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Author(s): 

Journal: 

Sci Rep

Issue Info: 
  • Year: 

    2021
  • Volume: 

    11
  • Issue: 

    1
  • Pages: 

    0-0
Measures: 
  • Citations: 

    1
  • Views: 

    40
  • Downloads: 

    0
Keywords: 
Abstract: 

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Author(s): 

BAZARGANI B.

Issue Info: 
  • Year: 

    2014
  • Volume: 

    24
  • Issue: 

    2 (SUPPLEMENT)
  • Pages: 

    52-52
Measures: 
  • Citations: 

    0
  • Views: 

    536
  • Downloads: 

    0
Abstract: 

As nephrogenesis continues until 36 weeks of gestation, very preterm babies (gestational age<32 weeks) are likely to show a nephron deficit at birth. In addition, preterm birth is known to be associated with impaired nephrogenesis and limited postnatal kidney growth until the age of 18–24 months. Birth weight appears to be a strong determinant of renal size, nephron number, glomerular volume, albuminuria and systolic blood pressure. These findings add weight to the hypothesis that IUGR carries a risk of renal function loss as a result of nephron deficit, loss of filtration surface area, hyperfiltration, glomerular hypertension, and glomerular damage. In the period immediately after birth, the short-term renal-related consequences of low birth weight are an increased risk of acute renal failure as well as transient imbalance of fluid and electrolyte homeostasis. When the number of nephrons is diminished, single-nephron GFR increases as the kidney works to compensate. In long term, this compensatory hypertrophy causes the glomeruli to function under increased intracapillary hydraulic pressure, which over time causes damage to the capillary walls. This abnormal process leads to progressive glomerulosclerosis, proteinuria, hypertension and chronic kidney disease. Over the past 20 years, evidence has been accumulated indicating that intrauterine growth restriction (IUGR) affects normal development of the kidneys and vascular system, thereby increasing the likelihood of hypertension and/or cardiovascular diseases. Impaired fetal kidney development leading to nephron deficit is considered an important pathway in the development of hypertension after IUGR birth. Apart from IUGR, premature birth may contribute to the development of disease at adult age.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Author(s): 

Issue Info: 
  • Year: 

    2021
  • Volume: 

    4
  • Issue: 

    2
  • Pages: 

    312-314
Measures: 
  • Citations: 

    1
  • Views: 

    17
  • Downloads: 

    0
Keywords: 
Abstract: 

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2011
  • Volume: 

    19
  • Issue: 

    76
  • Pages: 

    22-28
Measures: 
  • Citations: 

    0
  • Views: 

    3929
  • Downloads: 

    0
Abstract: 

Introduction: Intrauterine Growth Retardation (IUGR) is defined as approximate weight of embryo being less than the ten percentile. Some of the factors contributing to the IUGR are as follow: The mother history of chronic diseases, the mothers BMI, the trends of mother weight gain at the time of pregnancy, the mother’s age at the time of pregnancy, the mother’s job, various embryonic infections, placenta and uterine disorder. Materials and Methods: This cross-sectional, descriptive-analytical study was performed on pregnant women referring to the prenatal clinic of Baghiyatollah hospital at the years of 2009 and 2010 .Fifty hundred four  pregnant women, between the age of 18 and 35 years were examined as available, these following variable were surveyed: The mother’s age at the time of delivery, the mother’s BMI at early pregnancy, the mother’s weight gain during pregnancy, the mother history of chronic diseases, the age of pregnancy, the mother’s job and education, blood group and RH, gravid, the interval of deliveries, gender of newborn with IUGR. Data was analyzed by SPSS, chi-square and the logistic regression model.'Results: 60.3% had normal BMI, 29.2% had BMI higher than normal, and 10.5% had BMI lower than normal. 50% had normal weight gain, 31.7% had weight gain higher than normal, 13.1% had weight again lower than normal, 10.3% had a chronic disease, 15.1% were employed and 83.3%of women were educated.There was a significant relationship among the mother’s BMI at the beginning of pregnancy, the rate of mother’s weight again during pregnancy, the mother’s history of chronic disease, the mother’s job and the newborn’s gender with IUGR. Conclusion: Probability of IUGR is higher in woman whose weight gain was lower than normal rang, female newborn and housekeeper mothers. There is a direct link between IUGR and the history of chronic disease in mothers.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2004
  • Volume: 

