| Use of the amniotic fluid index combined with estimated fetal weight within 10 days of delivery for prediction of macrosomia at birth. | |
| | |
MedLine Citation:
|
PMID: 18577666 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: The purpose of this study was to assess the value of combining the sonographically estimated fetal weight (EFW) and amniotic fluid index (AFI) measured within 10 days of term delivery for prediction of macrosomia at birth. METHODS: Prospective sonographic fetal biometric measurements and delivery ward data of a single center, uploaded separately over a 4-year period, were retrospectively linked to yield an unselected sample of nondiabetic pregnancies with live-born term neonates. RESULTS: Of the 1925 pregnancies evaluated, 140 (7.2%) were macrosomic (birth weight > or =4000 g). The AFI was significantly higher in the macrosomic group (P < .001). On receiver operating characteristic curve analysis, the area under the curve was larger for predictions based on the EFW alone than on the AFI. An EFW of 4000 g or higher had a positive predictive value of 46.6% for macrosomia at birth. Use of the previously suggested combined EFW and AFI cutoffs of 3689 g and 119 mm, respectively, yielded a positive predictive value of 30.3%. CONCLUSIONS: Combined use of the EFW and AFI rather than the EFW alone does not improve prediction of macrosomia at birth. |
| | |
Authors:
|
Avi Ben-Haroush; Nir Melamed; Reuven Mashiach; Israel Meizner; Yariv Yogev |
Related Documents
:
|
11893606 - Blood flows and nutrient uptakes in growth-restricted pregnancies induced by overnouris... 19540576 - Dietary protein during gestation affects placental development in heifers. 14961426 - New nomogram for foetal weight estimation based on hadlock's two-parameter formula. 7841636 - Substance use in pregnancy: do we care? 23033956 - Pregnancy following uterine artery embolization: an update. 19017416 - Ultrasound-predicated versus history-predicated cerclage in women at risk of cervical i... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine Volume: 27 ISSN: 0278-4297 ISO Abbreviation: J Ultrasound Med Publication Date: 2008 Jul |
Date Detail:
|
Created Date: 2008-06-25 Completed Date: 2008-12-16 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8211547 Medline TA: J Ultrasound Med Country: United States |
Other Details:
|
Languages: eng Pagination: 1029-32 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, Helen Schneider's Hospital for Women, Rabin Medical Center, 49100 Petach Tikva, Israel. yudavi@inter.net.il |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Amniotic Fluid*
/
ultrasonography Area Under Curve Biometry Female Fetal Macrosomia / diagnosis*, ultrasonography Fetal Weight* Gestational Age Humans Male Predictive Value of Tests Pregnancy Pregnancy Outcome Pregnancy Trimester, Third* Prospective Studies ROC Curve Retrospective Studies Sensitivity and Specificity Ultrasonography, Prenatal / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Prenatal sonographic diagnosis of hemivertebrae: associations and outcomes.
Next Document: Sonographic findings of trisomy 18 in the second trimester of pregnancy.