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Assessment of the Cardiac Function in Intrauterine Growth-Restricted Fetuses and Appropriate for Gestational Age Fetuses

The Journal of Obstetrics and Gynecology of India volume 69, pages 313–316 (2019)Cite this article

Abstract

Aim

Aim of the study is to evaluate the myocardial performance index in intrauterine growth restricted fetuses and compare this index with appropriate for gestational age fetuses.

Materials & Methods

A prospective study was conducted in S.M.S Medical College Jaipur, involving 72 singleton fetuses ≥ 28 weeks of gestation divided into two groups: 36 intrauterine growth restricted fetuses (IUGR) and 36 appropriate for gestational age fetuses (AGA). Myocardial performance index was obtained by fetal echocardiography.

Results

The mean myocardial performance index in the IUGR fetuses and AGA fetuses was statistically significant and that was 0.62 ± 0.02 and 0.45 ± 0.01, respectively; (p value: < 0.0001). These findings suggest that IUGR induces primary cardiac changes, which could explain the increased predisposition to cardiovascular disease in adult life. This study concluded that Fetal echocardiographic parameters (MPI) identify a high risk group within the IUGR fetuses, which could be targeted for early screening of blood pressure and other cardiovascular risk factors, as well as for promoting a healthy diet and physical exercise.

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Author information

Affiliations

  1. Department of Obstetrics and Gynaecology, Zenana Hospital, S.M.S. Medical College Jaipur, 5/203 Swami Vivekanand Nagar, Kota, Rajasthan, India

    Bhoomika Sharma, Arpita Chakraborty & Ankita Srivastav

  2. Department of Obstetrics and Gynaecology, Zenana Hospital, S.M.S. Medical College Jaipur, Imliphatak, Jaipur, Rajasthan, India

    Asha Verma & Chandrabhan Meena

  3. Department of Obstetrics and Gynaecology, Zenana Hospital, S.M.S. Medical College Jaipur, Zenana Hospital Campus, Jaipur, Rajasthan, India

    Anil Gurjar

Authors
  1. Bhoomika Sharma
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  2. Asha Verma
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  3. Chandrabhan Meena
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  4. Anil Gurjar
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  5. Arpita Chakraborty
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  6. Ankita Srivastav
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Corresponding author

Correspondence to Bhoomika Sharma.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

The study has been approved by own institutional ethical committee.

Informed Consent

Informed consent was obtained from all participants in the study regarding participation in the study. Guidelines based on Declaration of Helsinki and local ethical guidelines were followed for each patient.

Additional information

Dr. Bhoomika Sharma is a Junior Resident of Department of Obstetrics and Gynaecology, Zenana Hospital, S.M.S. Medical College, Jaipur. Dr. Asha Verma is a Professor of Department of Obstetrics and Gynaecology, Zenana Hospital, S.M.S. Medical College, Jaipur. Dr. Chandrabahan Meena is a Professor of Department of Cardiology, S.M.S. Medical College, Jaipur. Dr. Anil Gurjar is an Assistant Professor of Department of Obstetrics and Gynaecology, Zenana Hospital, S.M.S. Medical College, Jaipur. Dr. Arpita Chakrabaorty is a Junior Resident of Department of Obstetrics and Gynaecology, Zenana Hospital, S.M.S. Medical College, Jaipur. Ankita Srivastav is a Junior Resident of Department of Obstetrics and Gynaecology, Zenana Hospital, S.M.S. Medical College, Jaipur.

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Sharma, B., Verma, A., Meena, C. et al. Assessment of the Cardiac Function in Intrauterine Growth-Restricted Fetuses and Appropriate for Gestational Age Fetuses. J Obstet Gynecol India 69, 313–316 (2019). https://doi.org/10.1007/s13224-018-1192-7

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  • DOI: https://doi.org/10.1007/s13224-018-1192-7

Keywords

  • Myocardial performance index
  • Fetal echocardiography
  • Intrauterine growth restricted fetus