    -
  • Issue: 

    60
  • Pages: 

    69-72
Measures: 
  • Citations: 

    0
  • Views: 

    2864
  • Downloads: 

    0
Abstract: 

Background and Objectives: Perinatal morbidity and mortality are increased as much as 10 times in pregnancies complicated by IUGR, in comparison with normal pregnancy. For doing valid management decisions, accurate diagnosis is essential. Materials and Methods: In order to evaluate the accuracy of ultrasonography compares with clinical examination for detection of IUGR, we retrospectively reviewed medical records in pregnant mothers, who admitted to Taleghani and Al-Zahra Hospitals during 12 months and who had singletone deliveries. Results: We found that with one sonographic examination in second trimester, comparing with clinical examination, no significant differences were observed in diagnosis of IUGR, but with two sonographic examinations, one in second trimester and one in third trimester, there was a significant advantage upon clinical examination for detection of IUGR. Conclusion: This study provides strong evidences that at least two sonographic examinations, one in second trimester and one in third trimester, are essential for accurate diagnosis of IUGR, in order to reduce perinatal mortality and morbidity.    

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Journal: 

Payesh

Issue Info: 
  • Year: 

    2007
  • Volume: 

    6
  • Issue: 

    3
  • Pages: 

    201-208
Measures: 
  • Citations: 

    0
  • Views: 

    14350
  • Downloads: 

    0
Abstract: 

Objective(s): To determine risk factors associated with IUGR in Bandar Abbas, Iran.Methods: This was a case-control study of live births. Cases were 60 newborns with less than 2500g weight at birth; controls were 60 newborns with birth weights above 2500g. Data were collected using a structured questionnaire and analyzed by the SPSS program.Results: Mother's employment (Odds Ratio=10.2, CI95%=1.2-87.3), hypertension (Odds Ratio=7.4, CI95%=1.5-36.9), lack of prenatal care (Odds Ratio=3.9, CI95%=1.2-13.7), and use of the hookah for smoking tobacco (Odds Ratio=3.5, CI95%=1.1-12.6) were found to be risk factors for intra-uterine growth retardation.Conclusion: To reduce IUGR we must identify high-risk women and educate them on the risks of IUGR and the ways to prevent this phenomenon.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    1379
  • Volume: 

    1
  • Issue: 

    4 (مسلسل 4)
  • Pages: 

    4-10
Measures: 
  • Citations: 

    1
  • Views: 

    18573
  • Downloads: 

    0
Abstract: 

هدف اصلی از انجام این تحقیق بررسی میزان صحت پارامترهای اولتراسونوگرافیک مختلف در تشخیص جنین هایی می باشد که عقب ماندگی رشد جسمی داخل رحم(IUGR)  دارند. جنین های IUGR به جنین هایی اطلاق می شود که میزان PI آنها کمتر از دهمین صدک نرمال برای سن حاملگی مربوطه باشد به منظور انجام این مطالعه دو گروه خانم باردار از کشورهای ایران و استرالیا انتخاب گردید. گروه خانمهای باردار ایرانی شامل 296 نفر بود که از مراکز سونوگرافی کلینیک صدری و بیمارستان امام شهرستان شاهرود انتخاب گردیدند. نمونه استرالیا شامل 219 خانم باردار بودند که از کلینیک سونوگرافی شهر ولونگونگ در کشور استرالیا برگزیده شدند. در دو گروه فوق BPD طول استخوان ران (FL)، دور سر(HC) ، دور شکم (AC)، و ایندکس مایع آمنیوتیک(AFI)  و نسبت دیاستول/سیستول(S/D)  در مطالعات داپلر از عروق بند نافی اندازه گیری شد تنها جنین هایی که زمان احتمال زایمان(EDD)  تخمین زده شده آنها توسط سونوگرافی با زمان احتمال زایمان (EDD) تخمین زده شده از روی آخرین پریود ماهانه (LMP) حدود 14 روز یا کمتر تفاوت داشتند، مورد مطالعه قرار گرفتند. حساسیت (SE) و ویژگی(SP)  و ارزش پیشگویی مثبت(PPV)  و ارزش پیش گویی منفی(NPV)  برای تمام پارامترهای ذکر شده محاسبه گردید. نتایج تحقیق نشان داد که در گروه استرالیایی (٪88)AC و(٪87)HC  بالاترین حساسیت را در تشخیص جنین های IUGR داشتند. AC مجددا در گروه ایرانی بهترین پارامتر اولتراسونوگرافیک در تشخیص IUGR نا متقارن بود (حساسیت 89%). PPU ایرانی پارامترهای ذکر شده در هر دو گروه جنین های ایرانی و استرالیایی پایین بود. تجربیات حاصل از این مطالعه نشان می دهد اگر چه AC بهترین پارامتر در تشخیص عقب ماندگی رشد جسمی داخل رحم می باشد ولی پایین بودن PPU حاکی از تشخیص موارد زیادی مثبت کاذبIUGR است که این باعث کاهش دقت و اعتبار پارامترهای سونوگرافیک به طور انفرادی در تشخیص IUGR می باشد.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2018
  • Volume: 

