Diagnosis of placental function by prediction curves for heat-stable alkaline phosphatase (HSAP). 1978

R Yamaguchi, and N Shimozato

In order to establish an effective diagnostic method for placental function using HSAP, the authors formulated two expressions to predict HSAP values for their rise before 38.7 weeks of gestation and declining after that; loge y = 1.03a-3.37 + 0.123x (i), and y = Y (1 + d/100( (ii), respectively. Further they prepared a chart of curves for these predicting expressions. The results obtained are as follows: (1) In normal pregnancies the deviation of prediction from measured values of HSAP was +/- 15% in 94% of the cases examined. (2) Many of cases of abnormal pregnancy showed a low level of HSAP, -15% or lower, and abnormal signs in HSAP pattern were found several days or weeks prior to the onset of fetal troubles. (3) Prolonged pregnancy with fetal troubles was able to be distinguished from "false" prolonged pregnancy. (4) In two consecutive pregnancies in the same woman, the courses of HSAP were strikingly consistent as far as both pregnancies were normal. The last fact suggests that the placental production of HSAP and its release into the maternal blood may be influenced by the individual constant a in expression (i). (5) It is recommended that the HSAP prediction curve is worthy to use as an easy screening method for placental function in the third trimester of pregnancy.

UI MeSH Term Description Entries
D010298 Parity The number of offspring a female has borne. It is contrasted with GRAVIDITY, which refers to the number of pregnancies, regardless of outcome. Multiparity,Nulliparity,Primiparity,Parity Progression Ratio,Parity Progression Ratios,Ratio, Parity Progression,Ratios, Parity Progression
D010920 Placenta A highly vascularized mammalian fetal-maternal organ and major site of transport of oxygen, nutrients, and fetal waste products. It includes a fetal portion (CHORIONIC VILLI) derived from TROPHOBLASTS and a maternal portion (DECIDUA) derived from the uterine ENDOMETRIUM. The placenta produces an array of steroid, protein and peptide hormones (PLACENTAL HORMONES). Placentoma, Normal,Placentome,Placentas,Placentomes
D010922 Placenta Diseases Pathological processes or abnormal functions of the PLACENTA. Placenta Disorders,Placental Diseases,Disease, Placenta,Disease, Placental,Diseases, Placenta,Diseases, Placental,Disorder, Placenta,Disorders, Placenta,Placenta Disease,Placenta Disorder,Placental Disease
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011248 Pregnancy Complications Conditions or pathological processes associated with pregnancy. They can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. They include diseases in pregnant females, and pregnancies in females with diseases. Adverse Birth Outcomes,Complications, Pregnancy,Adverse Birth Outcome,Birth Outcome, Adverse,Complication, Pregnancy,Outcome, Adverse Birth,Pregnancy Complication
D011263 Pregnancy Trimester, Third The last third of a human PREGNANCY, from the beginning of the 29th through the 42nd completed week (197 to 294 days) of gestation. Pregnancy, Third Trimester,Trimester, Third,Last Trimester,Last Trimesters,Pregnancies, Third Trimester,Pregnancy Trimesters, Third,Third Pregnancy Trimester,Third Pregnancy Trimesters,Third Trimester,Third Trimester Pregnancies,Third Trimester Pregnancy,Third Trimesters,Trimester, Last,Trimesters, Last,Trimesters, Third
D005260 Female Females
D006358 Hot Temperature Presence of warmth or heat or a temperature notably higher than an accustomed norm. Heat,Hot Temperatures,Temperature, Hot,Temperatures, Hot
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000469 Alkaline Phosphatase An enzyme that catalyzes the conversion of an orthophosphoric monoester and water to an alcohol and orthophosphate. EC 3.1.3.1.

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