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Article: sFlt-1 Levels as a Predicting Tool in Placental Dysfunction Complications in Multiple Pregnancies.

Giardini, Valentina / Grilli, Leonora / Terzaghi, Alessandra / Todyrenchuk, Lyudmyla / Zavettieri, Caterina / Mazzoni, Giulia / Cozzolino, Sabrina / Casati, Marco / Vergani, Patrizia / Locatelli, Anna

Biomedicines

2023 Volume 11, Issue 11

Abstract: Background: several studies have demonstrated that angiogenic markers can improve the clinical management of hypertensive disorders (HDs) and fetal growth restriction (FGR) in singleton pregnancies, but few studies have evaluated the performance of ... ...

Abstract	Background: several studies have demonstrated that angiogenic markers can improve the clinical management of hypertensive disorders (HDs) and fetal growth restriction (FGR) in singleton pregnancies, but few studies have evaluated the performance of these tests in multiple pregnancies. Our aim was to investigate the role of soluble fms-like tyrosine kinase 1 (sFlt-1) in predicting adverse obstetric outcomes in hospitalized multiple pregnancies with HD (preeclampsia/gestational hypertension/uncontrolled chronic hypertension) and/or FGR in one or more fetuses. Methods: A retrospective analysis of multiple pregnancies with HD/FGR occurring after the 20th gestational week. Pregnant women were divided into two groups: women with high levels of sFlt-1 and those with low levels of sFlt-1. A value of sFlt-1 greater than or equal to 15,802 pg/mL was considered arbitrarily high, as it is equivalent to two times the 90th percentile expected in an uncomplicated full-term singleton pregnancy based on data from a prospective multicenter study (7901 pg/mL). Results: The cohort included 39 multiple pregnancies. There were no cases of birth <34 weeks, HELLP syndrome, ICU admission, and urgent cesarean sections for HD/FGR complications reported among women with low levels of sFlt-1. Conclusions: A cut-off value of sFlt-1 ≥ 15,802 pg/mL could represent a valuable tool for predicting adverse obstetric outcomes in multiple pregnancies hospitalized for HD/FGR disorders, regardless of gestational age and chorionicity.
Language	English
Publishing date	2023-10-28
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2720867-9
ISSN	2227-9059
ISSN	2227-9059
DOI	10.3390/biomedicines11112917
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Article ; Online: Isolated spina bifida aperta: prenatal ventriculomegaly as an ultrasound prognostic marker.

Giardini, Valentina / Verderio, Maria / Cozzolino, Sabrina / Vergani, Patrizia

Prenatal diagnosis

2019 Volume 39, Issue 11, Page(s) 1035–1037

MeSH term(s)	Biomarkers ; Female ; Humans ; Hydrocephalus/diagnostic imaging ; Hydrocephalus/etiology ; Pregnancy ; Prognosis ; Retrospective Studies ; Spina Bifida Cystica/complications ; Spina Bifida Cystica/diagnostic imaging ; Ultrasonography, Prenatal
Chemical Substances	Biomarkers
Language	English
Publishing date	2019-07-16
Publishing country	England
Document type	Letter
ZDB-ID	82031-3
ISSN	1097-0223 ; 0197-3851
ISSN (online)	1097-0223
ISSN	0197-3851
DOI	10.1002/pd.5509
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Article ; Online: Comment on: "Effect of delayed interval delivery of remaining fetus(es) in multiple pregnancies on survival: a systematic review and meta-analysis".

Lazzarin, Sara / Cozzolino, Sabrina / Vergani, Patrizia

American journal of obstetrics and gynecology

2019 Volume 222, Issue 2, Page(s) 193

MeSH term(s)	Female ; Fetus ; Humans ; Obstetric Labor, Premature ; Pregnancy ; Pregnancy, Multiple
Language	English
Publishing date	2019-09-20
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	80016-8
ISSN	1097-6868 ; 0002-9378
ISSN (online)	1097-6868
ISSN	0002-9378
DOI	10.1016/j.ajog.2019.09.031
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Article: 2D versus 3D real time ultrasound with live xPlane imaging to visualize aortic and ductal arches: comparison between methods.

Dell'Oro, Stefania / Verderio, Maria / Incerti, Maddalena / Mastrolia, Salvatore Andrea / Cozzolino, Sabrina / Vergani, Patrizia

PeerJ

2018 Volume 6, Page(s) e4561

Abstract: Background: The diagnosis of congenital heart defects is challenging, especially for what concerns conotruncal anomalies. Indeed, although the screening techniques of fetal cardiac anomalies have greatly improved, the detection rate of conotruncal ... ...

