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Can serial measurements of fetal abdominal circumference in the second trimester predict small for gestational age and late fetal-growth restrictions?

Cilt: 45 Sayı: 1 31 Mart 2020
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Can serial measurements of fetal abdominal circumference in the second trimester predict small for gestational age and late fetal-growth restrictions?

Öz

Purpose: The aim of the present study was to evaluate whether serial measurements of the ultrasonographic abdominal circumference of the fetus in the second trimester is a predictor for a fetus that is small for gestational age and for late fetal–growth restrictions.
Materials and Methods: Of the 440 pregnant women were analyzed retrospectively, 200 were in the small for gestational age group, 40 were in the late fetal–growth restrictions group, and 200 were in the healthy control group. For screening fetal growth, ultrasound scans were performed at 18±2, 22±2, and 26±2 weeks of gestation and fetal biometric results were compared among groups.
Results: The maternal age, body mass index, nulliparity, and rates of previous cesarean deliveries were similar among the groups. Gestational age at delivery, rates of induced delivery and fetal birth weight were significantly different among the groups. The abdominal circumference diameter at 18, 22, and 26 weeks were similar among the groups; the differences were not significant.
Conclusion: Our results suggest that the serial abdominal circumference measurement in the second trimester has a low capacity for predicting small for gestational age and late fetal–growth restrictions in low-risk pregnancies.

Anahtar Kelimeler

SGA,fetal growth restriction,second trimester,fetal abdominal circumference,Serial AC measurements

Kaynakça

  1. 1. Gratacos E, Figueras F. Fetal growth restriction as a perinatal and long-term health problem: clinical challenges and opportunities for future (4P) fetal medicine. Fetal diagnosis and therapy. 2014;36(2):85. Epub 2014/08/21. doi: 10.1159/000365556. PubMed PMID: 25139654.
  2. 2. Figueras F, Savchev S, Triunfo S, Crovetto F, Gratacos E. An integrated model with classification criteria to predict small-for-gestational-age fetuses at risk of adverse perinatal outcome. Ultrasound Obstet Gynecol. 2015;45(3):279-85. Epub 2014/11/02. doi: 10.1002/uog.14714. PubMed PMID: 25358519.
  3. 3. Figueras F, Gratacos E. Stage-based approach to the management of fetal growth restriction. Prenat Diagn. 2014;34(7):655-9. Epub 2014/05/20. doi: 10.1002/pd.4412. PubMed PMID: 24839087.
  4. 4. Lindqvist PG, Molin J. Does antenatal identification of small-for-gestational age fetuses significantly improve their outcome? Ultrasound Obstet Gynecol. 2005;25(3):258-64. Epub 2005/02/18. doi: 10.1002/uog.1806. PubMed PMID: 15717289.
  5. 5. Gardosi J, Madurasinghe V, Williams M, Malik A, Francis A. Maternal and fetal risk factors for stillbirth: population based study. BMJ. 2013;346:f108. Epub 2013/01/26. doi: 10.1136/bmj.f108. PubMed PMID: 23349424; PubMed Central PMCID: PMCPMC3554866.
  6. 6. Papageorghiou AT, Ohuma EO, Altman DG, Todros T, Cheikh Ismail L, Lambert A, et al. International standards for fetal growth based on serial ultrasound measurements: the Fetal Growth Longitudinal Study of the INTERGROWTH-21st Project. Lancet (London, England). 2014;384(9946):869-79. Epub 2014/09/12. doi: 10.1016/s0140-6736(14)61490-2. PubMed PMID: 25209488.
  7. 7. Papageorghiou AT, Ohuma EO, Gravett MG, Hirst J, da Silveira MF, Lambert A, et al. International standards for symphysis-fundal height based on serial measurements from the Fetal Growth Longitudinal Study of the INTERGROWTH-21st Project: prospective cohort study in eight countries. BMJ. 2016;355:i5662. Epub 2016/11/09. doi: 10.1136/bmj.i5662. PubMed PMID: 27821614; PubMed Central PMCID: PMCPMC5098415 www.icmje.org/coi_disclosure.pdf and declare: support from the Bill & Melinda Gates Foundation for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous three years; no other relationships or activities that could appear to have influenced the submitted work.
  8. 8. Robert Peter J, Ho JJ, Valliapan J, Sivasangari S. Symphysial fundal height (SFH) measurement in pregnancy for detecting abnormal fetal growth. Cochrane Database Syst Rev. 2015(9):CD008136. Epub 2015/09/09. doi: 10.1002/14651858.CD008136.pub3. PubMed PMID: 26346107; PubMed Central PMCID: PMCPMC6465049.
  9. 9. Deter RL, Lee W, Yeo L, Erez O, Ramamurthy U, Naik M, et al. Individualized growth assessment: conceptual framework and practical implementation for the evaluation of fetal growth and neonatal growth outcome. Am J Obstet Gynecol. 2018;218(2S):S656-S78. Epub 2018/02/10. doi: 10.1016/j.ajog.2017.12.210. PubMed PMID: 29422206; PubMed Central PMCID: PMCPMC5882201.
  10. 10. Haugen G, Hanson M, Kiserud T, Crozier S, Inskip H, Godfrey KM. Fetal liver-sparing cardiovascular adaptations linked to mother's slimness and diet. Circ Res. 2005;96(1):12-4. Epub 2004/12/04. doi: 10.1161/01.RES.0000152391.45273.A2. PubMed PMID: 15576647.

