The influence of maternal body mass index on interobserver variability of fetal ultrasound biometry and amniotic fluid assessment in late pregnancy

Author(s):  
J. G. Martins ◽  
T. Kawakita ◽  
M. Gurganus ◽  
D. Baraki ◽  
P. Jain ◽  
...  
2021 ◽  
Vol 224 (2) ◽  
pp. S46-S47
Author(s):  
Juliana Gevaerd Martins ◽  
Tetsuya Kawakita ◽  
Margot M. Gurganus ◽  
Dana Baraki ◽  
Priyanka Jain ◽  
...  

2018 ◽  
Vol 35 (13) ◽  
pp. 1235-1240 ◽  
Author(s):  
Burton Rochelson ◽  
Leah Stork ◽  
Stephanie Augustine ◽  
Meir Greenberg ◽  
Cristina Sison ◽  
...  

Objective The objective of this study was to determine the effect, if any, of maternal body mass index (BMI) and amniotic fluid index (AFI) on the accuracy of sonographic estimated fetal weight (EFW) at 40 to 42 weeks' gestation. Methods This was a retrospective cohort study of singleton gestations with ultrasound performed at 40 to 42 weeks from 2010 to 2013. In this study, patients with documented BMI and sonographic EFW and AFI, concurrently, within 7 days of delivery were included. Chronic medical conditions and fetal anomalies were excluded from this study. The primary variable of interest was the rate of substantial error in EFW, defined as absolute percentage error (APE) >10%. Results A total of 1,000 pregnancies were included. Overall, the APE was 6.0 ± 4.5% and the rate of substantial error was 17.4% (n = 174). There was no significant difference in APE or rate of substantial error between BMI groups. In the final multivariable logistic regression model, the rate of substantial error was increased in women with oligohydramnios (OR 1.79; 95% CI: 1.10–2.92). Furthermore, oligohydramnios was significantly more likely to overestimate EFW while polyhydramnios was more likely to underestimate EFW. Maternal BMI did not affect the accuracy of sonographic EFW. Conclusion Sonographic EFW may be affected by extremes of AFI in the postdates period. Maternal BMI does not affect EFW accuracy at 40 to 42 weeks.


2017 ◽  
Vol 37 (3) ◽  
pp. 561-568 ◽  
Author(s):  
Matthew J. Blitz ◽  
Burton Rochelson ◽  
Leah B. Stork ◽  
Stephanie Augustine ◽  
Meir Greenberg ◽  
...  

2017 ◽  
Vol 216 (1) ◽  
pp. S165
Author(s):  
Matthew J. Blitz ◽  
Leah B. Stork ◽  
Stephanie Augustine ◽  
Meir Greenberg ◽  
Cristina P. Sison ◽  
...  

2018 ◽  
Vol 46 (3) ◽  
pp. 317-321 ◽  
Author(s):  
Joseph Chervenak ◽  
Mio Sawai ◽  
Lamis El Kabab ◽  
Rahul Lohana ◽  
Daniel Skupski ◽  
...  

Abstract Objective: Factors influencing intraamniotic adiponectin levels and their functional significance remain incompletely elucidated. We prospectively measured adiponectin in amniotic fluid and identified its associations with maternal parameters, mediators in amniotic fluid and pregnancy outcomes. Study design: Mid-trimester amniotic fluid from 571 women was tested for adiponectin, interleukin (IL)-6, IL-8 and α-amylase by enzyme-linked immunosorbant assay (ELISA), after which clinical data were obtained. Correlations between adiponectin and clinical or laboratory variables were analyzed by the Kruskal-Wallis, Mann-Whitney and Spearman rank correlation tests. Results: As compared to median levels in 462 women with a term delivery (7.8 ng/mL), adiponectin was elevated in 14 women who subsequently developed preterm premature rupture of membranes (pPROM) (17.3 ng/mL) and 24 women with an iatrogenic preterm birth (IPTB) (13.9 ng/mL) (P=0.0003), but not in 30 women who subsequently had a spontaneous preterm birth with intact membranes (8.1 ng/mL) (P>0.05). Median adiponectin was also elevated in 13 women whose babies developed fetal growth restriction (FGR) (20.6 ng/mL) (P=0.0055) and in 22 women whose babies had respiratory distress syndrome (RDS) (23.0 ng/mL) (P<0.0001). The adiponectin concentration was positively correlated with amylase (P=0.0089) and inversely correlated with maternal body mass index (P=0.0045). Conclusion: Adiponectin is a component of mid-trimester amniotic fluid and its concentration varies with maternal body mass index and subsequent development of pPROM, IPTB, FGR and RDS.


2019 ◽  
Vol 220 (1) ◽  
pp. S257
Author(s):  
Shelly Soni ◽  
Matthew J. Blitz ◽  
Lakha Prasannan ◽  
Meir Greenberg ◽  
Michael Qiu ◽  
...  

2010 ◽  
Vol 202 (3) ◽  
pp. 263.e1-263.e5 ◽  
Author(s):  
Jason N. Hashima ◽  
Yinglei Lai ◽  
Ronald J. Wapner ◽  
Yoram Sorokin ◽  
Donald J. Dudley ◽  
...  

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