학술논문

Placental size and the prediction of severe early-onset intrauterine growth restriction in women with low pregnancy-associated plasma protein-A.
Document Type
Academic Journal
Source
Ultrasound in Obstetrics & Gynecology (ULTRASOUND OBSTET GYNECOL), Sep2009; 34(3): 274-282. (9p)
Subject
Language
English
ISSN
0960-7692
Abstract
Objectives: Screening studies for trisomy 21 demonstrate that low maternal serum pregnancy-associated plasma protein-A (PAPP-A) at 11-13 weeks' gestation is associated with stillbirth, intrauterine growth restriction (IUGR) and pre-eclampsia in chromosomally normal fetuses. However, the strength of these associations is too weak to justify screening for these placental insufficiency syndromes. Our objective was to evaluate placental size and uterine artery (UtA) Doppler imaging as second-stage screening tests for women with low PAPP-A. Methods: We prospectively studied 90 normal singleton pregnancies with first-trimester PAPP-A