Abstract	Background: The diagnosis of congenital heart defects is challenging, especially for what concerns conotruncal anomalies. Indeed, although the screening techniques of fetal cardiac anomalies have greatly improved, the detection rate of conotruncal anomalies still remains low due to the fact that they are associated with a normal four-chamber view. Therefore, the study aimed to compare real-time three-dimensional echocardiography with live xPlane imaging with two-dimensional (2D) traditional imaging in visualizing ductal and aortic arches during routine echocardiography of the second trimester of gestation. Methods: This was an observational prospective study including 114 women with uncomplicated, singleton pregnancies. All sonographic studies were performed by two different operators, of them 60 by a first level operator, while 54 by a second level operator. A subanalysis was run in order to evaluate the feasibility and the time needed for the two procedures according to fetal spine position and operator's experience. Results: The measurements with 2D ultrasound were performed in all 114 echocardiographies, while live xPlane imaging was feasible in the 78% of the cases, and this was mainly due to fetal position. The time lapse needed to visualize aortic and ductal arches was significantly lower when using 2D ultrasound compared to live xPlane imaging (29.56 ± 28.5 s vs. 42.5 ± 38.1 s, Discussion: To find a reproducible and standardized method to detect fetal heart defects may bring a great benefit for both patients and operators. In this scenario live xPlane imaging is a novel method to visualize ductal and aortic arches. We found that the position of the fetal spine may affect the feasibility of the method since, when the fetal back is anterior or transverse, the visualization of the correct view of three-vessels and trachea in order to set the reference line properly becomes more challenging. In addition, the fetal spine position influences the duration of the ultrasound examination. Regarding operator's skills and experience, in our study a first level operator was able to perform the complete 2D and xPlane examination in a lower number of cases compared to second level operators. In addition, the time required for the complete examination was higher for first level operators. This means that this technique is based on an adequate operators' expertise.
Language	English
Publishing date	2018-04-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	2703241-3
ISSN	2167-8359
ISSN	2167-8359
DOI	10.7717/peerj.4561
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Article ; Online: Delivery and feto-neonatal outcomes of diamniotic twin pregnancies in women with no chronic disease or gestational complications: impact of mode of conception.

Algeri, Paola / Ornaghi, Sara / Vaglio Tessitore, Isadora / Brienza, Letizia / Cozzolino, Sabrina / Incerti, Maddalena / Vergani, Patrizia

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

2019 Volume 33, Issue 12, Page(s) 2081–2088

Abstract: Introduction: ...

Abstract	Introduction:
MeSH term(s)	Adult ; Case-Control Studies ; Cesarean Section/statistics & numerical data ; Female ; Humans ; Infant, Newborn ; Male ; Middle Aged ; Postpartum Hemorrhage/epidemiology ; Pregnancy ; Pregnancy Outcome/epidemiology ; Pregnancy, Twin ; Reproductive Techniques, Assisted/adverse effects ; Reproductive Techniques, Assisted/classification ; Reproductive Techniques, Assisted/statistics & numerical data ; Retrospective Studies ; Risk Factors
Language	English
Publishing date	2019-01-22
Publishing country	England
Document type	Journal Article
ZDB-ID	2077261-0
ISSN	1476-4954 ; 1057-0802 ; 1476-7058
ISSN (online)	1476-4954
ISSN	1057-0802 ; 1476-7058
DOI	10.1080/14767058.2018.1540036
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Article ; Online: Influence of weight gain, according to Institute of Medicine 2009 recommendation, on spontaneous preterm delivery in twin pregnancies.

Algeri, Paola / Pelizzoni, Francesca / Bernasconi, Davide Paolo / Russo, Francesca / Incerti, Maddalena / Cozzolino, Sabrina / Mastrolia, Salvatore Andrea / Vergani, Patrizia

BMC pregnancy and childbirth

2018 Volume 18, Issue 1, Page(s) 6

Abstract: Backgrounds: Maternal total weight gain during pregnancy influences adverse obstetric outcomes in singleton pregnancies. However, its impact in twin gestation is less understood. Our objective was to estimate the influence of total maternal weight gain ... ...

