| Accuracy of intrapartum estimates of fetal weight. Effect of oligohydramnios. | |
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MedLine Citation:
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PMID: 8979205 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To study the effect of oligohydramnios on the accuracy of intrapartum clinical and sonographic estimates of fetal weight (EFWs). STUDY DESIGN: Intrapartum clinical and sonographic EFWs and an amniotic fluid index (AFI) were obtained on 124 term patients. Oligohydramnios was defined as an AFI < or = 5 cm. RESULTS: Clinical and sonographic EFWs in women with oligohydramnios were significantly less accurate than estimates derived in patients with normal amniotic fluid: P = .03 and .02, respectively. The incidence of clinical and sonographic EFWs within +/-10% of the actual birth weight were 70.1% and 68.4%, respectively (P = NS). CONCLUSION: In term patients, intrapartum sonographic prediction of birth weight offers no advantage over estimated fetal weight obtained by abdominal palpation. The presence of oligohydramnios significantly reduces the accuracy of intrapartum clinical as well as sonographic EFWs. Therefore, we suggest that intrapartum EFWs be obtained prior to artificial rupture of the membranes. |
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Authors:
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Y Barnhard; I Bar-Hava; M Y Divon |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 41 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 1996 Dec |
Date Detail:
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Created Date: 1997-03-17 Completed Date: 1997-03-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 907-10 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Albert Einstein College of Medicine, Bronx, New York 10461, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Amniotic Fluid
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chemistry Birth Weight / physiology* Female Fetus / physiology Humans Oligohydramnios / physiopathology* Predictive Value of Tests Pregnancy Pregnancy Complications / physiopathology* Prospective Studies Ultrasonography, Prenatal |
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