scholarly journals OP27.01: Third trimester fetal arm and thigh fat mass: their relationship to estimated fetal weight, birth weight and neonatal body composition

2009 ◽  
Vol 34 (S1) ◽  
pp. 149-149
Author(s):  
W. Lee ◽  
M. Balasubramaniam ◽  
R. L. Deter ◽  
L. Yeo ◽  
S. Hassan ◽  
...  
Keyword(s):  
Body Composition ◽  
Birth Weight ◽  
Fat Mass ◽  
Fetal Weight ◽  
Third Trimester ◽  
Neonatal Body Composition ◽  
Estimated Fetal Weight

Discrepancy Analysis between Clinical Versus Ultrasound Estimated Fetal Weight and Actual Birth Weight at 3rd Trimester

2019 ◽  
Vol 11 (1) ◽  
pp. 32-38
Author(s):  
Naznin Rashid Shewly ◽  
Menoka Ferdous ◽  
Hasina Begum ◽  
Shahadat Hossain Khan ◽  
Sheema Rani Debee ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Fetal Weight ◽  
P Value ◽  
Weight Estimation ◽  
Third Trimester ◽  
Mortality And Morbidity ◽  
Fetal Weight Estimation ◽  
Obstetric Management ◽  
Estimated Fetal Weight

Background: In obstetric management fetal weight estimation is an important consideration when planning the mode of delivery in our day to day practice. In Bangladesh low birth weight is a major public health problem & incidence is 38% - 58%. Neonatal mortality and morbidity also yet high. So accurate antenatal estimation of fetal weight is a good way to detect macrosomia or small for date baby. Thus to improve the pregnancy outcome and neonatal outcome decreasing various chance of neonatal mortality and morbidity antenatal fetal weight prediction is an invaluable parameter in some situation where to identify the at risk pregnancy for low birth weight become necessary. Reliable method for prenatal estimation of fetal weight two modalities have got popularity - Clinical estimation and another one is ultrasonic estimation. This study was designed to determine the accuracy of clinical versus ultrasound estimated fetal weight detecting the discrepancy with actual birth weight at third trimester. So that we can verify more reliable and accurate method. Objectives: To find out more accurate and reliable modality of fetal weight estimation in antenatal period during obstetric management planning. To compare clinical versus ultrasound estimated fetal weight & to determine discrepancy of both variable with actual birth weight. Method: This prospective, cross sectional analytical study was carried out in Dhaka Medical College Hospital from January 2006 to December 2006. By purposive sampling 100 pregnant women fulfilling inclusion criteria were included in my study in third trimester (29wks-40wks). In clinical weight estimation procedure SFH (Symphysio Fundal Height) was measured in centimeter. On pervaginal finding whether vertex below or above the ischial spine was determined. By Johnson’s formula fetal weight in grams was estimated. Then by ultrasound scan different biometric measurements were taken and finally by Hadlock’s formula fetal weight was estimated. Eventually actual birth weight was taken after birth by Globe Brand weighing machine. Accuracy of both modalities were compared and which one was more reliable predictor was determined by statistical analysis. Results: After data collection were analyzed by computer based software (SPSS). There was gradual and positive relationship between symphysiofundal height and estimated birth weight. Discrepancy between clinical and actual birth weight at third trimester was statistically significant – Paired Student’s ‘t’ test was done where p value was <0.001. Whereas discrepancy between sonographically estimated fetal weight with actual birth weight was not statistically significant (by paired ‘t’ test where p value was >0.05). That implies discrepancy between ultrasound estimated fetal weight and actual birth weight was significantly less than that of clinically estimated fetal weight. 14% clinically and 46% sonographically estimated fetal weight were observed within £ 5% of actual birth weight. 31% clinical and 42% sonographically estimates observed within 6% to 10% of actual birth weight and 55% clinical and 12% sonographically estimate were >10% of actual birth weight. That is about 88% sonographical versus 45% clinical estimates were within 10% of actual birth weight. Conclusion: There is no doubt about importance of fetal weight in many obstetric situations. Clinical decisions at times depends on fetal weight. Whether to use oxytocin, to use forceps or vacuum for delivery or extend of trial or ended by Caesarian section immediately or no scope of trial to be largely depend on fetal size and weight. So more accurate modality for antenatal fetal weight estimation has paramount importance. In my study sonographically estimated weight have more accuracy than that of clinical estimate in predicting actual birth weight. Sonographically estimated fetal weight is more reliable, accurate and reproducible rather than other modality. J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 32-38

