COMPARISON OF PLGF LEVELS, AMONG SMALL FOR GESTATIONAL AGE AND APPROPRIATE FOR GESTATIONAL AGE MOTHERS
DOI:
https://doi.org/10.51253/pafmj.v74i5.10586Keywords:
Intrauterine growth retardation. Small for gestational age. Appropriate for gestational age. Placental growth factor.Abstract
Objective. Early detection of small for gestational age fetuses can prevent infant morbidity and mortality. The objective of this study was to compare the levels of Placental Growth Factor among small for gestational age with appropriate for gestational age mothers and to identify the predictive value of PlGF in detecting pregnancies with Intra uterine growth retardation in local population.
Design. Quasi experimental (comparative cross-sectional) study.
Place & duration of study. Gynecological department of Ayub Medical complex, Abbottabad from August 2021 to January 2022.
Methodology. The studied population included total 68 mothers in last trimester with 34 in each group, i.e. appropriate for gestational age and small for gestational age. Fetal size was estimated either by clinical examination (symphysis fundal height) or estimated fetal weight by ultrasound examination. Sociodemographic along with reproductive history were recorded and blood samples analyzed for PlGF difference in both groups.
Results. The median age of mothers was 32.5 years. The PlGF in small for gestational age was observed in the below normal concentration (mean value = 126.7 pg/mL) while it was observed in normal ranges in appropriate for gestational age mothers (mean value = 24.2 pg/ml) with P-value (<0.001).
Conclusion. Mothers with small for gestational age were having significantly lower placental growth factor levels compared to mothers with appropriate for gestational age.
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References
Badshah S, Mason L, McKelvie K, Payne R, Lisboa PJ. Risk factors for low birthweight in the public-hospitals at Peshawar, NWFP-Pakistan. BMC Public Health 2008; 8(1): 1-10.
https://doi.org/10.1186/1471-2458-8-197
Ghosh SK, Raheja S, Tuli A, Raghunandan C, Group-Arwal S. Can maternal serum placental growth factor estimation in early second trimester predict the occurrence of early onset preeclampsia and/or early onset intrauterine growth restriction? A prospective cohort study. J Obstet Gynaecol Res 2013; 39(5): 881-890. https://doi.org/10.1111/jog.12006
Bais JMJ, Eskes M, Pel M, Bonsel GJ, Bleker OP. Effectiveness of detection of intrauterine retardation by abdominal palpation as screening test in a low-risk population: an observational study. Eur J Obstet Gynecol Reprod Biol 2004; 116(2): 164–169.
https://doi.org/10.1016/j.ejogrb.2004.01.037
Sharma D, Shastri S, Sharma P. Intrauterine Growth Restriction: Antenatal and Postnatal Aspects. Clin Med Insights Pediatr. 2016; 10: 67-83.
https://doi.org/10.4137/CMPed.S4007
Karagiannis G, Akolekar R, Sarquis R, Wright D, Nicolaides KH. Prediction of small-for-gestation neonates from biophysical and biochemical markers at 11–13 weeks. Fetal Diagn Ther 2011; 29(2): 148–154. https://doi.org/10.1159/000321694
Morris RK, Cnossen JS, Langejans M, Robson SC, Kleijnen J, Ter Riet G, et al. Serum screening with Down’s syndrome markers to predict pre-eclampsia and small for gestational age: systematic review and meta-analysis. BMC Pregnancy Childbirth 2008; 8: 1-9.
https://doi.org/10.1186/1471-2393-8-33
Diab AE, El-Behery MM, Ebrahiem MA, Shehata AE. Angiogenic factors for the prediction of pre-eclampsia in women with abnormal midtrimester uterine artery Doppler velocimetry. Int J Gynaecol Obstet 2008; 102(2): 146–151.
https://doi.org/10.1016/j.ijgo.2008.02.016
Rizos D, Eleftheriades M, Karampas G, Rizou M, Haliassos A, Hassiakos D, et al. Placental growth factor and soluble FMS-like tyrosine kinase-1 are useful markers for the prediction of preeclampsia but not for small for gestational age neonates: a longitudinal study. Eur J Obstet Gynecol Reprod Biol 2013; 171(2): 225–230. https://doi.org/10.1016/j.ejogrb.2013.08.040
Barton JR, Woelkers DA, Newman RB, Combs CA, How HY, Boggess KA, et al. Placental growth factor predicts time to delivery in women with signs or symptoms of early preterm preeclampsia: a prospective multicenter study. Am J Obstet Gynecol 2020; 222(3): 259. e1- e11.
https://doi.org/10.1016/j.ajog.2019.09.003
Kamal A, Saher H, Kamal A. Factors affecting low birth weight in Pakistan. J Coll Physicians Surg Paki 2016; 26(12): 1001-1003
Goldenberg RL, Saleem S, Goudar SS, Silver RM, Tikmani SS, Guruprasad G, et al. Preventable stillbirths in India and Pakistan: a prospective, observational study. BJOG-Int J Obstet Gy 2021; 128(11): 1762-1773. https://doi.org/10.1111/1471-0528.16820
Memon Ky, Ujjan Id, Yousuf N, Ala Sh, Rustamani S, Shaikh F, et al. Correlation of Placental Growth Factor with PreEclampsia during Mid Trimester of Pregnancy: A Case Control Study at Liaquat University of Medical and Health Sciences, Pakistan. J Clin Diagn. Res 2020; 14(11).
https://doi.org/10.1016/j.placenta.2016.03.010
Benton SJ, McCowan LM, Heazell AE, Grynspan D, Hutcheon JA, Senger C, et al. Placental growth factor as a marker of fetal growth restriction caused by placental dysfunction. Placenta 2016; 42: 1-8. https://doi.org/10.1016/j.placenta.2016.03.010
Ul Ain Q, Abbasi SQ, Sattar R, Mansoor G, Ahmed E, ul Ain N, et al. Pattern of Pro-Angiogenic Serum Placental Growth Factor in Gestational Hypertensive Women. J Dow Univ Health Sci 2020; 14(2): 72-76. https://doi.org/10.36570/jduhs.2020.2.925
Asmamaw SD, Getachew S, Demeke T, Hankarso H, Alemnew B, Wedajo S, et al. Magnitude of Neonatal Admission Diagnosis and Associated Factors at Selected Hospitals in Wollo, Northeast Ethiopia. Res Rep Neonatol 2023: 29-44.
http://doi.org/10.2147/PHMT.S299202
Iltaf G, Shahid B, Khan MI. Incidence and associated risk factors of low-birth-weight babies born in Shaikh Khalifa Bin Zayad Al-Nayan Hospital Muzaffarabad, Azad Jammu and Kashmir. Pak J Med Sci 2017; 33(3): 626-630.
https://doi.org/10.12669%2Fpjms.333.12413
Ghosh SK, Raheja S, Tuli A, Raghunandan C, Group-Arwal S. Can maternal serum placental growth factor estimation in early second trimester predict the occurrence of early onset preeclampsia and/or early onset intrauterine growth restriction? A prospective cohort study. J Obstet Gynaecol Res 2013; 39(5): 881-890.
https://doi.org/10.1111/jog.12006
Wubetu AD, Amare YE, Haile AB, Degu MW. Newborn birth weight and associated factors among mother-neonate Pairs in Public Hospitals, North Wollo, Ethiopia. Pediatric Health, Medicine and Therapeutics. 2021; 12: 111-118.
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