Isolated Single Umbilical Artery In Singleton Pregnancies: Maternal and Neonatal Outcomes

Abstract

Aim: Single umbilical artery SUA is the most common umbilical cord abnormality. The aim of the study was to evaluate maternal and neonatal outcomes in pregnancies with single umbilical artery.Material and Methods : This was a retrospective study from a tertiary referral center. In this retrospective cohort study, maternal and neonatal outcomes of patients who had a diagnosis of single umbilical artery without an established anomaly werereviewed. Maternal age, gestational age at delivery, birth weight, mode ofdelivery, fetal gender and any complications were recorded.Results : There were 42 cases of SUA without an antenatally diagnosedestablished anomaly. Gestational age ranged between 258-289 days. Median maternal age was 28 19-36 years. Gravida was 2 1-4 . There were five in vitro fertilization pregnancies, and two pregnancies with premature rupture of membranes. Two of the neonates with single umbilical artery had cryptorchidism and one had hypothyroidism. Male gender was 50%.Conclusion : When the single umbilical artery is an isolated ultrasonography finding, neonates will still have a possibility of having minor problems such as cryptorchidism.

Keywords

• Neonatal outcome,single umbilical artery,umblical cord

Tekil Gebelerde İzole Tek Umbilikal Arter: Maternal ve Yenidoğan Sonuçları

Abstract

Giriş: Tek umblikal arter TUA en yaygın umblikal kord anomalisidir. Çalışmanın amacı tek umblikal kordu olan gebeliklede maternal ve perinatal sonuçların incelenmesidir.Gereç ve Yöntemler: Çalışmamız hastanemizde yürütülen retrospektif bir çalışmadır. Bu retrospektif kohort çalışmada tek umblikal arter tanısı almış ve kanıtlanmış ek bir anomalisi olmayan hastaların maternal ve neonatal sonuçları incelenmiştir. Maternal yaş, doğum haftası, doğum kilosu, doğum şekli, fetal cinsiyet ve diğer komplikasyonlar kaydedilmiştir.Bulgular: Antenatal olarak tespit edilmiş 42 TUA vakası saptanmıştır. Gestasyonel yaşın 258-289 gün arasında dağıldığı saptanmıştır. Median maternal yaş 28 olarak saptanmıştır 19-36 . Gravida 2 olarak saptanmıştır 1-4 . 5 gebelik invitro fertilizayon sonrası oluşmuş olup, 2 gebelikte prematür membran rüptürü gözlenmiştir. Tek umblikal arterli 2 bebekte kriptorşitizm ve 1 bebekte hipotiroidi saptanmıştır. Erkek cinsiyet %50 oranında saptanmıştır.Sonuç: Tek umblikal arter izole bir ultrasonografi bulgusu olduğunda da kriptorşitizm gibi minör defektler gözlenebilmektedir.

Keywords

• Fetal sonuçlar,tek umblikal arter,umblikal kord

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