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Sex differences in umbilical artery Doppler indices: a longitudinal study

Overview of attention for article published in Biology of Sex Differences, April 2018
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Title
Sex differences in umbilical artery Doppler indices: a longitudinal study
Published in
Biology of Sex Differences, April 2018
DOI 10.1186/s13293-018-0174-x
Pubmed ID
Authors

Christian Widnes, Kari Flo, Tom Wilsgaard, Torvid Kiserud, Ganesh Acharya

Abstract

Sexual dimorphism in placental size and function has been described. Whether this influences the clinically important umbilical artery (UA) waveform remains controversial, although a few cross-sectional studies have shown sex differences in UA pulsatility index (PI). Therefore, we tested whether fetal sex influences the UA Doppler indices during the entire second half of pregnancy and aimed to establish sex-specific reference ranges for UA Doppler indices if needed. Our main objective was to investigate gestational age-associated changes in UA Doppler indices during the second half of pregnancy and compare the values between male and female fetuses. This was a prospective longitudinal study in women with singleton low-risk pregnancies during 19-40 weeks of gestation. UA Doppler indices were serially obtained at a 4-weekly interval from a free loop of the umbilical cord using color-directed pulsed-wave Doppler ultrasonography. Sex-specific reference intervals were calculated for the fetal heart rate (HR), UA PI, resistance index (RI), and systolic/diastolic ratio (S/D) using multilevel modeling. Complete data from 294 pregnancies (a total of 1261 observations from 152 male and 142 female fetuses) were available for statistical analysis, and sex-specific reference ranges for the UA Doppler indices and fetal HR were established for the last half of pregnancy. UA Doppler indices were significantly associated with gestational age (P < 0.0001) and fetal HR (P < 0.0001). Female fetuses had 2-8% higher values for UA Doppler indices than male fetuses during gestational weeks 20+0-36+6 (P < 0.05), but not later. Female fetuses had higher HR from gestational week 26+0 until term (P < 0.05). We have determined gestational age-dependent sex differences in UA Doppler indices and fetal HR during the second half of pregnancy, and correspondingly established new sex-specific reference ranges intended for refining diagnostics and monitoring individual pregnancies.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 50 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 50 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 7 14%
Student > Master 5 10%
Researcher 4 8%
Student > Bachelor 3 6%
Student > Postgraduate 2 4%
Other 6 12%
Unknown 23 46%
Readers by discipline Count As %
Medicine and Dentistry 9 18%
Engineering 4 8%
Unspecified 2 4%
Neuroscience 2 4%
Biochemistry, Genetics and Molecular Biology 1 2%
Other 7 14%
Unknown 25 50%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 December 2021.
All research outputs
#14,186,260
of 22,738,543 outputs
Outputs from Biology of Sex Differences
#311
of 470 outputs
Outputs of similar age
#184,840
of 326,384 outputs
Outputs of similar age from Biology of Sex Differences
#9
of 10 outputs
Altmetric has tracked 22,738,543 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
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