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Unexplained elevated maternal serum beta-HCG concentration and adverse pregnancy outcome.

Unexplained elevated maternal serum beta-HCG concentration and adverse pregnancy outcome. Research Abstract Details 

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  • Unexplained elevated maternal serum beta-HCG concentration and adverse pregnancy outcome. Abstract Text:

    ramesh ganapathyRamesh Ganapathy,ronald f lamontRonald F Lamont,paul bassettPaul Bassett,ramesh ganapathyRamesh Ganapathy,ronald f lamontRonald F Lamont,paul bassettPaul Bassett,

    OBJECTIVE: To investigate the association between unexplained elevated maternal serum beta-Human chorionic gonadotrophin (HCG) in the second trimester of pregnancy and adverse pregnancy outcome. METHODS: In a case-controlled study of 3463 women who opted for second-trimester serum screening for Down syndrome, 142 were found to have a serum beta-HCG of > or =3.5 multiples of the median (MoM), 56 of whom had a serum beta-HCG of > or =5.0 MoM. These women were compared with a control group of women with serum beta-HCG within the 95% confidence interval around the median. RESULTS: In the elevated beta-HCG group (> or =5 MoM) significantly more babies required admission to the special care baby unit (p = 0.02) and were small for gestational age (SGA) (p = 0.03). The mean birth weight was also significantly lower in the group with elevated beta-HCG. Women with a serum beta-HCG of > or =5, > or =6, > or =7 or > or =8 MoM were associated with SGA babies in 40, 44, 64 and 86% respectively. All babies born to the six women with beta-HCG of 8.75-24.1 MoM were SGA. CONCLUSION: Increased surveillance is necessary in pregnancies where the maternal serum beta-HCG in the second trimester is inexplicably elevated to > or =5 MoM.

    Unexplained elevated maternal serum beta-HCG concentration and adverse pregnancy outcome. Publishing Authors By Initials

    r ganapathyR Ganapathy,rf lamontRF Lamont,p bassettP Bassett,r ganapathyR Ganapathy,rf lamontRF Lamont,p bassettP Bassett,

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    Unexplained elevated maternal serum beta-HCG concentration and adverse pregnancy outcome. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Prenatal diagnosis

    VOLUME: 27

    Page Numbers: 995-9

    Journal Abbreviation: Prenat. Diagn.

    ISSN: 0197-3851

    DAY: 29

    MONTH: Nov

    YEAR: 2007

    Unexplained elevated maternal serum beta-HCG concentration and adverse pregnancy outcome. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 8106540

    Unexplained elevated maternal serum beta-HCG concentration and adverse pregnancy outcome. Keywords Mesh Terms:

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    Grant and Affiliation Information for Unexplained elevated maternal serum beta-HCG concentration and adverse pregnancy outcome.

    AFFILIATION: Department of Obstetrics and Gynaecology, Northwick Park Hospital, North-West London, NHS Trust, London, UK.

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: Prenat Diagn

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