Articles
Associations between maternal nutritional status, haemodynamic parameters and delivery outcomes in low-risk pregnancies: a prospective observational study
Chiara Lubrano, Francesca Parisi, Chiara Coco, Elisabetta Marelli, Eleonora Burello, Irene Cetin
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Objective. Cardiovascular adaptations represent the most relevant physiological changes of the maternal body during pregnancy, ensuring adequate utero-placental blood perfusion for intrauterine growth and development. Additionally, maternal nutritional status represents a pivotal predictor of pregnancy outcomes.
Materials and Methods. This prospective observational study investigates the associations between maternal characteristics and nutritional habits at term, haemodynamic parameters, and pregnancy outcomes. Healthy women with singleton uncomplicated pregnancies were enrolled at 36-41 gestational weeks. At enrolment, a nutritional score (0-10) based on ten questions with binary yes/no answers was calculated to quantify maternal adherence to a healthy diet and lifestyle. Maternal haemodynamic parameters were assessed by using the Ultrasonic Cardiac Output Monitor (USCOM), including cardiac output (CO), systemic vascular resistance (SVR) and Smith-Madigan inotropy index (SMII). Pregnancy outcomes were recorded at delivery. Associations between maternal characteristics and nutritional score, haemodynamic parameters, and pregnancy outcomes were investigated by using multi-adjusted generalized linear models.
Results. 143 pregnancies were enrolled. Pregestational body mass index was positively associated with SVR (β = 43.16, p < 0.001) and negatively associated with CO (β = -0.07, p < 0.001) and SMII (β = -0.02, p = 0.02). Additionally, a positive association was detected between the nutritional score and SMII (β = 0.05, p = 0.005). Finally, CO was positively associated with birth (β = 7.48, p = 0.05) and placental (β = 44.27, p < 0.01) weight, while RVS showed a negative association with birth (β = -0.01, p = 0.02) and placental (β = -0.06, p = 0.02) weight.
Conclusions. This study shows that maternal derangements in nutritional status and habits are associated with a compromised haemodynamic profile at term, with additional impact on intrauterine growth.
Table of Content: Vol. 36 (Supplement No. 2) 2024 – Conference Proceedings
Physical activity during pregnancy: maternal haemodynamics and obstetrics outcomes
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p.p. 6
Associations between maternal nutritional status, haemodynamic parameters and delivery outcomes in low-risk pregnancies: a prospective observational study
Chiara Lubrano, Francesca Parisi, Chiara Coco, Elisabetta Marelli, Eleonora Burello, Irene Cetin
p.p. 7
The modern maternal haemodynamic features for prediction of preeclampsia
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The new methodology for appraisal of maternal haemodynamics
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The features of the prevention of preeclampsia in pregnant women with gestational endotheliopathy in the first trimester
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p.p. 31
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p.p. 32
Postpartum maternal cardiac adaptation in smallness-for-gestational age (SGA) pregnancies and its correlation with biomarkers of cardiovascular risk
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p.p. 46
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Hypertensive disorders and pregnancy outcomes in oocyte donation pregnancy in comparison with in vitro fertilization group
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The risk of possible surgical complications in caesarean section
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p.p. 54
Correlation between foetal growth velocity and birthweight in a cohort of late term singleton pregnancies
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Preconception physical activity alters the cardiovascular profile of women at risk for gestational hypertensive disorders in a profile-specific way
Pauline Dreesen, Pauline Volders, Sandy Nouwen, Birgit Vrancken, Wilfried Gyselaers
p.p. 57
Perinatal outcomes in pregnancies complicated by late-onset foetal growth restriction undergoing induction of labour
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Maternal haemodynamical adaptation in a pregnancy with post-radiotherapy cardiopathy and dysmetabolism
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Preconception physical activity should be continued during pregnancy in women at risk for gestational hypertensive disorders
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Arterial stiffness and endothelial function after preeclampsia: can they predict the outcome of the subsequent pregnancy?
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The role of umbilical vein blood flow assessment in the prediction of foetal growth: a prospective observational cohort study
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Non-invasive maternal haemodynamics for the classification of pregnancies complicated by foetal growth restriction
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Correlation between angiogenetic biomarkers, urinary protein values and ascites in women with hypertensive disorders of pregnancy
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Circulating angiogenic factors levels in women with hypertensive disorders of pregnancy (HPD) according to the baseline haemodynamic findings
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Agreement between USCOM and Vicorder haemodynamic measurements in pregnancy
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Association between adverse neonatal outcome and maternal haemodynamics and biomarkers in SGA and FGR
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