Maternal Serum and Umbilical Cord Brain Natriuretic Peptide Levels in Fetuses with Intrauterine Growth Restriction

Fetal Pediatr Pathol. 2022 Oct;41(5):722-730. doi: 10.1080/15513815.2021.1955057. Epub 2021 Jul 26.

Abstract

Aim: We compared maternal serum and fetal cord blood proBNP levels in healthy pregnancies to those with intrauterine growth restriction (IUGR). Methods: Prospectively, maternal and cord blood samples at childbirth of 40 pregnant women with isolated IUGR and 40 healthy pregnant women were evaluated for ProBNP levels. Results: The mean serum ProBNP level was significantly higher in newborn cord blood with IUGR than in the control group (181.28 ± 145.37 vs. 91.41 ± 49.77 pg/mL, p = <0.01). Mean serum ProBNP level trended higher in women with IUGR compared to the controls, but was not statistically significant (124.21 ± 113.32 vs. 88.73 ± 85.18 pg/mL, p= >0.05). Conclusion: Third trimester mean proBNP in fetal cord blood are increased in IUGR fetuses at term birth compared to pregnancies with normal fetal growth.

Keywords: Pregnancy; cord blood sample; intrauterine growth restriction; proBNP.

MeSH terms

  • Female
  • Fetal Blood
  • Fetal Growth Retardation*
  • Fetus
  • Humans
  • Infant, Newborn
  • Natriuretic Peptide, Brain*
  • Pregnancy
  • Umbilical Cord

Substances

  • Natriuretic Peptide, Brain