| 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 |
Related Documents
:
|
6635997 - Craniofacial and central nervous system malformations induced by triamcinolone acetonid... 21610087 - Endometrial expression of progesterone induced blocking factor and galectins-1, -3, -9 ... 21890557 - Condyloma acuminatum: atypical presentation during pregnancy. 21918537 - The impact of psoriasis on pregnancy outcomes. 8485567 - Antimalarial drugs, pregnancy and lactation. 18482617 - Vasculogenesis and angiogenesis in the iugr placenta. |
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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Web interface for Brownian dynamics simulation of ion transport and its applications to beta-barrel ...
Next Document: The Cross-talk Between TGF-?1 and Dlk1 Mediates Early Chondrogenesis During Embryonic Endochondral O...