Document Detail


Estimated weight centile as a predictor of perinatal outcome in small-for-gestational-age fetuses with normal umbilical, brain and uterine Doppler.
MedLine Citation:
PMID:  22102177     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the risk of adverse perinatal outcome according to the estimated fetal weight (EFW) in a cohort of term small-for-gestational-age (SGA) fetuses with normal umbilical, uterine and brain Doppler. METHODS: A cohort of 132 term SGA fetuses with normal umbilical artery pulsatility index (PI), mean uterine artery PI and cerebroplacental ratio was compared to a control group of 132 appropriate-for-gestational age babies, matched by gestational age at delivery. The capacity of the EFW percentile to predict cesarean delivery (CD), CD for non-reassuring fetal status (NRFS), neonatal acidosis and days of neonatal hospitalization was analyzed. RESULTS: As a whole, SGA fetuses with normal Doppler did not show statistically significant difference for intrapartum CD (22.0% vs. 15.9%, p = 0.14), and neonatal acidosis (3.3% vs. 1.5%, p = 0.30), but had significantly higher risk of CD for NRFS (15.9% vs. 5.3%, p<0.01) and longer neonatal hospitalization (1.39 vs. 0.87 days, p<0.05) than controls. SGA fetuses with EFW<3(rd) centile had significantly higher incidence of intrapartum CD (30.0% vs. 15.3%, p<0.01), CD for NRFS (25.0% vs. 8.3%, p<0.01) and longer neonatal hospitalization (2.0 vs. 0.9 days, p<0.01) than those with EFW > 3(rd) centile. SGA cases with EFW > 3(rd) centile had perinatal outcomes similar to controls with normal EFW. CONCLUSION: Among SGA fetuses with normal placental and cerebral Doppler, EFW<3(rd) centile discriminates SGA fetuses with higher risk of adverse perinatal outcome from SGA with outcomes similar to normally grown fetuses. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.
Authors:
Stefan Savchev; Francesc Figueras; Rogelio Cruz Martinez; Miriam Illa; Francesc Botet; Eduard Gratacos
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-21
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  -     ISSN:  1469-0705     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.
Affiliation:
Department of Maternal-Fetal Medicine, Institute Clínic of Gynecology, Obstetrics and Neonatology (ICGON), Hospital Clinic-IDIBAPS, University of Barcelona and Centre for Biomedical Research on Rare Diseases (CIBER-ER), Barcelona, Spain.
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