CORRELATION OF MATERNAL STRESS BECAUSE OF POSITIVE ANEUPLOIDY SCREENING SERUM ANALYTES AND UTERINE ARTERIES’ DOPPLER ULTRASOUND INDEX: A PROSPECTIVE COHORT STUDY

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SHIRAZI MAHBOOBEH; POORANSARI PARICHEHR; RAHIMI SHARBAF FATEMEH; NIROMANESH SHIRIN; SAHEBDEL BEHROKH; SHARIAT MAMAK; PAHLAVAN ZEINAB; SHIRAZI MAHMOUD; AHMADIAN MARYAM

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Journal: International Journal of Fertility & Sterility Year:2019 | Volume:12 | Issue:4 Page(s): 329-334

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Title

CORRELATION OF MATERNAL STRESS BECAUSE OF POSITIVE ANEUPLOIDY SCREENING SERUM ANALYTES AND UTERINE ARTERIES’ DOPPLER ULTRASOUND INDEX: A PROSPECTIVE COHORT STUDY

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Keywords

AMNIOCENTESIS

DOPPLER

PRENATAL SCREENING

STRESS DISORDERS

UTERINE ARTERY

Abstract

Background: Antenatal anxiety or maternal stress is a prevalent chronic mental disorder in pregnant women. We have assessed the effect of maternal stress from positive aneuploidy screening results on the changes in UTERINE ARTERY blood flow.Materials and Methods: We performed a prospective cohort (one sample) pilot study at a hospital in Tehran, Iran. A total of 60 pregnant women who were candidates for AMNIOCENTESIS due to abnormal sequential screening test results entered the study. We conducted 2 standard psychological tests, the Spielberger’s State-Trait Anxiety Inventory and the Beck Anxiety Inventory, to determine anxiety levels in the participants before AMNIOCENTESIS and two weeks after AMNIOCENTESIS. The UTERINE ARTERY resistance index was also measured before and two weeks after AMNIOCENTESIS. The level of maternal stress was compared with the UTERINE ARTERY resistance index.Results: Patients had a mean State Trait Anxiety Inventory score before AMNIOCENTESIS of greater than 40, which meant that the mothers experienced high anxiety. There were no correlations between both inventories’ anxiety scores and UTERINE ARTERY blood flow before AMNIOCENTESIS. However, two weeks after AMNIOCENTESIS, we observed significant negative correlations between the State Anxiety (P=0.0041) and Trait Anxiety (P=0.010) Inventory scores and the UTERINE ARTERY resistance indexes. Also, there was an association between the decreased right UTERINE ARTERY resistance index and State Anxiety scores (P=0.036). There were significant correlations between State and Trait Anxiety scores and second trimester analytes of b -human chorionic gonadotropin (b-hCG, P<0.001), a-fetoprotein (P<0.001), and unconjugated estriol (P=0.048).Conclusion: Maternal anxiety because of positive aneuploidy screening serum analytes and AMNIOCENTESIS can affect perinatal outcomes via mood-based alterations in blood flow of the uterine arteries and the screening markers b-hCG, unconjugated estriol, and a-fetoprotein.

Cites

Comparative Evaluation Between First and Second Trimester Aneuploidy Screening Tests with Amnio Synthesis Results

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APA: Copy

SHIRAZI, MAHBOOBEH, POORANSARI, PARICHEHR, RAHIMI SHARBAF, FATEMEH, NIROMANESH, SHIRIN, SAHEBDEL, BEHROKH, SHARIAT, MAMAK, PAHLAVAN, ZEINAB, SHIRAZI, MAHMOUD, & AHMADIAN, MARYAM. (2019). CORRELATION OF MATERNAL STRESS BECAUSE OF POSITIVE ANEUPLOIDY SCREENING SERUM ANALYTES AND UTERINE ARTERIES’ DOPPLER ULTRASOUND INDEX: A PROSPECTIVE COHORT STUDY. INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY, 12(4), 329-334. SID. https://sid.ir/paper/306017/en

Vancouver: Copy

SHIRAZI MAHBOOBEH, POORANSARI PARICHEHR, RAHIMI SHARBAF FATEMEH, NIROMANESH SHIRIN, SAHEBDEL BEHROKH, SHARIAT MAMAK, PAHLAVAN ZEINAB, SHIRAZI MAHMOUD, AHMADIAN MARYAM. CORRELATION OF MATERNAL STRESS BECAUSE OF POSITIVE ANEUPLOIDY SCREENING SERUM ANALYTES AND UTERINE ARTERIES’ DOPPLER ULTRASOUND INDEX: A PROSPECTIVE COHORT STUDY. INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY[Internet]. 2019;12(4):329-334. Available from: https://sid.ir/paper/306017/en

IEEE: Copy

MAHBOOBEH SHIRAZI, PARICHEHR POORANSARI, FATEMEH RAHIMI SHARBAF, SHIRIN NIROMANESH, BEHROKH SAHEBDEL, MAMAK SHARIAT, ZEINAB PAHLAVAN, MAHMOUD SHIRAZI, and MARYAM AHMADIAN, “CORRELATION OF MATERNAL STRESS BECAUSE OF POSITIVE ANEUPLOIDY SCREENING SERUM ANALYTES AND UTERINE ARTERIES’ DOPPLER ULTRASOUND INDEX: A PROSPECTIVE COHORT STUDY,” INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY, vol. 12, no. 4, pp. 329–334, 2019, [Online]. Available: https://sid.ir/paper/306017/en

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