Document Detail

Perinatal outcome of idiopathic small for gestational age pregnancies at term: the effect of antenatal diagnosis.
MedLine Citation:
PMID:  8910079     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the effect of antenatal detection of the idiopathic term small for gestational age (SGA) fetus upon perinatal outcome. METHODS: A 3-year retrospective review of all term pregnancies with no associated maternal disease, with birth weights at least 2 S.D.s below the mean for gestational age. Perinatal outcome measures were compared between pregnancies that were diagnosed as SGA antenatally, and those that were detected only after delivery. RESULTS: Of 158 term SGA pregnancies, 47 were diagnosed antenatally, and III were recognized as such only after delivery. The antenatally diagnosed group had a higher incidence of adverse neonatal outcome (P < 0.01), as well as higher incidences of inductions of labor and emergency Cesarean sections (68% vs. 12%, P < 0.001, and 23% vs. 10%, P < 0.03, respectively). Logistic regression analysis with adverse neonatal outcome as the dependent variable has shown it to be dependent only on gestational age at delivery (P < 0.004), and birth weight (P < 0.001), and not on antenatal diagnosis. CONCLUSIONS: Antenatal detection of SGA may be associated with an increased incidence of obstetric interventions, with no demonstrable positive effect upon the short-term neonatal outcome.
G Ohel; M Ruach
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  55     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1997-02-04     Completed Date:  1997-02-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  29-32     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Poriya Hospital, Tiberias, Israel.
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MeSH Terms
Fetal Growth Retardation / diagnosis*
Infant, Newborn
Infant, Small for Gestational Age*
Logistic Models
Pregnancy Outcome
Prenatal Diagnosis*
Retrospective Studies

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