Associations of maternal retinal vasculature with subsequent fetal growth and birth size.

<h4>Objective</h4>We aimed to study the maternal retinal microvasculature at mid-trimester and its relationship with subsequent fetal growth and birth size.<h4>Methods</h4>We recruited 732 pregnant women aged 18-46 years in the first trimester with singleton pregnancies. All...

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Main Authors: Ling-Jun Li, Izzuddin Aris, Lin Lin Su, Mya Thway Tint, Carol Yim-Lui Cheung, M Kamran Ikram, Peter Gluckman, Keith M Godfrey, Kok Hian Tan, George Yeo, Fabian Yap, Kenneth Kwek, Seang-Mei Saw, Yap-Seng Chong, Tien-Yin Wong, Yung Seng Lee
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0118250
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author Ling-Jun Li
Izzuddin Aris
Lin Lin Su
Mya Thway Tint
Carol Yim-Lui Cheung
M Kamran Ikram
Peter Gluckman
Keith M Godfrey
Kok Hian Tan
George Yeo
Fabian Yap
Kenneth Kwek
Seang-Mei Saw
Yap-Seng Chong
Tien-Yin Wong
Yung Seng Lee
author_facet Ling-Jun Li
Izzuddin Aris
Lin Lin Su
Mya Thway Tint
Carol Yim-Lui Cheung
M Kamran Ikram
Peter Gluckman
Keith M Godfrey
Kok Hian Tan
George Yeo
Fabian Yap
Kenneth Kwek
Seang-Mei Saw
Yap-Seng Chong
Tien-Yin Wong
Yung Seng Lee
author_sort Ling-Jun Li
collection DOAJ
description <h4>Objective</h4>We aimed to study the maternal retinal microvasculature at mid-trimester and its relationship with subsequent fetal growth and birth size.<h4>Methods</h4>We recruited 732 pregnant women aged 18-46 years in the first trimester with singleton pregnancies. All had retinal photography and fetal scan performed at 26-28 weeks gestation, and subsequent fetal scan at 32-34 weeks gestation. Infant anthropometric measurements were done at birth. Retinal microvasculature was measured using computer software from the retinal photographs.<h4>Results</h4>In multiple linear regression models, each 10 μm narrowing in maternal retinal arteriolar caliber was associated with decreases of 1.36 mm in fetal head circumference at 32-34 weeks gestation, as well as decreases of 1.50 mm and 2.30 mm in infant head circumference and birth length at delivery, respectively. Each standard deviation decrease in maternal retinal arteriolar fractal dimension was associated with decreases of 1.55 mm in fetal head circumference at 32-34 weeks gestation, as well as decreases of 1.08 mm and 46.42 g in infant head circumference and birth weight at delivery, respectively.<h4>Conclusions</h4>Narrower retinal arteriolar caliber and a sparser retinal vascular network in mothers, reflecting a suboptimal uteroplacental microvasculature during mid-pregnancy, were associated with poorer fetal growth and birth size.
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spelling doaj-art-1463261e137149b68cc111affd9b6d032025-08-20T03:46:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01104e011825010.1371/journal.pone.0118250Associations of maternal retinal vasculature with subsequent fetal growth and birth size.Ling-Jun LiIzzuddin ArisLin Lin SuMya Thway TintCarol Yim-Lui CheungM Kamran IkramPeter GluckmanKeith M GodfreyKok Hian TanGeorge YeoFabian YapKenneth KwekSeang-Mei SawYap-Seng ChongTien-Yin WongYung Seng Lee<h4>Objective</h4>We aimed to study the maternal retinal microvasculature at mid-trimester and its relationship with subsequent fetal growth and birth size.<h4>Methods</h4>We recruited 732 pregnant women aged 18-46 years in the first trimester with singleton pregnancies. All had retinal photography and fetal scan performed at 26-28 weeks gestation, and subsequent fetal scan at 32-34 weeks gestation. Infant anthropometric measurements were done at birth. Retinal microvasculature was measured using computer software from the retinal photographs.<h4>Results</h4>In multiple linear regression models, each 10 μm narrowing in maternal retinal arteriolar caliber was associated with decreases of 1.36 mm in fetal head circumference at 32-34 weeks gestation, as well as decreases of 1.50 mm and 2.30 mm in infant head circumference and birth length at delivery, respectively. Each standard deviation decrease in maternal retinal arteriolar fractal dimension was associated with decreases of 1.55 mm in fetal head circumference at 32-34 weeks gestation, as well as decreases of 1.08 mm and 46.42 g in infant head circumference and birth weight at delivery, respectively.<h4>Conclusions</h4>Narrower retinal arteriolar caliber and a sparser retinal vascular network in mothers, reflecting a suboptimal uteroplacental microvasculature during mid-pregnancy, were associated with poorer fetal growth and birth size.https://doi.org/10.1371/journal.pone.0118250
spellingShingle Ling-Jun Li
Izzuddin Aris
Lin Lin Su
Mya Thway Tint
Carol Yim-Lui Cheung
M Kamran Ikram
Peter Gluckman
Keith M Godfrey
Kok Hian Tan
George Yeo
Fabian Yap
Kenneth Kwek
Seang-Mei Saw
Yap-Seng Chong
Tien-Yin Wong
Yung Seng Lee
Associations of maternal retinal vasculature with subsequent fetal growth and birth size.
PLoS ONE
title Associations of maternal retinal vasculature with subsequent fetal growth and birth size.
title_full Associations of maternal retinal vasculature with subsequent fetal growth and birth size.
title_fullStr Associations of maternal retinal vasculature with subsequent fetal growth and birth size.
title_full_unstemmed Associations of maternal retinal vasculature with subsequent fetal growth and birth size.
title_short Associations of maternal retinal vasculature with subsequent fetal growth and birth size.
title_sort associations of maternal retinal vasculature with subsequent fetal growth and birth size
url https://doi.org/10.1371/journal.pone.0118250
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