Mid-trimester maternal serum markers in predicting adverse pregnancy outcome

Main Authors: Androutsopoulos Georgios, Gkogkos Panagiotis, Papadopoulos Vassilios, Adonakis Georgios, Tsapanos Vassilios, Vassilakos Pavlos, Panayiotakis Georgios, Decavalas Georgios
Format: Article Journal
Bahasa: eng
Terbitan: , 2009
Subjects:
Online Access: https://zenodo.org/record/6033768
Daftar Isi:
  • Objective: In our prospective study, we investigated the association between mid-trimester maternal serum AFP (ms-AFP), maternal serum hCG (ms-hCG) levels and adverse pregnancy outcome, in the South-Western Greek population. Materials and Methods: 126 healthy Greek women with spontaneous pregnancies, investigated for ms-AFP and ms-hCG levels between 13th-24th weeks of gestation and followed for adverse pregnancy outcome. As abnormal were considered ms-AFP levels or ms-hCG levels > 2.0 multiples of the median value for gestation (MoM). Statistical analysis was performed by Pearson’s chi-square test. Results: Elevated ms-AFP levels were detected in a total of 25 from the 126 women studied (19.84%). Elevated ms-hCG levels were detected in a total of 10 from the 126 women studied (7.93%). Elevated ms-AFP and ms-hCG levels were detected in a total of 4 from the 126 women studied (3.17%). Conclusion: Multiparameter testing of placental function in the mid-trimester (uterine artery Doppler, placental morphology, ms-AFP and ms-hCG screening) may allow us to identify women with increased risk to develop severe placental insufficiency and pregnancy complications.