scholarly journals Impact of changes in maternal body composition on birth weight and neonatal fat mass in dichorionic twin pregnancies

2018 ◽  
Vol 108 (4) ◽  
pp. 716-721 ◽  
Author(s):  
Manisha Gandhi ◽  
Rajshi Gandhi ◽  
Lauren M Mack ◽  
Roman Shypailo ◽  
Anne L Adolph ◽  
...  
Keyword(s):  
Body Composition ◽  
Birth Weight ◽  
Fat Mass ◽  
Fat Free Mass ◽  
Birth Length ◽  
Third Trimester ◽  
Maternal Body ◽  
The Third ◽  
The Impact ◽  
Twin Pregnancies

AbstractBackgroundAlthough the impact of gestational weight gain (GWG) on birth weight in twin pregnancies has been demonstrated, the specific components of GWG have not been delineated for twin gestations. Fetal body composition has been shown to be modifiable in singleton gestations based on nutritional intervention strategies and may prove to have similar modifications in twin gestations.ObjectiveWe aimed to determine the relation of maternal body composition changes to birth weight, birth length, and neonatal fat mass (FM) in dichorionic-diamniotic twin pregnancies.DesignThis is a prospective study of 20 women with twin gestations. Comparisons were made between body composition variables during each trimester and for the entire pregnancy and compared with the outcomes of birth weight, neonatal fat percentage, and birth length.ResultsGWG within or above compared with below the IOM recommendations was associated with higher birth weights (P = 0.03, P = 0.04, respectively), but also with higher postpartum weight retention (P = 0.001). Total maternal protein gain over the pregnancy was positively associated with birth weight (P = 0.03). Changes in maternal fat-free mass (FFM), total body water (TBW), and FM from the first to the third trimester were not associated with either birth weight or neonatal FM percentage. However, maternal FM change from the second to the third trimester was significantly correlated to neonatal FM percentage (P = 0.02). Third trimester GWG and total protein gain were positively correlated with neonatal birth length (P = 0.02 and 0.03, respectively). Maternal FFM over all 3 trimesters showed a positive relation with neonatal birth length (P = 0.01).ConclusionsSignificant increases in maternal protein are associated with greater birth weight and neonatal birth length. Protein accretion, in contrast to TBW and FM gains, may be the most critical component of maternal GWG in dichorionic twin gestations.

scholarly journals Third trimester Sonographic estimated fetal weight - What factors affect its’ accuracy

2022 ◽  
Vol 226 (1) ◽  
pp. S164
Author(s):  
Michal Ovadia ◽  
Chen Key ◽  
Gal Cohen ◽  
Sivan Farladansky Gershnabel ◽  
Tal Biron-Shental ◽  
...  
Keyword(s):  
Fetal Weight ◽  
Third Trimester ◽  
Estimated Fetal Weight

“A NOVEL ATTEMPT IN ESTIMATION OF FETAL WEIGHT USING NEW SOFT TISSUE MEASUREMENTS”

2021 ◽  
pp. 1-3
Author(s):  
Sathyan Gnanasigamani ◽  
Sudhakar Vadivel ◽  
Bala Subramaniam ◽  
Sakthivel Raja Ganesan ◽  
Pradeebaa Thiyagarajan ◽  
...  
Keyword(s):  
Birth Weight ◽  
Soft Tissue ◽  
Strong Predictor ◽  
Three Dimensional ◽  
Fetal Weight ◽  
Ultrasound Measurement ◽  
Accurate Estimation ◽  
Tissue Thickness ◽  
Third Trimester ◽  
Soft Tissue Thickness

