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The Presence of a Single Nuchal Cord in the Third Trimester May Not Affect Tei Index in LGA Fetuses

Author

Listed:
  • Julia Murlewska

    (Department of Prenatal Cardiology, Polish Mother’s Memorial Hospital Research Institute, 93-338 Lodz, Poland
    Present Address: Polish Prenatal Cardiology Society, Rzgowska Street 281/289, 93-338 Lodz, Poland.)

  • Przemysław Poszwa

    (Institute of Materials Technology, Poznan University of Technology, 61-138 Poznan, Poland)

  • Oskar Sylwestrzak

    (Department of Prenatal Cardiology, Polish Mother’s Memorial Hospital Research Institute, 93-338 Lodz, Poland
    Department of Diagnoses and Prevention Fetal Malformations, Medical University of Lodz, 90-419 Lodz, Poland)

  • Maria Respondek-Liberska

    (Department of Prenatal Cardiology, Polish Mother’s Memorial Hospital Research Institute, 93-338 Lodz, Poland
    Department of Diagnoses and Prevention Fetal Malformations, Medical University of Lodz, 90-419 Lodz, Poland)

  • Dennis Wood

    (Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA 19107, USA)

Abstract

(1) Background: The aim of this study was to assess the RV (right ventricle) and LV (left ventricle) Tei index in large for gestational age (LGA) fetuses with a single 360-degree umbilical coil of the umbilical cord around the fetal neck identified by ultrasound in the third trimester of gestation. (2) Methods: The RV and LV Tei index for the cardiac function were measured in 297 singleton pregnancies, and we identified 25 LGA fetuses. There were 48% of LGA fetuses with a nuchal umbilical cord—LGA/NC—larger for gestational age fetuses with a nuchal cord. NC was detected with a color Doppler during a transverse scan of the fetal neck, when the umbilical cord formed a U shape. All fetuses had normal anatomy and normal uterine, placental, umbilical, intracardiac and cerebral Doppler waveforms values for their gestational age. (3) Results: The RV Tei index was significantly higher in the LGA subgroup vs. AGA (0.6 ± 0.2 vs. 0.50 ± 0.2; p value = 0.01), but in LGA fetuses with a single coil of the nuchal cord, there were not any significant changes in the Tei indexes. (4) Conclusions: The Tei index might not be impacted by the presence of the nuchal cord in LGA fetuses.

Suggested Citation

  • Julia Murlewska & Przemysław Poszwa & Oskar Sylwestrzak & Maria Respondek-Liberska & Dennis Wood, 2023. "The Presence of a Single Nuchal Cord in the Third Trimester May Not Affect Tei Index in LGA Fetuses," IJERPH, MDPI, vol. 20(5), pages 1-8, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:3778-:d:1075143
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    Keywords

    Tei index; nuchal cord; LGA;
    All these keywords.

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