Logo
homeHome
toggle_offCompany ProfilegroupsBoards & Staffsworkspace_premiumMemberships & PartnersschoolAcademy of Journalismperson_addCareerslinkBlog(EN)emailContact Us
list_altOur JournalslightbulbInstruction for AuthorsbookmarkBrieflands PolicieshandshakePublish My Researchplay_circleJournal Management Systemcredit_cardArticle Processing Chargeszoom_inOpen Peer ReviewimagePublishing Services
menu_bookPublish My Book

IJ Radiology

An Innovative Journal in the Field of Radiology

homeHome
play_arrowCurrent IssuelistAll Issuesformat_indent_increaseIn Presscheck_circleAccepted ManuscriptssearchSearch
helpInstructions
bookmarkJournal InformationgroupsEditors and BoardsshareIndexing and Listing Sourcesshow_chartJournal Metricszoom_inOpen Peer Review (OPR)balancePublication Ethics and Malpractice Statementassignment_indReviewer and AE Registration FormemailSupportphoneContact Us
format_list_bulletedAPC
Authors GuideSubmit Manuscript

Outlines

https://doi.org/10.5812/iranjradiol.48016

Fetal and Maternal Outcomes of Isolated Single Umbilical Artery

Author(s):
Amirhossein Hashemi AttarAmirhossein Hashemi Attar1,*, Narges AfzaliNarges Afzali1, Fatemeh HafeziFatemeh Hafezi1, Zahra AminiZahra Amini1
1Isalmic Azad University, Mashhad Branch, Iran
IJ Radiology:Vol. 14, issue Special Issue; e48016
Published online:Apr 12, 2017
Article type:Abstract
Received:Dec 20, 2016
Accepted:Feb 07, 2017
How to Cite:Hashemi Attar A, Afzali N, Hafezi F, Amini Z. Fetal and Maternal Outcomes of Isolated Single Umbilical Artery. I J Radiol. 2017;14(Special Issue):e48016. doi: https://doi.org/10.5812/iranjradiol.48016

Abstract

Background:

The umbilical cord normally consists of two arteries and one vein. Single umbilical artery (SUA) is a condition in which the cord contains only one artery. SUA may be isolated or associated with congenital anomalies. This anatomic variation can be detected by ultrasound evaluation in approximately 0.5% of pregnancies. The incidence of adverse outcomes primarily depends on whether SUA is an isolated finding or associated with fetal abnormalities and aneuploidy. The aim of this study was to investigate fetal and maternal outcomes of isolated SUA.

Methods:

In this cohort study, 21 fetuses with isolated SUA, and 21 fetuses with normal three-vessel umbilical cord were included. All cases were examined by advanced fetal anomaly scan. In addition, cardiac, genitourinary, musculoskeletal, gastrointestinal, and neurologic anomalies were excluded. Two group were monitored during pregnancy, at delivery, and neonatal period. Perinatal and maternal outcomes were recorded.

Results:

Among 21 fetuses with isolated SUA, the left and right arteries were absent in 12 and 9 fetuses, respectively. Interestingly, the mean head circumference at birth was significantly lower in the isolated SUA group compared to the 3-vessel group (33.35 + 2.06 cm vs 35.21 + 1.47 cm, P = 0.002). However, there was no statistically significant difference between the two groups in birth weight and length, as well as incidence of polyhydramnios, oligohydramnios, intrauterine growth retardation, intrauterine fetal death, small for gestational age, preterm delivery, cesarean delivery due to fetal distress, and neonatal intensive care unit admission.

Conclusions:

In the absence of associated anomalies, the risk of incidence of adverse events does not appear to be increased significantly with isolated SUA. Therefore, supplementary assessment and invasive tests are not recommended in fetuses with isolated SUA, unless fetal abnormalities are detected in routine evaluations.

Keywords
Fetus
Isolated
Single Umbilical Artery
Ultrasound

Full Text

Full text is available in PDF
Import into EndNoteImport into BibTex
Crossmark
Crossmark
Checking
Share on
Comments
Number of Comments:0
Cited by
Metrics
Get Permission (article level)

Purchasing Reprints

  • Copyright Clearance Center (CCC) handles bulk orders for article reprints for Brieflands. To place an order for reprints, please click here (   https://www.copyright.com/landing/reprintsinquiryform/ ). Clicking this link will bring you to a CCC request form where you can provide the details of your order. Once complete, please click the ‘Submit Request’ button and CCC’s Reprints Services team will generate a quote for your review.
Search Relations

Author(s):

Related Articles

Related Article in PubMed

Related Article in Google Scholar

Create Citation Alert via Google Reader