Background: The Accurate estimation of fetal weight is important in modern obstetrics. Currently, Hadlock's formula is used widely for fetal weight estimation, which includes BPD, AC, FL and HC. The correct plane of measurement of various standard parameters is difcult to obtain especially in third trimester. Hence soft tissue thicknesses of the fetus are tested for correlation with birth weight in this study. Materials & Methods: A prospective observational study conducted among 90 pregnant females referred for Ultrasound examination in the third trimester with an interval from the ultrasound scan to delivery of ≤7 days from 2019 to 2020. Results: The measurements of abdominal, fetal mid-thigh and mid-arm soft tissue thicknesses correlated well with birth weight in a high statistically signicant positive linear relationship. A new regression model developed out of the soft tissue thicknesses(FASTT, FMASTT, FTSTT) correlates better than the Hadlock's model and Sujitkumar Hiwale et al model (For Indian population) based on BPD, HC, AC and FL Conclusion: Ultrasound measurement of soft tissue thickness may prove to be a strong predictor of fetal weight essential for sonographic assessment of pregnancy. They are easy and simple hence fetal soft tissue thickness measurements, both two- and three-dimensional, may prove to be a diagnostic parameter that has as small an error rate as possible, is quick to use and reproducible by different examiners

Fetal weight estimation by automated three-dimensional limb volume model in late third trimester compared to two-dimensional model: a cross-sectional prospective observational study

2021 ◽  
Author(s):  
Xining Wu ◽  
Zihan Niu ◽  
Zhonghui Xu ◽  
Yuxin Jiang ◽  
Yixiu Zhang ◽  
...  
Keyword(s):  
Birth Weight ◽  
3D Model ◽  
Three Dimensional ◽  
Fetal Weight ◽  
Percentage Error ◽  
Limb Volume ◽  
Third Trimester ◽  
Volume Model ◽  
Estimated Error ◽  
2D Model

Abstract Background: Accurate estimation of fetal weight is important for prenatal care and for detection of fetal growth abnormalities. Prediction of fetal weight entails the indirect measurement of fetal biometry by ultrasound that is then introduced into formulae to calculate the estimated fetal weight. The aim of our study was to evaluate the accuracy of the automated three-dimensional(3D) fractional limb volume model to predict fetal weight in the third trimester.Methods: Prospective 2D and 3D ultrasonography were performed among women with singleton pregnancies 7 days before delivery to obtain 2D data, including fetal biparietal diameter, abdominal circumference and femur length, as well as 3D data, including the fractional arm volume (AVol) and fractional thigh volume (TVol). The fetal weight was estimated using the 2D model and the 3D fractional limb volume model respectively. Percentage error = (estimated fetal weight - actual birth weight) ÷ actual birth weight × 100. Systematic errors (accuracy) were evaluated as the mean percentage error (MPE). Random errors (precision) were calculated as±1 SD of percentage error.Results: Ultrasound examination was performed on 56 fetuses at 39.6 ± 1.4 weeks gestation. The average birth weight of the newborns was 3393 ± 530 g. The average fetal weight estimated by the 2D model was 3478 ± 467 g, and the MPE was 3.2 ± 8.9. The average fetal weights estimated by AVol and TVol of the 3D model were 3268 ± 467 g and 3250 ± 485 g, respectively, and the MPEs were -3.3 ± 6.6 and -3.9 ± 6.1, respectively. For the 3D TVol model, the proportion of fetuses with estimated error ≤ 5% was significantly higher than that of the 2D model (55.4% vs. 33.9%, p < 0.05). For fetuses with a birth weight < 3500 g, the accuracy of the AVol and TVol models were better than the 2D model (-0.8 vs. 7.0 and -2.8 vs. 7.0, both p < 0.05). Moreover, for these fetus, the proportions of estimated error ≤ 5% of the AVol and TVol models were 58.1% and 64.5%, respectively, significantly higher than that of the 2D model (19.4%) (both p < 0.05). The consistency of different examiners measuring fetal AVol and TVol were satisfactory,with the intraclass correlation coefficients of 0.921 and 0.963, respectively.Conclusion: In this cohort,the automated 3D fractional limb volume model improves the accuracy of weight estimation in most third-trimester fetuses. In particular, the 3D model estimation accuracy for fetuses with weight < 3500 g is significantly higher than that of the traditional 2D model.

