UNASSIGNED: This prospective cohort study was carried out at Fırat University Obstetrics Clinic between January 1, 2022 and July 1, 2022. Group (G) 1: The control group consisted of 40 pregnant women who underwent elective cesarean section (CS) at 38-40 weeks of gestation. G2: A total of 40 pregnant women with IUGR at 28-37 weeks of gestation were included in the study group. Levels of tumor necrosis factor-alpha (TNF-α), interleukin-1 beta (IL-1β), interferon-gamma (IFN-γ), hypoxia-inducible factor-1 alpha (HIF-1α), macrophage inflammatory protein-1 beta (MIP-1β), and fractalkine were measured in maternal serum and amniotic fluid samples obtained during CS.
UNASSIGNED: When maternal age was compared, no statistically significant difference was observed between G1 and G2 (p = 0.374). The number of gravidity was found to be statistically higher in G1 compared to G2 (p = 0.003). The mean gestational week was statistically higher in G1 (p < 0.001). Maternal serum MIP-1β (p = 0.03) and IFN-γ (p = 0.006) levels were higher in G1. The birth weight of the baby (p < 0.001) and umbilical cord blood gas pH value (p < 0.001) at birth were higher in G1. HIF-1α (p < 0.001), fractalkine (p < 0.001), MIP-1β (p < 0.001), TNF-α (p = 0.007), IL-1β (p < 0.001), and IFN-γ levels (p = 0.007) in amniotic fluid were higher in G2.
UNASSIGNED: Elevated levels of proinflammatory factors, including fractalkine and MIP-1β, along with inflammatory factors such as TNF-α, IL-1β, and IFN-γ, as well as increased HIF-1α levels in amniotic fluid, are associated with intrauterine growth restriction (IUGR) attributed to a hypoxic amniotic environment.
■这项前瞻性队列研究是在2022年1月1日至2022年7月1日之间在费拉特大学妇产科诊所进行的。组(G)1:对照组由40名孕妇组成,这些孕妇在妊娠38-40周时进行了选择性剖宫产(CS)。G2:总共40名妊娠28-37周时患有IUGR的孕妇被包括在研究组中。肿瘤坏死因子-α(TNF-α)水平,白细胞介素-1β(IL-1β),干扰素-γ(IFN-γ),缺氧诱导因子-1α(HIF-1α),巨噬细胞炎性蛋白-1β(MIP-1β),在CS期间获得的母体血清和羊水样本中测量了fractalkine。
■当比较产妇年龄时,在G1和G2之间没有观察到统计学上的显著差异(p=0.374)。与G2相比,G1中的妊娠次数在统计学上较高(p=0.003)。G1的平均孕周在统计学上较高(p<0.001)。孕妇血清MIP-1β(p=0.03)和IFN-γ(p=0.006)水平在G1期较高。婴儿出生体重(p<0.001)和出生时脐血气体pH值(p<0.001)在G1时较高。HIF-1α(p<0.001),Fractalkine(p<0.001),MIP-1β(p<0.001),TNF-α(p=0.007),IL-1β(p<0.001),G2期羊水中IFN-γ水平较高(p=0.007)。
■促炎因子水平升高,包括Fractalkine和MIP-1β,随着炎症因子如TNF-α,IL-1β,和IFN-γ,以及羊水中HIF-1α水平升高,与归因于羊水缺氧环境的宫内生长受限(IUGR)有关。