    9
  • Issue: 

    4
  • Pages: 

    28-32
Measures: 
  • Citations: 

    0
  • Views: 

    134
  • Downloads: 

    104
Abstract: 

Background: Gestational weight gain is an impressive factor in the fetal outcome. Intrauterine growth restriction (IUGR) is one of the most important problems during fetal period that may lead to many perinatal and long-term complications and growing neonatal morbidities and mortalities. The aim of the study was to ascertain the relationship between umbilical cord blood leptin concentration and fetal growth in neonates born with intrauterine growth restriction. Methods: Maternal serum and umbilical cord blood leptin concentration were measured by immune radiometric assay at term gestation. The study was conducted on 22 women with uncomplicated singleton pregnancies as control group (group A) and 22 women with fetal growth restriction in singleton pregnancies as case group (group B). All subjects had normal pregravid body mass index (BMI). Results: The results of the study showed that maternal serum leptin concentrations were significantly higher in group B comparing to group A (44ng/ml [28. 9-58. 2] vs. 24. 6ng/ml [18. 8-33. 3]; P<0. 001). However, umbilical cord blood leptin levels were significantly lower in group B comparing to group A (8. 6 ng/ml [range 4. 5-12. 7] vs. 14. 6 ng/ml [11. 7-16. 7]; P<0. 001). Moreover, umbilical cord blood leptin levels were directly correlated with maternal BMI and neonatal birth weight in both groups. Conclusion: In growth-restricted fetuses at term, umbilical cord blood leptin concentrations were significantly lower than normal fetuses, suggesting that fetal adipose tissue is a major source for leptin production. Maternal serum leptin concentrations were higher in the presence of a growth restricted fetuses. This increas may be due to early hypoxia or an intrinsic placental mechanism, by which small placenta produces more leptin as a compensatory mechanism. Human recombinant leptin may have some roles in the treatment of IUGR fetuses in future.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2008
  • Volume: 

    15
  • Issue: 

    1 (SN 47)
  • Pages: 

    32-37
Measures: 
  • Citations: 

    0
  • Views: 

    1824
  • Downloads: 

    0
Abstract: 

Introduction & Objective: There are different methods for detection of fetal growth restriction. The most important methods are serial fondle height (SFH), and ultrasonic measurement. The sensitivities and specifities of those methods are vary among different population, so, in a comparative study, we evaluated the sensitivity and specificity of SFH, a safe and simple method, and Doppler ultrasonography in F.G.R.Materials & Methods: This study was cross-sectional and we selected 550 pregnant women with growth retardation in physical exam more than 4cm in SFH. So they referred to Doppler ultrasonography. We matched their demographic characters, obstetrics history, B Mode sonography finding (AFI placental grading) and evaluated in last records of neonatal weight and other records for IUGR. We analyze sensitivity and specificity of SFH and Doppler ulterasonography in detection of IUGR.Results: The average age was 22.5±4.9 (16-45), average of Parity was 1.3±0.7 (1-11). Prevalence of IUGR in population study was 9.4% and sensitivity and specificity of SFH in detection of IUGR 44.7%, 93.8% respectively with positive predictive value 44.8% and negative predictive value 94.6%, Doppler ultrasonography sensitivity and specificity was 90.9% and 100%respectively.Conclusion: SFH in detection of IUGR is a valid measurement and drawing growth curve is necessary.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2016
  • Volume: 

    3
Measures: 
  • Views: 

    120
  • Downloads: 

    84
Abstract: 

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Yearly Impact:   مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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