Document Detail

Effects of antenatal recognition and follow-up on perinatal outcomes in small-for-gestational age infants delivered after 36 weeks.
MedLine Citation:
PMID:  23016597     Owner:  NLM     Status:  Publisher    
Objective. To compare perinatal outcomes of late small-for-gestational age (SGA, birthweight <10th percentile) infants, according to antenatal recognition. Design: Retrospective study. Setting: Tertiary referral centre. Population: All singleton pregnancies with SGA (birthweight <10th percentile) infants born ≥ 36 weeks' gestation from January 2007 to April 2009. Methods: Chart review of 771 pregnancies. SGA infants identified prior to delivery (group A) were compared to those not identified (group B). Main outcome measures: Mode of delivery, perinatal complications, admission to neonatal intensive care unit (NICU). In group A, receiver operating characteristic (ROC) analysis and area under the curve (AUC) of antenatal tests to predict NICU admission were calculated. Results. In 17% of infants, SGA was recognized before birth (group A), while in 83% it was recognized only at birth (group B). Infants with the most severe degree of SGA (birthweight <3rd percentile) were more frequently diagnosed antenatally (30%). Admission to NICU (14% vs. 3%, p<0.001) and cesarean delivery (42% vs. 26%; p<0.001) were more likely in group A. Adverse outcomes related to hypoxia were all observed in group B, but the difference was not significant. In antenatally detected fetuses a combination of fetal abdominal circumference, umbilical artery pulsatility index and middle cerebral artery pulsatility index z-scores was useful for prediction of NICU admission (AUC = 0.94). Conclusion. Antenatal recognition of late SGA may improve perinatal outcomes. However, admission to neonatal intensive care and cesarean delivery were more frequent among antenatally recognized SGA infants.
Nicola Fratelli; Adriana Valcamonico; Federico Prefumo; Giorgio Pagani; Tiziana Guarneri; Tiziana Frusca
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-27
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  -     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
Maternal Fetal Medicine Unit, University of Brescia, Brescia, Italy.
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