Correlation of maternal body mass index with umbilical artery Doppler in pregnancies complicated by fetal growth restriction and associated outcomes

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dc.check.date2022-01-08
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisher.en
dc.contributor.authorCody, Fiona
dc.contributor.authorMullers, S.
dc.contributor.authorFlood, K.
dc.contributor.authorUnterscheider, J.
dc.contributor.authorDaly, S.
dc.contributor.authorGeary, M.
dc.contributor.authorKennelly, M. M.
dc.contributor.authorMcAuliffe, F. M.
dc.contributor.authorO'Donoghue, Keelin
dc.contributor.authorHunter, A.
dc.contributor.authorMorrison, J.
dc.contributor.authorBurke, G.
dc.contributor.authorDicker, P.
dc.contributor.authorTully, E.
dc.contributor.authorMalone, F. D.
dc.contributor.funderHealth Research Boarden
dc.contributor.funderRotunda Foundation, Irelanden
dc.date.accessioned2021-01-14T12:21:07Z
dc.date.available2021-01-14T12:21:07Z
dc.date.issued2021-01-08
dc.date.updated2021-01-14T11:52:32Z
dc.description.abstractObjective: To evaluate the correlation between Umbilical Artery (UA) Doppler and its feasibility across categories of maternal BMI in the presence of foetal growth restriction (FGR). Methods: 1074 Singleton pregnancies with suspected FGR on ultrasound examination between 24+0 and 36+0 weeks' gestation were reviewed. Evaluation of the UA Doppler was performed at 1‐2 weekly intervals. Abnormal UA Doppler findings and delivery outcomes were compared between the different maternal BMI categories. Results: Increased UA pulsatility index (PI > 95th centile) was reported in 81% of obese category 2 patients (BMI <35 ‐ 39.9 kg/m2) compared to a 46% incidence in the remaining categories, normal (BMI <24.9 kg/m2), overweight (BMI <25 ‐ 29.9 kg/) and obese class 1 (BMI <35 ‐ 39.9 kg/m2) (p = 0.001). In absent or reversed end diastolic flow (AEDF/REDF) we found an increasing incidence across the BMI categories (4%‐25%) (p<0.0001). Higher maternal BMI was associated with Lower birthweights and higher C‐section rates. Increasing maternal BMI did not affect successful assessment of UA Doppler. Conclusion: There is a positive correlation between increasing maternal BMI and abnormal UA Doppler findings in FGR. Maternal BMI may be considered as an additional risk factor when evaluating UA Doppler for placental insufficiency.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationCody, F., Mullers, S., Flood, K., Unterscheider, J., Daly, S., Geary, M., Kennelly, M. M., McAuliffe, F. M., O'Donoghue, K., Hunter, A., Morrison, J., Burke, G., Dicker, P., Tully, E., Malone, F. D. (2021) 'Correlation of maternal body mass index with umbilical artery Doppler in pregnancies complicated by fetal growth restriction and associated outcomes', International Journal of Gynaecology and Obstetrics. doi: 10.1002/ijgo.13586en
dc.identifier.doi10.1002/ijgo.13586en
dc.identifier.issn1879-3479
dc.identifier.journaltitleInternational Journal of Gynaecology and Obstetricsen
dc.identifier.urihttps://hdl.handle.net/10468/10916
dc.language.isoenen
dc.publisherJohn Wiley & Sons, Inc.en
dc.rights© 2021, John Wiley & Sons, Inc. This is the peer reviewed version of the following article: Cody, F., Mullers, S., Flood, K., Unterscheider, J., Daly, S., Geary, M., Kennelly, M. M., McAuliffe, F. M., O'Donoghue, K., Hunter, A., Morrison, J., Burke, G., Dicker, P., Tully, E., Malone, F. D. (2021) 'Correlation of maternal body mass index with umbilical artery Doppler in pregnancies complicated by fetal growth restriction and associated outcomes', International Journal of Gynaecology and Obstetrics, doi: 10.1002/ijgo.13586, which has been published in final form at: https://doi.org/10.1002/ijgo.13586. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en
dc.subjectFetal growth restrictionen
dc.subjectMaternal obesityen
dc.subjectUmbilical artery Doppleren
dc.subjectUltrasounden
dc.titleCorrelation of maternal body mass index with umbilical artery Doppler in pregnancies complicated by fetal growth restriction and associated outcomesen
dc.typeArticle (peer-reviewed)en
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