{"title":"子宫动脉多普勒和维生素 D 水平的结合对怀孕后三个月孕妇围产期结果的影响。","authors":"Gokhan Tosun, Ayca Nazli Akar, Derya Burkankulu, Venhar Ceyhan, Emine Aydin","doi":"10.1515/jpm-2024-0274","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the effect of the combination of uterine artery (UtA) Doppler and vitamin D levels on perinatal outcomes in second trimester pregnants was aimed.</p><p><strong>Methods: </strong>UtA Dopplers and vitamin D levels of 226 pregnant women in the second trimester were measured. Patients were followed for adverse pregnancy outcomes. The relationship of this combination with these pregnancy outcomes was evaluated.</p><p><strong>Results: </strong>Sensitivity and specificity values are respectively; Left UtA-S/D ratio for preeclampsia was 85.29 and 81.77 %, left UtA-RI was 90.62 and 43.30 % for preterm birth, and 76.19 and 66.34 % for the development of fetal distress had the best predictive effect. Vitamin D values had no predictive value for any parameter (p>0.005).</p><p><strong>Conclusions: </strong>UtA Doppler has a good predictive value for many adverse pregnancy outcomes. However, in order to correlate these results with second trimester vitamin D levels, more homogeneous and specific groups are needed.</p>","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of combination of uterine artery doppler and vitamin D level on perinatal outcomes in second trimester pregnant women.\",\"authors\":\"Gokhan Tosun, Ayca Nazli Akar, Derya Burkankulu, Venhar Ceyhan, Emine Aydin\",\"doi\":\"10.1515/jpm-2024-0274\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To investigate the effect of the combination of uterine artery (UtA) Doppler and vitamin D levels on perinatal outcomes in second trimester pregnants was aimed.</p><p><strong>Methods: </strong>UtA Dopplers and vitamin D levels of 226 pregnant women in the second trimester were measured. Patients were followed for adverse pregnancy outcomes. The relationship of this combination with these pregnancy outcomes was evaluated.</p><p><strong>Results: </strong>Sensitivity and specificity values are respectively; Left UtA-S/D ratio for preeclampsia was 85.29 and 81.77 %, left UtA-RI was 90.62 and 43.30 % for preterm birth, and 76.19 and 66.34 % for the development of fetal distress had the best predictive effect. Vitamin D values had no predictive value for any parameter (p>0.005).</p><p><strong>Conclusions: </strong>UtA Doppler has a good predictive value for many adverse pregnancy outcomes. However, in order to correlate these results with second trimester vitamin D levels, more homogeneous and specific groups are needed.</p>\",\"PeriodicalId\":16704,\"journal\":{\"name\":\"Journal of Perinatal Medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-10-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Perinatal Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1515/jpm-2024-0274\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Perinatal Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1515/jpm-2024-0274","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的研究子宫动脉(UtA)多普勒和维生素 D 水平的结合对怀孕后三个月孕妇围产期结果的影响:测量了 226 名怀孕后三个月孕妇的子宫动脉多普勒和维生素 D 水平。对患者的不良妊娠结局进行随访。方法:对 226 名怀孕后三个月的孕妇进行了 UtA 多普勒和维生素 D 水平的测量,并对患者的不良妊娠结局进行了跟踪,评估了这一组合与这些妊娠结局的关系:灵敏度和特异性值分别为:左侧UtA-S/D比值对子痫前期的预测效果最好,分别为85.29%和81.77%;左侧UtA-RI对早产的预测效果最好,分别为90.62%和43.30%;对胎儿窘迫的预测效果最好,分别为76.19%和66.34%。维生素 D 值对任何参数都没有预测价值(P>0.005):结论:UtA 多普勒对许多不良妊娠结局具有良好的预测价值。结论:UtA 多普勒对许多不良妊娠结局有很好的预测价值,但要将这些结果与第二孕期维生素 D 水平联系起来,还需要更多同质和特定的群体。
Effect of combination of uterine artery doppler and vitamin D level on perinatal outcomes in second trimester pregnant women.
Objectives: To investigate the effect of the combination of uterine artery (UtA) Doppler and vitamin D levels on perinatal outcomes in second trimester pregnants was aimed.
Methods: UtA Dopplers and vitamin D levels of 226 pregnant women in the second trimester were measured. Patients were followed for adverse pregnancy outcomes. The relationship of this combination with these pregnancy outcomes was evaluated.
Results: Sensitivity and specificity values are respectively; Left UtA-S/D ratio for preeclampsia was 85.29 and 81.77 %, left UtA-RI was 90.62 and 43.30 % for preterm birth, and 76.19 and 66.34 % for the development of fetal distress had the best predictive effect. Vitamin D values had no predictive value for any parameter (p>0.005).
Conclusions: UtA Doppler has a good predictive value for many adverse pregnancy outcomes. However, in order to correlate these results with second trimester vitamin D levels, more homogeneous and specific groups are needed.
期刊介绍:
The Journal of Perinatal Medicine (JPM) is a truly international forum covering the entire field of perinatal medicine. It is an essential news source for all those obstetricians, neonatologists, perinatologists and allied health professionals who wish to keep abreast of progress in perinatal and related research. Ahead-of-print publishing ensures fastest possible knowledge transfer. The Journal provides statements on themes of topical interest as well as information and different views on controversial topics. It also informs about the academic, organisational and political aims and objectives of the World Association of Perinatal Medicine.