Reference intervals for the cross sectional area of the umbilical cord during gestation

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2007-01-01
Autores
Togni, Fernando Alves
Araujo Junior, Edward
Moron, Antonio Fernandes
Augusto, Fisvio
Vasques, Prado
Torloni, Maria Regina
Machado Nardozza, Luciano Marcondes
Guimaraes Filho, Helio Antonio
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Objective: To establish reference values for the sonographic cross-sectional area of the umbilical cord during gestation and to correlate them with fetal anthropornetric parameters.Methods: A cross-sectional study was performed involving 312 normal pregnant women at gestational ages 2439 weeks. Measurement of the cross-sectional area of umbilical cord was performed on a plane adjacent to the insertion of the cord into fetal abdomen. the following anthropometric parameters were calculated: biparietal diameter, head circumference, abdominal circumference and femur length. A polynomial regression analysis identified the curves that were better adjusted to the average and standard deviation according to gestational age. Spearman correlation was used to evaluate the correlation of the cross-sectional area of umbilical cord with fetal anthropometric parameters.Results: A statistically significant correlation was observed between the cord cross-sectional area and gestational age (r = 0.376, P < 0.001, CI 95% [0.276; 0.467]).Conclusions: the reference values of the cross-sectional area of umbilical cord increased according to gestational age until the 33(rd) week and are related to parameters of fetal growth.
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Journal of Perinatal Medicine. Berlin: Walter de Gruyter & Co, v. 35, n. 2, p. 130-134, 2007.
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