AI Article Synopsis
- The study evaluated the prevalence of abnormal spiral arteries modification (ASAM) in 203 stillbirth cases and its connections to maternal health.
- ASAM was found in 33.9% of the cases, with a significant link to higher prepregnancy BMI among affected mothers.
- The findings highlight the importance of encouraging weight loss in obese women prior to pregnancy to reduce negative outcomes.
Article Abstract
Aim: To evaluate the prevalence of abnormal spiral arteries modification (ASAM) in stillbirths and its anatomo-clinical correlations.
Methods: Two-hundred and three placentas of stillbirth ≥20 weeks of gestation were analyzed.
Results: ASAM was present in 69/203 cases (33.9%). The only maternal characteristic that significantly differed in ASAM versus normal spiral arteries modification (NSAM) cases was the prepregnancy body mass index (BMI) (25.9 ± 6.1 and 23.1 ± 4.2 kg/m(2), respectively) with 15.9% of obesity in ASAM mothers versus 5.2% in NSAM (p = 0.02).
Conclusion: Given the association between obesity and adverse pregnancy outcome, our data suggest that counselling obese women to lose weight before pregnancy becomes increasingly imperative.
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| http://dx.doi.org/10.3109/14767058.2012.705395 | DOI Listing |
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