Area of Wharton's jelly as an estimate of the thickness of the umbilical cord and its relationship with estimated fetal weight

被引:12
作者
Barbieri, Cristiane [1 ]
Cecatti, Jose G. [1 ]
Surita, Fernanda G. [1 ]
Costa, Maria L. [1 ]
Marussi, Emilio F. [1 ]
Costa, Jose V. [1 ]
机构
[1] Univ Estadual Campinas UNICAMP, Sch Med Sci, Dept Obstet & Gynecol, Campinas, SP, Brazil
关键词
ultrasonography; pregnancy; umbilical cord; umbilical vessels; Wharton's jelly; CROSS-SECTIONAL AREA; SONOGRAPHIC MEASUREMENTS; GLYCOSAMINOGLYCANS; COLLAGEN;
D O I
10.1186/1742-4755-8-32
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: To build a reference curve for the area of Wharton's jelly (WJ) in low-risk pregnancies from 13 to 40 weeks and to assess its relationship with estimated fetal weight (EFW). Methods: 2,189 low-risk pregnancies had the area of WJ estimated by ultrasound and the 10th, 50th and 90th percentiles calculated using a third-degree polynomial regression procedure. EFW by ultrasound was correlated with the measurement of the area of WJ. Results: The area of WJ increased according to gestational age (R-2 = 0.64), stabilizing from the 32nd week onwards. There was a significant linear correlation between area of WJ and EFW up to 26 weeks (R = 0.782) and after that 5t remained practically constant (R = 0.047). Conclusion: The area of WJ increases according to gestational age, with a trend to stabilize at around 32 weeks of gestation. It is also linearly correlated with EFW only up to 26 weeks of gestation.
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页数:6
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