| Intrapartum prediction of macrosomia: accuracy of abdominal circumference estimation. | |
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MedLine Citation:
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PMID: 11223705 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the accuracy of abdominal circumference (AC) estimation of macrosomia early in labor and whether a cutoff value could be detected. DESIGN: A prospective clinical trial. SETTING: The Department of Obstetrics and Gynecology, Cairo University. PARTICIPANTS: One hundred pregnant females presenting in early labor with clinical impression of macrosomia were examined by ultrasound, and those babies with abdominal circumference more or equal to 35 cm were recruited for the study. INTERVENTIONS: Every woman was considered as her own control, and fetal weight was calculated using the formula of Shepard et al. The accuracy of abdominal circumference in prediction of macrosomia was evaluated using the Receiver operating characteristic curve. RESULTS: A cutoff value of AC > or =37 cm was found to have a sensitivity of 77%, a specificity of 75%, a positive likelihood ratio of 3.1 and a negative likelihood ratio of 0.3. CONCLUSION: Intrapartum ultrasonographic evaluation of abdominal circumference for suspected macrosomic babies in early labor is an easy, practical method that should be adopted in decision making. |
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Authors:
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H Al-Inany; N Alaa; M Momtaz; M Abdel Badii |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article |
Journal Detail:
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Title: Gynecologic and obstetric investigation Volume: 51 ISSN: 0378-7346 ISO Abbreviation: Gynecol. Obstet. Invest. Publication Date: 2001 |
Date Detail:
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Created Date: 2001-03-06 Completed Date: 2001-05-31 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7900587 Medline TA: Gynecol Obstet Invest Country: Switzerland |
Other Details:
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Languages: eng Pagination: 116-9 Citation Subset: IM |
Copyright Information:
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Copyright 2001 S. Karger AG, Basel. |
Affiliation:
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Department of Obstetrics and Gynecology, Cairo University, Cairo, Egypt. kaainih@idsc1.gov.eg |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdomen* Adolescent Adult Anthropometry / methods Female Fetal Macrosomia / diagnosis, ultrasonography* Humans Obstetric Labor, Premature Predictive Value of Tests Pregnancy Prospective Studies ROC Curve Reference Values Risk Assessment Sensitivity and Specificity Ultrasonography, Prenatal / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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