scholarly journals Historical development of estimated fetal weight calculation

2021 ◽  
pp. 18-25
Author(s):  
A.Yu. Alekseeva ◽  
◽  
A.M. Ziganshin ◽  
Keyword(s):  
Fetal Weight ◽  
Resonance Imaging ◽  
Accurate Calculation ◽  
Magnet Resonance Imaging ◽  
Third Trimester ◽  
The Third ◽  
Weight Calculation ◽  
Instrumental Approaches ◽  
Magnet Resonance ◽  
Estimated Fetal Weight

Accurate calculation of the estimated fetal weight is necessary for the choice of a correct approach to management of labour. Th e existing methods are not universal and require complex application. Th is article presents a review of literatures published in PubMed and Google Scholar databases in 1955-2021 and devoted to historical aspects in development of the existing clinical and instrumental approaches to calculation of estimated fetal weight. The paper presents existing methods for calculation of estimated fetal weight at diff erent gestational ages as well as methods making it possible to predict fetal weight before gestation onset. Data on their informative value during the third trimester and alterations in their accuracy depending on the pregnant patient’s BMI are presented. Th e topic of application of magnet-resonance imaging for fetometry is considered with comparison of this approach to a more common method of ultrasonography.

scholarly journals Relationship between Sonographic Umbilical cord Diameter and Gestational Age in Third Trimester of Pregnancy

2021 ◽  
pp. 20-27
Author(s):  
Sara Essam ALdabouly ◽  
Mohamed Mohsen El Namori ◽  
Mona Khaled Omar ◽  
Essmat Hamdy AboZeid
Keyword(s):  
Pregnant Women ◽  
Umbilical Cord ◽  
Fetal Growth ◽  
Gestational Age ◽  
Umbilical Vein ◽  
Well Being ◽  
Fetal Weight ◽  
University Hospital ◽  
Third Trimester ◽  
Estimated Fetal Weight

Background: Throughout the fourth week of embryonic development the umbilical cord (UC) is formed, which corresponds to the fifth to the twelfth weeks of gestation. Fetuses with intrauterine growth restriction (IUGR) have leaner UCs than fetuses of appropriate gestational age do, and the caliber of the umbilical vein decreases significantly, resulting in a worsening of the Doppler parameters of the umbilical artery in the mother. The goal of this study was to evaluate the significance of sonographic UC diameter in determining gestational age in third trimester in pregnant women. Methods: We conducted a comparative cross-sectional research on 300 pregnant women aged range between (20-35) years, singleton gestation, gestational age (3rd) trimester estimated from antenatal mothers last menstrual period (LMP), viable fetus, presenting to obstetrics and gynecology department at Tanta university hospital. Results: Highly statistically significant positive correlation between UC diameter and gestational age, BPD, FL, AC, AFI, and estimated fetal weight was found. The increase in UC diameter was positively and significantly correlated with the increase in gestational age and estimated fetal weight, indicating that those who have prolonged gestational age and estimated fetal weight are more likely to have wider UC diameter. Conclusions: The UC diameter (UCD) has the potential to be a valuable indicator of fetal growth, well-being, and perinatal outcome. Sonographic measurement of UC diameter could be an efficient method of measuring fetal growth and predicting gestational age (GA), particularly between 28-40 weeks GA. It is possible that abnormal UC diameter can be a strong indicator to identify antenatal mothers at risk for IUFD and poor fetal outcomes.

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