Maternal and fetal plasma endothelin levels in intrauterine growth restriction: relation to umbilical artery Doppler flow velocimetry


Erdem A., Erdem M., Himmetoglu O., Yildirim G., Arslan M.

JOURNAL OF PERINATAL MEDICINE, cilt.31, ss.52-59, 2003 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 31 Konu: 1
  • Basım Tarihi: 2003
  • Doi Numarası: 10.1515/jpm.2003.008
  • Dergi Adı: JOURNAL OF PERINATAL MEDICINE
  • Sayfa Sayısı: ss.52-59

Özet

The objective of this study was to examine maternal and fetal endothelin-1 (ET-1) in pregnancies complicated with intrauterine growth restriction (IUGR) and to correlate these data with umbilical artery Doppler flow velocity waveforms (FVW). Higher mean maternal (13.8 +/- 6,4 vs 9.2 +/- 3,4 pmol/L, p < 0.05) and fetal (18.5 +/- 9.6 vs 11.7 +/- 6.9 pmol/L,p < 0.05) ET-1 levels were found in pregnancies complicated with IUGR than in controls. Fetal ET- level was related to birth weight percentile for gestational week. Maternal and fetal ET-1 concentrations were not related to umbilical artery Doppler flow S/D ratio, PI and RI. Maternal or fetal ETI concentrations were also not related to umbilical artery pH, pO(2) and pCO(2). Pregnancy-induced hyperten-sion was significantly associated with an elevated fetal and maternal ET-1 concentration. In conclusion, increased production and secretion of ET-I may play a role in the pathophysiology of idiopathic IUGR. Over-production of ET-1 in IUGR is not associated with increased placental resistance as reflected in abnormal umbilical artery Doppler FVW.