Abstract	Backgrounds: Maternal total weight gain during pregnancy influences adverse obstetric outcomes in singleton pregnancies. However, its impact in twin gestation is less understood. Our objective was to estimate the influence of total maternal weight gain on preterm delivery in twin pregnancies. Methods: We conducted a retrospective cohort study including diamniotic twin pregnancies with spontaneous labor delivered at 28 + 0 weeks or later. We analyzed the influence of total weight gain according to Institute of Medicine (IOM) cut-offs on the development of preterm delivery (both less than 34 and 37 weeks). Outcome were compared between under and normal weight gain and between over and normal weight gain separately using Fisher's exact test with Holm-Bonferroni correction. Results: One hundred seventy five women were included in the study and divided into three groups: under (52.0%), normal (41.7%) and overweight gain (6.3%). Normal weight gain was associated with a reduction in the rate of preterm delivery compared to under and over weight gain [less than 34 weeks: under vs. normal OR 4.97 (1.76-14.02), over vs. normal OR 4.53 (0.89-23.08); less than 37 weeks: OR 3.16 (1.66-6.04) and 6.51 (1.30-32.49), respectively]. Conclusions: Normal weight gain reduces spontaneous preterm delivery compared to over and underweight gain.
MeSH term(s)	Adult ; Birth Weight ; Female ; Gestational Age ; Guidelines as Topic ; Humans ; Infant, Newborn ; Infant, Small for Gestational Age ; National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division ; Pre-Eclampsia/epidemiology ; Pregnancy ; Pregnancy, Twin ; Premature Birth/epidemiology ; Retrospective Studies ; United States/epidemiology ; Weight Gain/physiology
Language	English
Publishing date	2018-01-03
Publishing country	England
Document type	Journal Article
ISSN	1471-2393
ISSN (online)	1471-2393
DOI	10.1186/s12884-017-1645-5
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Article ; Online: What is the effect of intertwin delivery interval on the outcome of the second twin delivered vaginally?

Algeri, Paola / Callegari, Clelia / Mastrolia, Salvatore Andrea / Brienza, Letizia / Vaglio Tessitore, Isadora / Paterlini, Giuseppe / Incerti, Maddalena / Cozzolino, Sabrina / Vergani, Patrizia

2018 Volume 32, Issue 20, Page(s) 3480–3486

Abstract: Objective: ...

Abstract	Objective:
MeSH term(s)	Adult ; Birth Intervals/statistics & numerical data ; Cesarean Section/statistics & numerical data ; Delivery, Obstetric ; Female ; Humans ; Infant, Newborn ; Pregnancy ; Pregnancy Outcome/epidemiology ; Pregnancy, Twin/statistics & numerical data ; Retrospective Studies ; Twins ; Vagina ; Young Adult
Language	English
Publishing date	2018-06-21
Publishing country	England
Document type	Journal Article ; Observational Study
ZDB-ID	2077261-0
ISSN	1476-4954 ; 1057-0802 ; 1476-7058
ISSN (online)	1476-4954
ISSN	1057-0802 ; 1476-7058
DOI	10.1080/14767058.2018.1481036
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Article ; Online: Neonatal hypoxia of the second twin after vaginal delivery of the first twin: what matters?

Algeri, Paola / Callegari, Clelia / Bernasconi, Davide Paolo / Incerti, Maddalena / Cozzolino, Sabrina / Paterlini, Giuseppe / Mastrolia, Salvatore Andrea / Pellizzoni, Francesca / Vergani, Patrizia

2018 Volume 32, Issue 17, Page(s) 2889–2896

Abstract: Objective: ...

Abstract	Objective:
MeSH term(s)	Adult ; Cardiotocography ; Case-Control Studies ; Delivery, Obstetric/adverse effects ; Delivery, Obstetric/statistics & numerical data ; Female ; Heart Rate, Fetal/physiology ; Humans ; Hypoxia/epidemiology ; Hypoxia/etiology ; Infant, Newborn ; Male ; Pregnancy ; Pregnancy, Twin ; Retrospective Studies ; Time Factors ; Twins ; Young Adult
Language	English
Publishing date	2018-04-01
Publishing country	England
Document type	Journal Article ; Observational Study
ZDB-ID	2077261-0
ISSN	1476-4954 ; 1057-0802 ; 1476-7058
ISSN (online)	1476-4954
ISSN	1057-0802 ; 1476-7058
DOI	10.1080/14767058.2018.1451510
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Article ; Online: Expectant management in di-chorionic pregnancies complicated by discordant anomalous twin.