Kaynak Göster

APA
Eraslan Şahin, M., & Col Madendag, İ. (2020). Can serial measurements of fetal abdominal circumference in the second trimester predict small for gestational age and late fetal-growth restrictions? Cukurova Medical Journal, 45(1), 102-106. https://doi.org/10.17826/cumj.628747
AMA
1.Eraslan Şahin M, Col Madendag İ. Can serial measurements of fetal abdominal circumference in the second trimester predict small for gestational age and late fetal-growth restrictions? Cukurova Med J. 2020;45(1):102-106. doi:10.17826/cumj.628747
Chicago
Eraslan Şahin, Mefkure, ve İlknur Col Madendag. 2020. “Can serial measurements of fetal abdominal circumference in the second trimester predict small for gestational age and late fetal-growth restrictions?”. Cukurova Medical Journal 45 (1): 102-6. https://doi.org/10.17826/cumj.628747.
EndNote
Eraslan Şahin M, Col Madendag İ (01 Mart 2020) Can serial measurements of fetal abdominal circumference in the second trimester predict small for gestational age and late fetal-growth restrictions? Cukurova Medical Journal 45 1 102–106.
IEEE
[1]M. Eraslan Şahin ve İ. Col Madendag, “Can serial measurements of fetal abdominal circumference in the second trimester predict small for gestational age and late fetal-growth restrictions?”, Cukurova Med J, c. 45, sy 1, ss. 102–106, Mar. 2020, doi: 10.17826/cumj.628747.
ISNAD
Eraslan Şahin, Mefkure - Col Madendag, İlknur. “Can serial measurements of fetal abdominal circumference in the second trimester predict small for gestational age and late fetal-growth restrictions?”. Cukurova Medical Journal 45/1 (01 Mart 2020): 102-106. https://doi.org/10.17826/cumj.628747.
JAMA
1.Eraslan Şahin M, Col Madendag İ. Can serial measurements of fetal abdominal circumference in the second trimester predict small for gestational age and late fetal-growth restrictions? Cukurova Med J. 2020;45:102–106.
MLA
Eraslan Şahin, Mefkure, ve İlknur Col Madendag. “Can serial measurements of fetal abdominal circumference in the second trimester predict small for gestational age and late fetal-growth restrictions?”. Cukurova Medical Journal, c. 45, sy 1, Mart 2020, ss. 102-6, doi:10.17826/cumj.628747.
Vancouver
1.Mefkure Eraslan Şahin, İlknur Col Madendag. Can serial measurements of fetal abdominal circumference in the second trimester predict small for gestational age and late fetal-growth restrictions? Cukurova Med J. 01 Mart 2020;45(1):102-6. doi:10.17826/cumj.628747