[Ultrasound evaluation of fetal adrenal gland volume. The role of fetal adrenal glands in the pathogenesis of preterm labor].

Abstract:

:Preterm labor remains to be one of the most important challenges of contemporary perinatology and constitutes the main reason of perinatal mortality and prematurity of neonates. Studies on preterm labor have confirmed the mutual interactions of several different hormonal systems while the activation of hypothalamic- pituitary- adrenal axis seems to have the greatest influence. It has been also suggested that size and mass of fetal adrenal glands may be associated with the risk of preterm labor. Several authors have shown that the evaluation of fetal adrenal gland volume may be a useful marker of fetal growth during pregnancy. Technological advancements enabled the development of three-dimensional ultrasound evaluation (3D) of the fetal adrenal glands, facilitating a more precise evaluation of their volume. Also, it seems to have higher sensitivity and specificity than two-dimensional ultrasonography (2D). Studies have confirmed a direct relationship between fetal adrenal gland size and the onset of preterm labor within at least 1 week since the ultrasound exam. They have also suggested that in a physiological pregnancy the relation between fetal zone and the whole organ remains constant throughout the pregnancy. Disruption of these proportions and fetal zone enlargement are considered to be a marker of labor cascade and preterm labor with significantly higher sensitivity and specificity than ultrasound evaluation of the cervical length and assessment of the fetal fibronectin concentration.

journal_name

Ginekol Pol

journal_title

Ginekologia polska

authors

Krzyzanowski A,Karwasik-Kajszczarek K,Dymanowska-Dyjak I,Kondracka A,Kwaśniewska A

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

140-4

issue

2

eissn

0017-0011

issn

2543-6767

journal_volume

85

pub_type

杂志文章,评审
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    doi:

    authors: Gumprecht J,Gumprecht K,Monsiol A,Grzeszczak W

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    doi:

    authors: Szymański W,Kazdepka-Ziemińska A

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    pub_type: 杂志文章

    doi:10.5603/GP.a2018.0012

    authors: Kowalska JD,Wroblewska A,Ząbek P,Firląg-Burkacka E,Kalinowska M,Byczot Z,Horban A

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    doi:

    authors: Roszak A

    更新日期:1994-09-01 00:00:00

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    doi:

    authors: Sobkiewicz S,Palatyński A,Korczyński J

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  • [Physiological and pathological consequences of a presence of germ line stem cells in adult tissues].

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    pub_type: 杂志文章,评审

    doi:

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    pub_type: 杂志文章

    doi:

    authors: Turgut A,Ozler A,Görük NY,Karaçor T,Yalinkaya A

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    authors: Miodońska J,Ziółkowska E,Uszyński M

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    authors: Pertyńska MP,Banasik M,Tchórzewski H,Cypryk K,Wilczyński J

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  • Prognostic significance of VEGF and its receptors in endometrioid endometrial cancer.

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    authors: Dobrzycka B,Terlikowski SJ,Kwiatkowski M,Garbowicz M,Kinalski M,Chyczewski L

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    authors: Poniedziałek-Czajkowska E,Leszczyńska-Gorzelak B,Oleszczuk J

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  • [Comparison of the frequency of selected gynecologic operations conducted as laparotomy and laparoscopy during 1993-1997].

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    pub_type: 杂志文章

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    authors: Jedrzejczak P,Kubiaczyk B,Pisarski T,Skrzypczak J,Szymanowski K,Wilczak M,Pawelczyk L

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  • [The number and histopathologic type of ovarian tumors operated during cesarean section at the Polish Mother's Health Institute between 1990-2000].

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    pub_type: 杂志文章

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    authors: Głyda A,Kozak W,Waśko R,Horst-Sikorska W,Sawicka J

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  • [Clinical analysis of 1300 family deliveries].

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    pub_type: 杂志文章

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    authors: Kubicki J,Kowalczyk D,Kudaś D

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    authors: Czupkałło G,Jakowicki JA,Baranowski W

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    doi:

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    authors: Skorupa A,Dyaczyńska-Herman A

    更新日期:1995-12-01 00:00:00

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    pub_type: 杂志文章

    doi:

    authors: Sowińska-Przepiera E,Grys E

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  • [The insertion/deletion polymorphism (I/D) of the ACE gene in pregnant women with excessive weight gain].

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