Pregnancy outcome and total parenteral nutrition in malnourished pregnant women

Sara De Carolis, Sergio Ferrazzani, Alessandro Caruso, Mauro Pittiruti, C Trivellini, C Mastromarino

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)

Abstract

OBJECTIVE:We evaluated pregnancy outcome and fetal growth in women requiring total parenteral nutrition (TPN). METHODS: Eleven malnourished pregnant women were treated with TPN in a single institution, starting at a mean gestational age of 20+/-8 weeks (+/- SD). Serial ultrasound evaluations of fetal growth (biparietal diameter, femur length, abdominal circumference) were performed. The paired Student t test and Wilcoxon signed-rank test were used for the statistical analysis: p values <0.05 were considered significant. RESULTS: The duration of TPN ranged from 14 to 220 days. Maternal nutritional state was well preserved and no complications were related to treatment. A gestational age of 35+/-3 weeks at delivery (mean +/- SD), birth weight of 2,251+/-670 g (mean +/- SD) and birth percentile of 29+/-16 (mean +/- SD) were observed. One intrauterine death occurred. The comparison between the sonographic findings, before and 2 weeks after starting TPN, showed a fetal percentile gain with a statistically significant increase in the abdominal circumference percentile (p < 0.05) from a median percentile of 2 (range 2-32) to 33 (range 2-78). CONCLUSIONS: TPN proved to be helpful and lifesaving in malnourished pregnant women and promoted fetal growth, as shown by the longitudinal ultrasonographic evaluations.
Original languageEnglish
Pages (from-to)136-140
Number of pages5
JournalFetal Diagnosis and Therapy
Volume13
Publication statusPublished - 1998

Keywords

  • Malnourished pregnant woman
  • Parenteral Nutrition, Total
  • Pregnancy Outcome

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