal - epidemiology Placenta - blood supply Placenta - diagnostic imaging Pregnancy Pregnancy Complications, Cardiovascular - physiopathology Pregnancy in Diabetics - physiopathology Pregnancy Trimester, First Pregnancy Trimester, Third Premature Birth - epidemiology Prospective Studies Pulse Regional Blood Flow - physiology Stroke Volume - physiology Systole - physiology Ultrasonography, Doppler Ultrasonography, Prenatal Uterus - blood supply Uterus - diagnostic imaging Vascular Resistance - physiology Ventricular Function, Left - physiology |
| title | The relationship between cardiac adaptation to uteroplacental Doppler flow and perinatal outcome in pregnant women with diabetes |
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