| Diagnosis of intrauterine growth restriction: comparison of ultrasound parameters. | |
| | |
MedLine Citation:
|
PMID: 12012288 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The objective of this study is an attempt to evaluate the best ultrasonic method of diagnosing intrauterine growth restriction (IUGR); a retrospective study of patients with singleton pregnancies who had been scanned at the author's institution within 2 weeks of their delivery was undertaken. Estimated fetal weight, abdominal circumference, head circumference/abdominal circumference ratio, abdominal circumference/femur length ratio, and umbilical artery S/D ratio were compared for accuracy in prediction IUGR in the neonate using both univariant and multivariant statistical analysis. Five hundred one (501) patients were analyzed. One hundred fourteen (114) neonates were classified as IUGR (22.8%). Doppler evaluation of the umbilical artery showed the best sensitivity while both abdominal circumference alone and estimated fetal weight showed similar specificity, positive and negative predictive value, and lowest false-positive and -negative results. Logistic regression analysis confirmed the univariant results and showed that, when used in combination, abdominal circumference and Doppler, or estimated fetal weight and Doppler resulted in the best predictive values. Either estimated fetal weight or abdominal circumference (alone) are accurate predictors of IUGR. Combined with Doppler studies of the umbilical artery either method will provide accurate evaluation of suspected IUGR. |
| | |
Authors:
|
William J Ott |
Related Documents
:
|
16280208 - Arterial and venous doppler in the diagnosis and management of early onset fetal growth... 17894018 - Uterine artery velocity waveforms as predictors of pregnancy outcome in patients with a... 2244468 - Normal umbilical artery doppler sonography does not exclude fetal distress. 17806008 - Implications of low vascular flow resistance in the umbilical artery--difference betwee... 8448618 - Pseudogout provoked by pregnancy. 22690048 - Relationship between lipid and lipoprotein metabolism in trimesters of pregnancy in nig... |
Publication Detail:
|
Type: Comparative Study; Evaluation Studies; Journal Article |
Journal Detail:
|
Title: American journal of perinatology Volume: 19 ISSN: 0735-1631 ISO Abbreviation: Am J Perinatol Publication Date: 2002 Apr |
Date Detail:
|
Created Date: 2002-05-15 Completed Date: 2002-06-25 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8405212 Medline TA: Am J Perinatol Country: United States |
Other Details:
|
Languages: eng Pagination: 133-7 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, Division of Maternal and Fetal Medicine, St. John's Mercy Medical Center, St. Louis, Missouri 63141, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abdomen
/
ultrasonography Female Fetal Growth Retardation / ultrasonography* Fetal Weight Humans Infant, Newborn Predictive Value of Tests Pregnancy Reference Values Retrospective Studies Sensitivity and Specificity Ultrasonography, Prenatal / methods* Umbilical Arteries / ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Clinical significance of true umbilical knots: a population-based analysis.
Next Document: Transient hypothyroxinemia of prematurity is associated with abnormal cranial ultrasound and illness...