Document Detail


An investigation into the applicability of customised charts for the assessment of fetal growth in antenatal population at Blackburn, Lancashire, UK.
MedLine Citation:
PMID:  16846865     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The antenatal population at Blackburn, Lancashire, UK is diverse, with 35% non-Caucasian, mainly of Indo-Pakistani origin. The department currently uses standard growth charts, based on the Caucasian population for assessment of fetal growth. This study was designed to ascertain whether the use of customised growth charts (CGCs) in our antenatal population can improve the identification of true growth restriction and decrease the number of interventions for suspected growth restriction. CGCs were generated for 109 women induced for intrauterine growth retardation (IUGR) and fetal biometry plotted. The centile range on the CGC was compared with standard charts. Results showed that women of Indian and Pakistani origin were greatly over-represented in the study group. A total of 58% of the cases induced for IUGR had babies within the normal range on CGC. Had CGC been used 54.4% of growth scans and 53% of antenatal day unit (ADU) appointments for fetal monitoring would have been unnecessary. Our study shows that introduction of CGC in our practice could lead to a very significant reduction in interventions for suspected growth restriction.
Authors:
A Dua; C Schram
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  26     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-18     Completed Date:  2006-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  411-3     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Queens Park Hospital, Blackburn, Lancashire, UK. duaanupreet@yahool.com
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MeSH Terms
Descriptor/Qualifier:
England
Female
Fetal Development*
Fetal Growth Retardation / diagnosis,  ethnology*
Humans
India / ethnology
Infant, Newborn
Infant, Small for Gestational Age
Labor, Induced
Pakistan / ethnology
Pregnancy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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