The association of triple-marker test results with adverse pregnancy outcomes in low-risk pregnancies with healthy newborns
dc.authorid | Canda, M. Tunc/0000-0001-6348-4493; | |
dc.authorwosid | Canda, M. Tunc/ABC-5001-2020 | |
dc.authorwosid | SAYIN, N. CENK/A-5801-2018 | |
dc.contributor.author | Sayam, N. Cenk | |
dc.contributor.author | Canda, M. Tunc | |
dc.contributor.author | Ahmet, Newze | |
dc.contributor.author | Arda, Sezer | |
dc.contributor.author | Suet, Necdet | |
dc.contributor.author | Varol, Fuesun G. | |
dc.date.accessioned | 2024-06-12T11:16:46Z | |
dc.date.available | 2024-06-12T11:16:46Z | |
dc.date.issued | 2008 | |
dc.department | Trakya Üniversitesi | en_US |
dc.description | 6th International Congress of the Turkish-German-Gynecological-Association -- MAY 19-22, 2005 -- Antalya, TURKEY | en_US |
dc.description.abstract | Objective This study was designed to investigate the relationship between the second trimester maternal serum markers and adverse pregnancy outcomes in healthy newborns. Materials and methods A total of 749 women who delivered in our institution with complete follow up and second-trimester triple marker test data available were included in the study. Women with multiple pregnancies, chronic diseases, diabetes mellitus, obesity, smokers and infants with chromosomal and congenital abnormalities were excluded. Maternal serum alpha-fetoprotein (AFP), human chorionic gonadotropin (HCG) and unconjugated estriol (uE(3)) values were investigated in our cohort who developed preeclampsia (n = 28), gestational diabetes (GM) (n = 69), preterm labor-birth (n = 100), oligohydramnios n = 37) and macrosomia (n = 59) by using receiver operating characteristic (ROC) curve analysis, with chi-square and Pearson's correlation tests. Results Women with uE(3) <= 1.26 MoM (P = 0.001, AUC = 0.666), HCG > 1.04 MoM (P = 0.032, AUC = 0.599) or AFP <= 0.69 MoM (P = 0.049, AUC = 0.600) values significantly developed oligohydramnios. Also, macrosomic infants were observed in women who had HCG values > 0.86 MoM (P = 0.047, AUC = 0.578). Patients with HCG > 1.04 MoM (P = 0.04, AUC = 0.565) and uE(3) <= 0.88 MoM (P = 0.049, AUC = 0.571) developed GDM. HCG levels, 2.5 or, 3 MoM were significantly associated with the development of oligohydramnios [P = 0.005; OR = 4 (95% CI: 1.7-9.7)], [P = 0.008; OR = 4.9 (95% CI: 1.7-13.7)], respectively. When women with adverse (n = 237) and normal (n = 512) outcomes were compared there were significant differences in maternal serum AFP (1.40 +/- 0.84 vs. 1.23 +/- 0.75 MoM, P = 0.006) and uE(3) values (1.38 +/- 1.42 vs. 1.45 +/- 0.98 MoM, P = 0.001). Conclusions Serum estriol, AFP or HCG values in triple test results may be associated with development of oligohydramnios, gestational diabetes and macrosomia in women with healthy and normal appearing fetuses. | en_US |
dc.description.sponsorship | Turkish German Gynecol Assoc | en_US |
dc.identifier.doi | 10.1007/s00404-007-0421-6 | |
dc.identifier.endpage | 53 | en_US |
dc.identifier.issn | 0932-0067 | |
dc.identifier.issn | 1432-0711 | |
dc.identifier.issue | 1 | en_US |
dc.identifier.pmid | 17653738 | en_US |
dc.identifier.scopus | 2-s2.0-36348934517 | en_US |
dc.identifier.scopusquality | Q2 | en_US |
dc.identifier.startpage | 47 | en_US |
dc.identifier.uri | https://doi.org/10.1007/s00404-007-0421-6 | |
dc.identifier.uri | https://hdl.handle.net/20.500.14551/24453 | |
dc.identifier.volume | 277 | en_US |
dc.identifier.wos | WOS:000252662200008 | en_US |
dc.identifier.wosquality | Q4 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.language.iso | en | en_US |
dc.publisher | Springer Heidelberg | en_US |
dc.relation.ispartof | Archives Of Gynecology And Obstetrics | en_US |
dc.relation.publicationcategory | Konferans Öğesi - Uluslararası - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Turkish Population | en_US |
dc.subject | Triple Test | en_US |
dc.subject | Perinatal Outcome | en_US |
dc.subject | Human Chorionic-Gonadotropin | en_US |
dc.subject | Serum Alpha-Fetoprotein | en_US |
dc.subject | Low Unconjugated Estriol | en_US |
dc.subject | 2nd Trimester | en_US |
dc.subject | Biochemical Markers | en_US |
dc.subject | Down-Syndrome | en_US |
dc.subject | Complications | en_US |
dc.subject | Screen | en_US |
dc.subject | Absence | en_US |
dc.subject | Women | en_US |
dc.title | The association of triple-marker test results with adverse pregnancy outcomes in low-risk pregnancies with healthy newborns | en_US |
dc.type | Conference Object | en_US |