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Original Paper

Use of the Myocardial Performance Index in Decreased Fetal Movement Assessment: A Case-Control Study

Ho D.a · Wang J.b · Homann Y.a · Alphonse J.c · Beirne G.a · Welsh A.W.a, c · Henry A.a,c,d

Author affiliations

aSchool of Women's and Children's Health, UNSW Medicine, University of New South Wales, bGraduate School of Biomedical Engineering, UNSW Australia, cDepartment of Maternal-Fetal Medicine, Royal Hospital for Women, and dWomen's and Children's Health, St George Hospital, Sydney, NSW, Australia

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: December 16, 2016
Accepted: April 21, 2017
Published online: June 15, 2017

Number of Print Pages: 10
Number of Figures: 2
Number of Tables: 5

ISSN: 1015-3837 (Print)
eISSN: 1421-9964 (Online)

For additional information: http://www.karger.com/FDT

Abstract

Objectives: To determine whether there are any fetal cardiac function changes, as measured by the myocardial performance index (MPI), in pregnancies complicated by decreased fetal movement (DFM). Methods: We performed a prospective cross-sectional case-control study of 50 DFM and 50 uncomplicated third-trimester pregnancies matched within 2 gestational weeks. Routine ultrasound growth and well-being parameters as well as MPI were measured. Average MPI measurements and its component values were compared between the DFM and the control group, as were demographics, other ultrasound data, and perinatal outcomes. Results: Average left MPI (LMPI) and right MPI (RMPI) was similar between groups (LMPI: 0.54 ± 0.08 [DFM], 0.53 ± 0.08 [controls], p = 0.76; RMPI: 0.60 ± 0.12 (DFM), 0.59 ± 0.11 [controls], p = 0.79). However, subgroup analysis of DFM fetuses with (n = 20) or without (n = 30) any adverse perinatal outcome demonstrated modestly higher average RMPI and LMPI in the adverse perinatal outcome group (RMPI: 0.64 ± 0.08 vs. 0.57 ± 0.13, p = 0.02; LMPI: 0.56 ± 0.07 vs. 0.52 ± 0.07, p = 0.052). Conclusion: The MPI did not demonstrate clinically usable differences between the overall DFM population and controls. However, higher LMPI and RMPI values in the exploratory subgroup of DFM fetuses with adverse perinatal outcomes may warrant further exploration of the MPI in DFM.

© 2017 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: December 16, 2016
Accepted: April 21, 2017
Published online: June 15, 2017

Number of Print Pages: 10
Number of Figures: 2
Number of Tables: 5

ISSN: 1015-3837 (Print)
eISSN: 1421-9964 (Online)

For additional information: http://www.karger.com/FDT


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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