Journal of Neonatal Biology

Umbilical cord and preeclampsia

20^th International Conference on Neonatology and Perinatology

December 04-06, 2017 | Madrid, Spain

Mercedes Olaya-C

Pontificia Universidad Javeriana- Hospital Universitario San Ignacio, Colombia

Scientific Tracks Abstracts: J Neonatal Biol

Abstract:

Introduction: Preeclampsia is an important syndrome associated with gestation that causes mortality and morbidity not only for fetuses but also for mothers. The rest of the Hypertensive Disorders of Pregnancy (HDP) (including chronic hypertension -from any cause-,chronic hypertension with superimposed preeclamp sia, and gestational hypertension) also cause an important impact. Likewise, umbilical cord complications have been recognized as potentially dangerous for the fetus and the newborn, in aspects such its length, diameter, insertion, entanglements, knots and coiled, increasing the risk of obstetric complications and fetal or newborn poor outcomes. Recently, a relation between umbilical cord abnormalities and preeclampsia has been found in the literature. Preeclampsia has been associated with abnormalities in the umbilical cord, in several ways: morphological, biochemical and functional. Alteration in blood vessels of the placenta, decidua and circulatory system of the fetus might be related to factors that cause preeclampsia and with alterations of the umbilical cord. Objectives: This study aimed to analyze the relation between each type of umbilical cord abnormality and the different subtypes of HDP. Methods: We conducted a prospective study on consecutive autopsies and its placentas, looking for abnormalities in the umbilical cord�??s features and their clinical associations. Results: Umbilical cord abnormalities (length, diameter, insertion, entanglements, knots and coiled) were interestingly associated with maternal HDP Conclusion: Umbilical cord abnormalities might affect the prognosis of the fetuses and the newborn of mothers who suffer preeclampsia.

Biography :

Mercedes Olaya-C is a Pediatric Pathologist and completed her PhD from Pontificia Universidad Javeriana. She is the Director of Pathology Department and Associated Professor at the same university and its Hospital Universitario San Ignacio. She has published more than 25 papers and has worked for fetuses’ health for 20 years.