The Effect Of Maternal Obesity On The Inter And Intra Observer Viability Of Fetal Biometric Measurements

Abstract

Aim: Maternal obesity limits the optimal image in ultrasonographic evaluation. The purpose of this study was to evaluate the effect of maternal obesity on inter and intra observer variability of fetal biometric measurements.Material and Methods: Patients were divided into two groups based on their body mass index: ≥30 kg/m² obese group and

Keywords

• Obesity,ultrasonography,interobserver variation

Maternal Obezitenin Fetal Biyometrik Ölçümlerde Gözlemci İçi ve Gözlemciler Arası Farklılıklara Etkisi

Abstract

Amaç: Maternal obezite, obstetrik ultrasonografide optimal görüntü elde edilmesini güçleştirmektedir. Bu çalışmamızda maternal obezitenin, fetal biyometrikölçümlerde gözlemci içi ve gözlemciler arası farklılıklara etkisini inceledik.Gereç ve Yöntemler: Hastalar vücut kitle indekslerine göre iki gruba ayrıldı. VKİ ≥30 kg/m2olan obez grubu

Keywords

• Obezite,ultrasonografi,gözlemci içi değişkenlik,gözlemciler arası değişkenlik

References

1. Sirimi N, Goulis DG. Obesity in pregnancy. Hormones (Athens). 2010;9:299-306.
2. Taşdemir D, Karaman E, Yıldız A, Han A, Karaman Y, Talay H. The Effect of Obesity on Maternal and Fetal Outcomes in Term Pregnant Women: A Case-Control Study. İstanbul Kanuni Sultan Süleyman Tıp Dergisi. 2015;7:73-8.
3. Edwards LE, Dickes WF, Alton IR, Hakanson EY. Pregnancy in the massively obese: course, outcome, and obesity prognosis of the infant. Am J Obstet Gynecol. 1978;131:479-83.
4. de Groot LC. High maternal body weight and pregnancy outcome. Nutr Rev. 1999;57:62-4.
5. Dashe JS, McIntire DD, Twickler DM. Maternal obesity limits the ultrasound evaluation of fetal anatomy. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 2009;28:1025-30.
6. Hendler I, Blackwell SC, Treadwell MC, Bujold E, Sokol RJ, Sorokin Y. Does advanced ultrasound equipment improve the adequacy of ultrasound visualization of fetal cardiac structures in the obese gravid woman? Am J Obstet Gynecol. 2004;190:1616-9; discussion 9-20.
7. Baeten JM, Bukusi EA, Lambe M. Pregnancy complications and outcomes among overweight and obese nulliparous women. Am J Public Health. 2001;91:436-40.
8. Maxwell C, Dunn E, Tomlinson G, Glanc P. How does maternal obesity affect the routine fetal anatomic ultrasound? The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstet. 2010;23:1187- 92.

9. Hunsley C, Farrell T. The influence of maternal body mass index on fetal anomaly screening. European journal of obstetrics, gynecology, and reproductive biology. 2014;182:181-4.
10. Simic M, Wahlin IA, Marsal K, Kallen K. Maternal obesity is a potential source of error in mid-trimester ultrasound estimation of gestational age. Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology. 2010;35:48-53.
11. Özçam H, Çimen G, Atakul N, Uzunçakmak C, Güldaş A, Kesmezacar Ö. Effect of Parity, Maternal Body Mass Index, Maternal Weight Gain during Pregnancy, Stage of Labor, and Amniotic Fluid Volume on Ultrasonographic Estimation of Fetal Weight. İstanbul Med J 2015:105- 10.
12. Field NT, Piper JM, Langer O. The effect of maternal obesity on the accuracy of fetal weight estimation. Obstetrics and gynecology. 1995;86:102-7.