scholarly journals OC26.06: Diagnosis of small for gestational age fetuses with third trimester sonography: accuracy in a prospective cohort of 2000 newborns

2009 ◽  
Vol 34 (S1) ◽  
pp. 52-52
Author(s):  
C. Lamy ◽  
O. Thiebaugeorges ◽  
V. Goua ◽  
M. Kaminski ◽  
P. Droulle ◽  
...  
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Prospective Cohort ◽  
Third Trimester

Perinatal Outcome and its Prediction Using Longitudinal Feto-Maternal Doppler Follow-Up in Late Onset Small for Gestational Age Fetuses – A Prospective Cohort Study

2021 ◽  
Author(s):  
Silvia M. Lobmaier ◽  
Oliver Graupner ◽  
Javier U. Ortiz ◽  
Bernhard Haller ◽  
Christina Ried ◽  
...  
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Prospective Cohort ◽  
Perinatal Outcome ◽  
Late Onset ◽  
Induction Of Labor ◽  
University Hospital ◽  
Operative Delivery ◽  
Longitudinal Measurements ◽  
Cesarean Delivery Rate

Abstract Purpose To describe the perinatal outcome of a prospective cohort of late-onset small-for-gestational-age (SGA) fetuses and to test adverse perinatal outcome (APO) prediction using Doppler measurements. Methods Singleton pregnancies from 32 weeks with suspicion of SGA (followed-up each 2 weeks) and randomly selected healthy controls at a university hospital were included. The whole SGA group was divided into the FGR subgroup or SGA percentile 3–10 subgroup. The following Doppler measurements were evaluated prospectively: umbilical artery (UA) pulsatility index (PI), middle cerebral artery (MCA) PI, cerebro-placental ratio (CPR), and mean uterine artery (mUtA) PI. APO was defined as arterial cord blood pH ≤ 7.15 and/or 5-minute Apgar ≤ 7 and/or emergency operative delivery and/or admission to the neonatal unit. Induction of labor was indicated according to a stage-based protocol. Results A total of 149 SGA and 143 control fetuses were included. The number of operative deliveries was similar between both groups (control: 29 %, SGA: 28 %), especially the cesarean delivery rate after the onset of labor (11 % vs. 10 %). Most SGA cases ended up in induction of labor (61 % vs. 31 %, p < 0.001). The areas under the curve (AUC) for APO prediction were similar using the last UA PI, MCA PI, CPR, and mUtA PI and barely reached 0.60. The AUC was best for the FGR subgroup, using the minimal CPR or maximum mUtA PI z-score of all longitudinal measurements (AUC = 0.63). Conclusion SGA fetuses do not have a higher rate of operative delivery if managed according to a risk stratification protocol. Prediction of APO is best for SGA and FGR using the “worst” CPR or mUtA PI but it remains moderate.

126. Sex and growth specific characteristics of small for gestational age neonates: A prospective cohort study

2018 ◽  
Vol 13 ◽  
pp. S24-S25
Author(s):  
Eva van der Vlugt ◽  
Petra Verburg ◽  
Shalem Leemaqz ◽  
Lesley Mccowan ◽  
Lucilla Poston ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Prospective Cohort

scholarly journals EP19.22: Detection rate and outcome of small‐for‐gestational‐age fetuses using a routine third trimester ultrasound scan in our population

2019 ◽  
Vol 54 (S1) ◽  
pp. 357-358
Author(s):  
N. Dominguez ◽  
B. Gómez Alonso ◽  
A. Betegón Putze ◽  
P. Beira Salvador ◽  
C. Montes Prieto
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Detection Rate ◽  
Ultrasound Scan ◽  
Third Trimester

scholarly journals Longitudinal changes of cardiotocographic parameters throughout pregnancy: a prospective cohort study comparing small-for-gestational-age and normal fetuses from 24 to 40 weeks

2017 ◽  
Vol 45 (4) ◽  
Author(s):  
Célia Amorim-Costa ◽  
A. Rita Gaio ◽  
Diogo Ayres-de-Campos ◽  
João Bernardes
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Prospective Cohort ◽  
Parallel Increase ◽  
Fetal Malformations ◽  
First Time

AbstractObjective:To compare longitudinal trends of cardiotocographic (CTG) parameters between small-for-gestational-age (SGA) and normal fetuses, from 24 to 41 weeks of pregnancy.Methods:A prospective cohort study was carried out in singleton pregnancies without fetal malformations. At least one CTG was performed in each of the following intervals: 24–26 weeks+6 days, 27–29 weeks+6 days, 30–32 weeks+6 days, 33–35 weeks+6 days, 36–38 weeks+6 days and ≥39 weeks. Tracings were analyzed using the Omniview-SisPortoResults:A total of 176 fetuses (31 SGA) and 1256 tracings (207 from SGA fetuses) were evaluated. All CTG parameters changed significantly throughout pregnancy in the three groups, with a decreasing baseline and probability of decelerations, and an increasing average long-term variability (LTV), average short-term variability (STV) and accelerations. Baseline showed a more pronounced decrease (steeper slope) in SGA fetuses, being higher in these cases at earlier gestational ages and lower later in pregnancy. Average LTV was significantly lower in SGA<p3 fetuses, but a parallel increase occurred in all groups. There was a considerable inter-fetal variability within each group.Conclusion:A unique characterization of CTG trends throughout gestation in SGA fetuses was provided. A steeper descent of the baseline was reported for the first time. The findings raise the possibility of clinical application of computerized CTG analysis in screening and management of fetal growth restriction.

Third trimester uterine artery Doppler indices as predictors of preeclampsia and neonatal small for gestational age

2019 ◽  
Vol 33 (20) ◽  
pp. 3484-3489
Author(s):  
Sarah G. Običan ◽  
Linda Odibo ◽  
Methodius G. Tuuli ◽  
Alejandro Rodriguez ◽  
Anthony O. Odibo
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Uterine Artery ◽  
Third Trimester ◽  
Uterine Artery Doppler ◽  
Doppler Indices
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