Algeri, Paola / Russo, Francesca M / Incerti, Maddalena / Cozzolino, Sabrina / Pelizzoni, Francesca / Bernasconi, Davido P / Montanelli, Luca / Locatelli, Luca / Vergani, Patrizia

Journal of perinatal medicine

2017 Volume 46, Issue 7, Page(s) 721–727

MeSH term(s)	Adult ; Chorion/diagnostic imaging ; Cohort Studies ; Congenital Abnormalities/diagnostic imaging ; Congenital Abnormalities/therapy ; Conservative Treatment ; Diseases in Twins/diagnostic imaging ; Diseases in Twins/therapy ; Female ; Humans ; Infant, Newborn ; Italy ; Male ; Pregnancy ; Pregnancy Complications/diagnostic imaging ; Pregnancy Complications/therapy ; Pregnancy Outcome ; Pregnancy, Twin ; Retrospective Studies ; Twins
Language	English
Publishing date	2017-06-29
Publishing country	Germany
Document type	Journal Article
ZDB-ID	123512-6
ISSN	1619-3997 ; 0300-5577 ; 0936-174X
ISSN (online)	1619-3997
ISSN	0300-5577 ; 0936-174X
DOI	10.1515/jpm-2017-0032
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Article ; Online: Selective IUGR in dichorionic twins: what can Doppler assessment and growth discordancy say about neonatal outcomes?

Algeri, Paola / Frigerio, Matteo / Lamanna, Maria / Petrova, Petya Vitanova / Cozzolino, Sabrina / Incerti, Maddalena / Mastrolia, Salvatore Andrea / Roncaglia, Nadia / Vergani, Patrizia

Journal of perinatal medicine

2017 Volume 46, Issue 9, Page(s) 1028–1034

Abstract: Objective: The aim of the present study was to assess, in a population of dichorionic twin pregnancies with selective growth restriction, the effect of inter-twin differences by use of Doppler velocimetry and fetal growth discordancy on perinatal ... ...

Abstract	Objective: The aim of the present study was to assess, in a population of dichorionic twin pregnancies with selective growth restriction, the effect of inter-twin differences by use of Doppler velocimetry and fetal growth discordancy on perinatal outcomes. Methods: This was a retrospective study including dichorionic twin pregnancies from January 2008 to December 2015 at the Department of Obstetrics and Gynecology of Fondazione MBBM. Only dichorionic twin pregnancies affected by selective intrauterine growth restriction (IUGR) delivering at ≥24 weeks were included in the study. Results: We found that twin pregnancies with inter-twin estimated fetal weight (EFW) discordance ≥15% were significantly associated with a higher risk of preterm delivery before 32 (P=0.004) and 34 weeks (P=0.04). Similarly, twin pregnancies with inter-twin abdominal circumference (AC) discordance ≥30° centiles were associated with a higher rate of neonatal intensive care unit (NICU) admission (P=0.02), neonatal resuscitation (P=0.02) and adverse neonatal composite outcome (P=0.04). Of interest, when comparing twin pregnancies according to Doppler study, growth restricted twins had a higher rate of composite neonatal outcome and in multivariate analysis, an abnormal Doppler was an independent risk factor for this outcome. Conclusions: Our study associated growth discrepancy with specific pregnancy outcomes, according to defined cut-offs. In addition, we demonstrated that an abnormal umbilical artery Doppler is independently associated with a composite neonatal adverse outcome in growth restricted fetuses.
MeSH term(s)	Birth Weight ; Female ; Fetal Growth Retardation/diagnosis ; Fetal Growth Retardation/epidemiology ; Fetal Growth Retardation/etiology ; Humans ; Infant, Newborn ; Italy/epidemiology ; Pregnancy ; Pregnancy Outcome/epidemiology ; Pregnancy, Twin ; Premature Birth/epidemiology ; Premature Birth/etiology ; Premature Birth/prevention & control ; Prognosis ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Twins, Dizygotic ; Ultrasonography, Doppler/methods ; Ultrasonography, Prenatal/methods ; Umbilical Arteries/diagnostic imaging ; Umbilical Arteries/pathology
Language	English
Publishing date	2017-12-29
Publishing country	Germany
Document type	Journal Article
ZDB-ID	123512-6
ISSN	1619-3997 ; 0300-5577 ; 0936-174X
ISSN (online)	1619-3997
ISSN	0300-5577 ; 0936-174X
DOI	10.1515/jpm-2017-0253
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