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자료유형
학술저널
저자정보
저널정보
대한산부인과학회 Obstetrics & Gynecology Science Obstetrics & Gynecology Science 제63권 제3호
발행연도
2020.1
수록면
225 - 230 (6page)

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ObjectiveRecently, strong evidences were obtained on the association between low pregnancy-associated plasma protein-A(PAPP-A) levels in the first trimester and poor outcomes of pregnancy. MethodsThis cross-sectional study was conducted on all pregnant women who were referred to the Obstetrics and GynecologyClinic at Imam Hossein Hospital in Tehran, Iran in 2014. Women were asked to attend clinical examinations andscreening at 11–14 weeks of gestation. ResultsBased on the definition, 14.5% of neonates found to be small for gestational age (SGA). There was a strongassociation between PAPP-A levels and birth weight. The mean PAPP-A level in the mothers of neonates who wereSGA was significantly lower than those without this poor outcome. Based on the receiver operating characteristiccurve analysis, serum PAPP-A level was a main determinant in the prediction of SGA neonates. ConclusionThe serum PAPP-A level at 11–13 weeks of gestation can effectively predict the increased risk for fetal growthretardation. In patients in this study, the best cutoff value for PAPP-A was 0.75 MOM, which signifies that lower levelsof this marker can predict fetal growth restriction with high sensitivity and specificity.

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