scholarly journals EP20.02: Customised reference ranges for umbilical artery Doppler fluximetry according to estimated fetal weight: a prospective longitudinal study

2019 ◽  
Vol 54 (S1) ◽  
pp. 360-360
Author(s):  
A. Sirico ◽  
K. Hecher ◽  
G. Schön ◽  
J. Goletzke ◽  
A. Diemert
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Linda Lindström ◽  
Mårten Ageheim ◽  
Ove Axelsson ◽  
Laith Hussain-Alkhateeb ◽  
Alkistis Skalkidou ◽  
...  

AbstractFetal growth restriction is a strong risk factor for perinatal morbidity and mortality. Reliable standards are indispensable, both to assess fetal growth and to evaluate birthweight and early postnatal growth in infants born preterm. The aim of this study was to create updated Swedish reference ranges for estimated fetal weight (EFW) from gestational week 12–42. This prospective longitudinal multicentre study included 583 women without known conditions causing aberrant fetal growth. Each woman was assigned a randomly selected protocol of five ultrasound scans from gestational week 12 + 3 to 41 + 6. Hadlock’s 3rd formula was used to estimate fetal weight. A two-level hierarchical regression model was employed to calculate the expected median and variance, expressed in standard deviations and percentiles, for EFW. EFW was higher for males than females. The reference ranges were compared with the presently used Swedish, and international reference ranges. Our reference ranges had higher EFW than the presently used Swedish reference ranges from gestational week 33, and higher median, 2.5th and 97.5th percentiles from gestational week 24 compared with INTERGROWTH-21st. The new reference ranges can be used both for assessment of intrauterine fetal weight and growth, and early postnatal growth in children born preterm.


Author(s):  
Angelo Sirico ◽  
Anke Diemert ◽  
Peter Glosemeyer ◽  
Kurt Hecher

Abstract Purpose This study investigated the correlation between the umbilical artery (UA) pulsatility index (PI) and the estimated fetal weight percentile and birthweight (BW) percentile, respectively. Materials and Methods We included low-risk pregnancies, in which UA Doppler investigations after 28 weeks were performed. Cases were allocated according to BW percentiles: small for gestational age (SGA) with BW < 10th percentile; appropriate for gestational age (AGA) and large for gestational age (LGA) with BW > 90th percentile. We analyzed differences in the mean UA-PI and UA-PI z-score for gestational age according to the three groups. Linear regression was performed to evaluate any relationship between Doppler indices and BW percentiles. Multiple logistic regression analysis was performed to determine the independent association of UA-PI with LGA babies. In a second step, we considered data on estimated fetal weight (EFW) percentiles and performed the same analysis. Results We analyzed 14 554 pregnancies from 2004 to 2015. The mean UA-PI and mean UA-PI z-scores in the LGA group were lower than in the AGA and SGA groups (p < 0.001). UA-PI and UA-PI z-scores were linearly related to birthweight percentiles (p < 0.001) and to EFW percentiles (p < 0.001). Logistic regression analysis showed that low UA-PI was independently associated with neonatal LGA (p < 0.001). Conclusion The higher the EFW and BW percentiles, the lower the UA-PI. However, reference ranges for UA Doppler are only based on gestation weeks. Further studies are needed to clarify whether customized reference ranges based on EFW percentiles are more appropriate for the evaluation of fetal wellbeing in the third trimester.


2018 ◽  
Vol 6 (1-2) ◽  
pp. 6-10
Author(s):  
Birendra Raj Joshi

Introduction: Determination of fetal weight is important in all pregnancies. Accurate antenatal assessment of the fetal weight is essential for deciding the plan of management that will minimize the perinatal morbidity and mortality rate.Methods: This prospective longitudinal study was based on 221 low-risk pregnancies. Gestational age was computed from last menstrual period (LMP). Biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC) and femoral length (FL) were measured using ultrasound and Estimated fetal weight (EFW) was calculated.Results: Intrauterine growth expressed by EFW showed a continuous pattern until term. Conclusion: The presented growth chart is recommended as robust reference ranges for assessing growth.


1988 ◽  
Vol 18 (1) ◽  
pp. 59-71 ◽  
Author(s):  
John M.G. van Vugt ◽  
Kees J. Ruissen ◽  
Hubert J.A. Schouten ◽  
Marcel Theunissen ◽  
Henk J. Hoogland ◽  
...  

2004 ◽  
Vol 171 (4S) ◽  
pp. 38-38
Author(s):  
Benjamin K. Yang ◽  
Matthew D. Young ◽  
Brian Calingaert ◽  
Johannes Vieweg ◽  
Brian C. Murphy ◽  
...  

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