Department of Obstetrics and Gynecology, Division of Fetal and Maternal Medicine, Necmettin Erbakan University Medical School of Meram, Konya, Turkey.
J Clin Ultrasound. 2023 Jul-Aug;51(6):974-980. doi: 10.1002/jcu.23476. Epub 2023 May 18.
This study aimed to evaluate fetal epicardial fat thickness (EFT) along with fetal myocardial performance index (MPI) and its effects on perinatal outcomes in non-severe idiopathic polyhydramnios (IP).
This prospective study included 92 participants, 32 diagnosed with non-severe IP, and 60 healthy pregnant women. Amniotic fluid indices (AFI), umbilical and middle cerebral artery Doppler, EFT, and MPI measurements were performed for all patients.
The fetal EFT and MPI values were statistically higher in the non-severe IP group than in the control group (p = 0.0001, p = 0.014, respectively). The optimal fetal EFT cutoff value for predicting non-severe IP disease was found as 1.3 mm with a specificity of 81.7% and sensitivity of 59.4%. The EFT cutoff for predicting cesarean section in non-severe IP cases was 1.25 mm (p = 0.038). Apgar scores, neonatal intensive care unit, respiratory distress syndrome, and stillbirth rates were not different between groups.
In this study, EFT and MPI were found to be higher in non-severe IP cases compared to controls. It was observed that the increase in MPI and EFT was associated with the increase in cesarean rates, but not with adverse fetal outcomes.
本研究旨在评估非严重特发性羊水过多（IP）胎儿的心外膜脂肪厚度（EFT）以及胎儿心肌性能指数（MPI）及其对围产结局的影响。
本前瞻性研究纳入了 92 名参与者，其中 32 名被诊断为非严重 IP，60 名健康孕妇。对所有患者进行羊水指数（AFI）、脐动脉和大脑中动脉多普勒、EFT 和 MPI 测量。
非严重 IP 组胎儿 EFT 和 MPI 值明显高于对照组（p=0.0001，p=0.014）。预测非严重 IP 疾病的最佳胎儿 EFT 截断值为 1.3mm，特异性为 81.7%，敏感性为 59.4%。预测非严重 IP 病例剖宫产的 EFT 截断值为 1.25mm（p=0.038）。两组间 Apgar 评分、新生儿重症监护病房、呼吸窘迫综合征和死胎率无差异。
在这项研究中，与对照组相比，非严重 IP 病例的 EFT 和 MPI 更高。观察到 MPI 和 EFT 的增加与剖宫产率的增加有关，但与不良胎儿结局无关。
