Table 1.
Multiple Pregnancies—n = 39 | High Levels of sFlt-1 | Low Levels of sFlt-1 | p Value |
---|---|---|---|
sFlt-1 ≥ 15,802 pg/mL | sFlt-1 < 15,802 pg/mL | ||
n = 15 (38) | n = 24 (62) | ||
Types | |||
DD twins | 12 (80) | 22 (92) | 0.354 |
MD twins | 1 (7) | 1 (4) | 1.000 |
MM twins | 1 (7) | 0 | 0.384 |
Triplets | 1 (7) | 1 (4) | 1.000 |
Maternal anamnestic characteristics | |||
Age (years) | 37 ± 5 | 35 ± 6 | 0.136 |
Nulliparous | 11 (73) | 19 (79) | 0.711 |
Obesity (BMI > 30 kg/m2) | 3 (20) | 5 (21) | 1.000 |
Diabetes/GDM | 4 (27) | 4 (17) | 0.685 |
Chronic hypertension | 2 (13) | 0 | 0.141 |
sFlt-1 | |||
GA at blood test (weeks.days) | 33.6 ± 3.5 | 35.4 ± 1.3 | 0.136 |
Latency time between blood test and delivery (days) | 3 ± 3 | 7 ± 4 | 0.007 |
Pregnancy complications at blood test | |||
HD | 9 (60) | 9 (38) | 0.202 |
HD + FGR | 3 (20) | 6 (25) | 1.000 |
FGR | 3 (20) | 9 (38) | 0.305 |
GA at 1st hospitalization for HD/FGR (weeks.days) | 32.5 ± 4.2 | 34.6 ± 1.3 | 0.126 |
GA at delivery (weeks.days) | 34.2 ± 3.5 | 36.4 ± 1.0 | 0.060 |
Adverse outcomes | |||
Birth < 34 weeks | 4 (27) | 0 | 0.016 |
Urgent cesarean section for HD/FGR | 4 (27) | 0 | 0.016 |
HELLP syndrome | 2 (13) | 0 | 0.141 |
ICU admission for HD complications | 2 (13) | 0 | 0.141 |
Antihypertensive therapy before delivery | 7 (47) | 1 (4) | 0.002 |
Antihypertensive therapy at postpartum discharge | 7 (47) | 4 (17) | 0.068 |
Legend: DD twins—dichorionic–diamniotic twins, MD twins—monochorionic–diamniotic twins, MM twins—monochorionic–monoamniotic twins, BMI—body mass index, GDM—gestational diabetes mellitus, GA—gestational age, HD—hypertensive disorders: preE, gestational hypertension, uncontrolled chronic hypertension, FGR—fetal growth restriction, HELLP syndrome—hemolysis, elevated liver enzymes, and low platelets syndrome, ICU—intensive care unit.