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Títol:
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Nutritional intra-amniotic therapy increases survival in a rabbit model of fetal growth restriction
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Autor/a:
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Gumus, Hatice Gulcin; Illa Armengol, Míriam; Pla, Laura; Zamora, Monica; Crispi Brillas, Fàtima; Gratacós Solsona, Eduard
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Notes:
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Objective To evaluate the perinatal effects of a prenatal therapy based on intra-amniotic nutritional supplementation in a rabbit model of intrauterine growth restriction (IUGR). Methods IUGR was surgically induced in pregnant rabbits at gestational day 25 by ligating 40-50% of uteroplacental vessels of each gestational sac. At the same time, modified-parenteral nutrition solution (containing glucose, amino acids and electrolytes) was injected into the amniotic sac of nearly half of the IUGR fetuses (IUGR-T group n = 106), whereas sham injections were performed in the rest of fetuses (IUGR group n = 118). A control group without IUGR induction but sham injection was also included (n = 115). Five days after the ligation procedure, a cesarean section was performed to evaluate fetal cardiac function, survival and birth weight. Results Survival was significantly improved in the IUGR fetuses that were treated with intra-amniotic nutritional supplementation as compared to non-treated IUGR animals (survival rate: controls 71% vs. IUGR 44% p = 0.003 and IUGR-T 63% vs. IUGR 44% p = 0.02), whereas, birth weight (controls mean 43g ± SD 9 vs. IUGR 36g ± SD 9 vs. IUGR-T 35g ± SD 8, p = 0.001) and fetal cardiac function were similar among the IUGR groups. Conclusion Intra-amniotic injection of a modified-parenteral nutrient solution appears to be a promising therapy for reducing mortality among IUGR. These results provide an opportunity to develop new intra-amniotic nutritional strategies to reach the fetus by bypassing the placental insufficiency |
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Matèries:
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-Medicina prenatal
-Nutrició
-Prenatal medicine
-Nutrition |
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Drets:
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cc-by (c) Gumus, Hatice Gulcin et al., 2018
http://creativecommons.org/licenses/by/3.0/es
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Tipus de document:
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Article
Article - Versió publicada |
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Publicat per:
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Public Library of Science (PLoS)
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