Dogru, SukranAkkus, Fatih2024-02-232024-02-2320230091-27511097-0096https://doi.org/10.1002/jcu.23476https://hdl.handle.net/20.500.12452/10617Objective: This study aimed to evaluate fetal epicardial fat thickness (EFT) along with fetal myocardial performance index (MPI) and its effects on perinatal outcomes in non-severe idiopathic polyhydramnios (IP).Materials and Methods: This prospective study included 92 participants, 32 diagnosed with non-severe IP, and 60 healthy pregnant women. Amniotic fluid indices (AFI), umbilical and middle cerebral artery Doppler, EFT, and MPI measurements were performed for all patients.Results: The fetal EFT and MPI values were statistically higher in the non-severe IP group than in the control group (p = 0.0001, p = 0.014, respectively). The optimal fetal EFT cutoff value for predicting non-severe IP disease was found as 1.3 mm with a specificity of 81.7% and sensitivity of 59.4%. The EFT cutoff for predicting cesarean section in non-severe IP cases was 1.25 mm (p = 0.038). Apgar scores, neonatal intensive care unit, respiratory distress syndrome, and stillbirth rates were not different between groups.Conclusion: In this study, EFT and MPI were found to be higher in non-severe IP cases compared to controls. It was observed that the increase in MPI and EFT was associated with the increase in cesarean rates, but not with adverse fetal outcomes.eninfo:eu-repo/semantics/closedAccessFetal Epicardial Fat ThicknessIdiopathic PolyhydramniosMyocardial Performance IndexArticle516974980371990602-s2.0-85159711524Q3WOS:00099151550000110.1002/jcu.23476