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. 2024 Mar 19;39(5):923–935. doi: 10.1093/humrep/deae056

Table 6.

Associations between first-trimester trajectories of density of vascular branching (number of uPVS points per cm3 uPVV) and second and third trimester of fetal growth, birthweight percentiles after stratification for conception method, fetal sex, and occurrence of placenta-related complications.

Conception method Estimated fetal weight second trimester
Estimated fetal weight third trimester
Birth weight percentiles
Adjusted model
Adjusted model
β [95% CI]
β [95% CI]
Adjusted model
β [95% CI]
Morphologic characteristic IVF/ICSI Natural IVF/ICSI Natural IVF/ICSI Natural
(n = 81) (n = 117) (n = 81) (n = 112) (n = 77) (n = 120)
ln  Density of endpoints (n/cm3) 27.174 27.897 −48.744 150.942 −10.793 25.548
[−23.516; 77.864] [53.137;2.658]* [231.258; 133.769] [251.109;50.776]** [−32.495; 10.910] [40.676;10.420]**
ln  Density of bifurcation points (n/cm3) 50.927 −20.889 −95.358 237.017 −20.691 62.802
[−48.784; 150.641] [−67.410; 15.631] [−455.878; 265.162] [418.023;56.012]* [−62.420; 21.038] [88.457;37.147]**
ln  Density of crossing points (n/cm3) 85.339 9.319 −110.353; −183.700 −7.327 68.725
[−23.151; 193.830] [−46.081; 64.720] [485.160; 264.454] [−397.124; 29.723] [53.671; 39.017] [100.127;37.202]**
Fetal sex Estimated fetal weight second trimester
Estimated fetal weight third trimester
Birth weight percentiles
Adjusted model
Adjusted model
Adjusted model
β [95% CI]
β [95% CI]
β [95% CI]
Morphologic characteristics Male Female Male Female Male Female
(n = 99) (n = 97) (n = 97) (n = 94) (n = 102) (n = 95)
ln  Density of endpoints (n/cm3) 29.912 27.572 −93.075 −114.636 17.566 27.255
[57.883;1.942]* [−13.833; 68.978] [−221.651; 35.501] [−241.440; 12.167] [35.086;0.046]* [45.234;9.277]**
ln  Density of bifurcation points (n/cm3) −47.632 46.894 −146.456 −202.562 48.497 57.449
[−101.794; 7.070] [−26.928; 120.716] [−400.012; 107.100] [−429.245; 24.120] [81.087;15.908]** [88.156;26.742]**
ln  Density of crossing points (n/cm3) −34.756 98.098 −208.955 −59.381 52.002 52.682
[−99.947; 30.434] [15.207; 180.989] * [−498.120; 80.209] [−325.765; 207.003] [90.449;13.554]** [90.611;14.754]**
Placenta-related complications Estimated fetal weight second trimester
Estimated fetal weight third trimester
Birth weight percentiles
Adjusted model
Adjusted model
Adjusted model
β [95% CI]
β [95% CI]
β [95% CI]
Morphologic characteristics With Without With Without With Without
(n = 50) (n = 148) (n = 45) (n = 148) (n = 51) (n = 146)
ln  Density of endpoints (n/cm3) 63.850 10.410 379.193 37.537 35.546 −6.918
[107.370;20.330]** [−20.276; 41.089] [557.827;200.559]** [−56.359; 131.433] [57.913;13.178]** [−20.330; 6.494]
ln  Density of bifurcation points (n/cm3) 102.500 26.531 455.436 3.097 63.431 31.574
[185.935;19.110]* [−30.824; 83.885] [820.730;90.142]* [−173.380; 179.575] [104.819;22.042]** [55.689;7.458]**
ln  Density of crossing points (n/cm3) −82.951 55.154 −327.953 −21.290 63.556 28.352
−196.213; 30.311] [−8.231; 118.538] [−808.706; 152.800] [−206.993; 164.413] [114.917;12.195]* [56.111;0.592]*

Depicted are adjusted estimates: adjusted for maternal age, parity, conception mode, BMI, smoking, and folic acid supplement use. Models for estimated fetal weight (EFW) in the second and third trimester are additionally adjusted for gestational age and fetal sex. Groups stratified for conception mode were not adjusted for conception mode. Groups stratified for fetal sex were not adjusted for fetal sex. Second trimester EFW was measured at 22 weeks gestational age (GA) and third trimester EFW was measured at 32 weeks GA. Placenta-related complications are specified as PIH or PE and/or FGR, PTB and SGA; diagnoses may be overlapping. uPVS, utero-placental vascular skeleton; GA, gestational age; PIH, pregnancy-induced hypertension; PE, preeclampsia; FGR, fetal growth restriction; PTB, pre-term birth (including both spontaneous and iatrogenic PTB); SGA, small-for-gestational-age. Bold text indicates a statistically significant association. Significance at

*

P ≤ 0.05,

**

P ≤ 0.01.