ABSTRACT
OBJECTIVE: To evaluate whether amniotic fluid glucose concentration can predict poor neonatal outcome in cases with polyhydramnios as an overall assessment. METHODS: In this retrospective study, we have reviewed 42 consecutive pregnant women with singleton gestations complicated with polyhydramnios who gave birth at one tertiary care center between January 2003 and September 2010. Perinatal clinical findings were reviewed, and the neonatal outcome, such as livebirth or stillbirth and early neonatal death, was compared. A p value less than 0.05 was considered to be significant. RESULTS: Thirteen of 42 neonates had a poor outcome, including stillbirth or early neonatal death. Multiple logistic regression analysis showed that amniotic fluid glucose (p = 0.042) was significant factor influencing poor neonatal prognosis [odds ratio 0.66; 95% confidence interval 0.44-0.98]. Receiver operating characteristics curve and sensitivity and specificity curve showed that the optimal cut-off value of amniotic fluid glucose concentration for predicting poor neonatal outcome was 17 mg/dl. CONCLUSIONS: Amniotic glucose concentration less than 17 mg/dl and the presence of congenital heart anomaly were better predictors for a poor postnatal outcome in cases with polyhydramnios.
Subject(s)
Amniotic Fluid/metabolism , Glucose/metabolism , Polyhydramnios/metabolism , Adult , Biomarkers/metabolism , Female , Heart Defects, Congenital/complications , Humans , Japan/epidemiology , Logistic Models , Polyhydramnios/etiology , Polyhydramnios/mortality , Pregnancy , Retrospective Studies , Young AdultABSTRACT
We study the square-lattice three-state Potts model with the ferromagnetic next-nearest-neighbor coupling at finite temperature. Using the level-spectroscopy method, we numerically analyze the excitation spectrum of the transfer matrices and precisely determine the global phase diagram. Then we find that, contrary to a previous result based on the finite-size scaling, the massless region continues up to the decoupling point with Z3 x Z3 criticality in the antiferromagnetic region. We also check the universal relations among excitation levels to provide the reliability of our result.
