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العنوان
ROLE OF MATERNAL SERUM FERRITIN IN THE PREDICTION OF LOW NEONATAL BIRTH WEIGHT/
المؤلف
Salem,Shaimaa Mahmoud Taha .
هيئة الاعداد
باحث / شيماء محمود طه سالم
مشرف / حسن عـو?اد بيومي
مشرف / شريف أحمد عشوش
مشرف / هيثم عبد المحسن السبع
تاريخ النشر
2016.
عدد الصفحات
105.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
01/10/2016
مكان الإجازة
جامعة عين شمس - كلية الطب - Obstetrics and Gynecology
الفهرس
Only 14 pages are availabe for public view

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Abstract

INTRAUTERINE GROWTH RESTRICTION (IUGR) IS DEFINED AS FETAL GROWTH SLOWER THAN THE NORMAL GROWTH POTENTIAL OF A SPECIFIC FETUS BECAUSE OF GENETIC OR ENVIRONMENTAL FACTORS (MURKI AND SHARMA, 2014). IUGR IS ASSOCIATED WITH A HIGH INCIDENCE OF PERINATAL MORBIDITY AND MORTALITY (MUHAMMAD ET AL., 2010). IUGR NEONATES HAVE A GREATER RISK OF HYPOXIC-ISCHAEMIC ENCEPHALOPATHY, INTRAVENTRICULAR HEMORRHAGE AND NECROTIZING ENTEROCOLITIS WITH LONGER HOSPITAL STAY AND HIGHER HEALTH CARE COSTS (ROSS, 2008). INCIDENCE OF A FETUS DEVELOPING A SMALL SIZE FOR GESTATIONAL AGE (SGA) IS ABOUT 8% (VIŠNJEVAC ET AL., 2011).
IRON DEFICIENCY HAS ITS KNOWN DELETERIOUS EFFECT IN PREGNANCY BUT IRON LOADING MAY BE ASSOCIATED WITH OXIDATIVE DAMAGE TO CELLS AND TISSUES. IT HAS BEEN SHOWN IN VARIOUS STUDIES THAT LOWER LEVEL OF TRANSFERRITIN RECEPTOR EXPRESSION IN PLACENTA IS ASSOCIATED WITH PREECLAMPSIA AND IUGR. THIS CAN LEAD TO DECREASE EXTRACTION OF IRON BY PLACENTA from MATERNAL SERUM LEADING TO INCREASE MATERNAL SERUM FERRITIN. THIS FETAL IRON DEFICIENCY LEADS TO INCREASE IN FETAL CORTICOTROPINS AND FETAL CORTISOL, CAUSING INHIBITION OF FETAL GROWTH (BINDAL ET AL., 2015).