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Different Etio-Pathogenesis in Intrauterine Growth Retardation in Developing Country: Histomorphometric Evidence
Authors:Vivek Singh Malik  S.K. Srivastava  S.K. Rathee  Smiti Nanda  Sudha Chhabra  Gargi Soni
Affiliation:1. Department of Obstetrics and Gynecology, Royal College of Surgeons in Ireland, Dublin, Ireland;2. Department of Epidemiology and Public Health, Royal College of Surgeons in Ireland, Dublin, Ireland;3. Department of Obstetrics and Gynecology, Coombe Women and Infants University Hospital, Dublin, Ireland;4. University College Dublin Center for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, Ireland;5. Department of Obstetrics and Gynecology, Rotunda Hospital, Dublin, Ireland;6. Department of Obstetrics and Gynecology, University College Dublin School of Medicine and Medical Science, National Maternity Hospital, Dublin, Ireland;7. Department of Obstetrics and Gynecology, University College Cork, Cork University Maternity Hospital, Cork, Ireland;8. Department of Obstetrics and Gynecology, Royal Jubilee Maternity Hospital, Belfast, Ireland;9. Department of Obstetrics and Gynecology, National University of Ireland, Galway, Ireland;10. Department of Obstetrics and Gynecology, Mid-Western Regional Maternity Hospital, Limerick, Ireland;1. Department of Obstetrics and Gynecology, Hamamatsu University School of Medicine, Hamamatsu, Japan;2. Research Center for Child Mental Development, Hamamatsu University School of Medicine, Hamamatsu, Japan;1. Department of Obstetrics & Gynecology, The Edith Wolfson Medical Center, Holon, Israel;2. Department of Pathology, The Edith Wolfson Medical Center, Holon, Israel;3. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Abstract:The present study was conducted to compare histomorphometric parameters of umbilical cord and its vessels in intrauterine growth retarded fetuses and normally grown fetuses. The study was conducted on umbilical cords taken from thirty intrauterine growth retarded (IUGR) fetuses and thirty normally grown fetuses (NGA). Histomorphometric parameters were measured with the help of planimeter. In the present study it was found that in cross section the total umbilical cord area in IUGR group is 59.00+3.67 mm2 and in the control group is 75.91+4.77mm2 (p<0.05). Jelly area in IUGR group is 47.90+3.11 mm2 and in control group is 60.26+4.55 mm2 (p<0.05). Total vessel area in control group is 15.45+1.73 mm2 and in IUGR group is 10.95±1.20mm2 (p <0.05). Total umbilical cord area, umbilical cord jelly area and total vessel area are significantly lower in the IUGR group but no significant difference was observed in total luminal area, total area of blood vessels and wall thickness of umbilical blood vessels. So in the study it was found that histomorphometric parameters of umbilical cord of IUGR fetuses are significantly lower than that of normally grown fetuses of similar gestational age.
Keywords:IUGR  umbilical cord  umbilical artery  umbilical vein  Wharton's jelly
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