BibTex RIS Kaynak Göster

Serial third trimester ultrasound examinations in predicting fetal weight

Yıl 2013, , 28 - 33, 01.03.2013
https://doi.org/10.5799/ahinjs.01.2013.01.0229

Öz

Objective: The aim of this study was to compare the ac­curacy of estimated fetal weights obtained by ultrasonog­raphies performed at different weeks in the third trimester and just before delivery. Methods: A total of 664 patients underwent three serial ultrasonographic examinations in the third trimester. The sonographically estimated fetal weight was calculated us­ing the Hadlock formula and then converted into percen­tiles. The estimated fetal weight percentiles were com­pared with the actual birth weight percentiles at delivery. Results: Mean maternal age was 30±4 years (18-42 years), mean gestational age at first ultrasound was 32±0.5 weeks (30.4-33.6 weeks), mean gestational age at second ultrasound was 36±0.4 weeks (35-36.9 weeks), mean gestational age at third ultrasound was 38.6±1 weeks (36.3– 42 weeks). Mean gestational age at deliv­ery was 39± 1 weeks (36-42 weeks), mean birth weight was 3422±423 grams (1900-4900 grams). Correlation coefficients of estimated fetal weights percentiles at first, second and third ultrasounds were significantly correlated with birth weight percentiles (r=0.556, p

Kaynakça

  • Heiskanen N, Raatkainen K, Heinonen S. Fetal macro- somia- a continuing obstetric challenge. Biol Neonate 2006;90:98-103.
  • Medchill MT, Peterson CM, Kreinick C, et al. Prediction of estimated fetal weight in extremely low birth weight neonates (500-1000 g). Obstet Gynecol 1991;78:286- 290.
  • Nahum GG, Stanislaw H. Validation of a birth weight prediction equation based on maternal characteris- tics. J Reprod Med 2002;47:752-760.
  • Mongelli M, Benzie R. Ultrasound diagnosis of fetal macrosomia: a comparison of weight prediction mod- els using computer simulation. Ultrasound Obstet Gy- necol 2005;26:500-503.
  • Chauhan SP, Hendrix NW, Magann EF, et al. Limita- tions of clinical and sonographic estimates of birth weight: experience with 1034 parturients. Obstet Gy- necol 1998;91:72-77
  • Halaska MG, Vlk R, Feldmar P, et al. Predicting term birth weight using ultrasound and maternal character- istics. Eur J Obstet Gynecol Biol 2006;128:231-235
  • Pressman EK, Bienstock JL, Blakemore KJ, et al. Pre- diction of birth weight by ultrasound in the third trimes- ter. Obstet Gynecol 2000;95:502-506.
  • Krantz C, Hitschold T. Impact and limitations of ultra- sound examination immediately before delivery-a prospective evaluation with 1127 pregnant women. Z Geburtshilfe Neonatol 2011;215:69-76.
  • Mongelli M, Gardosi J. Gestation-adjusted projection of estimated fetal weight. Acta Obstet Gynecol Scand 1996;75:28-31.
  • Hadlock FP, Harrist RB, Sharman RS, et al. Estima- tion of fetal weight with the use of head, body, and fe- mur measurements: a prospective study. Am J Obstet Gynecol 1985;151:333-337.
  • Dudley NJ. A systematic review of the ultrasound es- timation of fetal weight. Ultrasound Obstet Gynecol 2005;25:80-89.
  • Larsen T, Greisen G, Petersen S. Prediction of birth weight by ultrasound-estimated fetal weight: a com- parison between single and repeated estimates. Eur J Obstet Gynecol Reprod Biol 1995;60:37-40.
  • Ben-Haroush A, Yogev Y, Bar J, et al. Accuracy of so- nographic estimated fetal weight in 840 women with different pregnancy complications prior to induction of labor. Ultrasound Obstet Gynecol 2004;23:172-176.
  • Colman A, Maharaj D, Hutton J, et al. Reliability of ultrasound estimation of fetal weight in term singleton pregnancies. N Z Med J 20068;119:2146-2149.
  • Ben-Haroush A, Yogev Y, Hod M, et al. Predictive value of a single early fetal weight estimete in normal pregnancies. Eur J Obstet Gynecol Biol 2007;130:187- 192.
  • Nelson L, Wharton B, Grobman WA. Prediction of large for gestational age birth weights in diabetic mothers based on early third trimester sonography. J Ultrasound Med 2011;30:1625-1628.
  • Kehl RJ, Krew MA, Thomas A, Catalano PM. Fetal growth and body composition in infants of women with diabetes mellitus during pregnancy J Matern Fetal Med 1996;5:273-280.
  • Blann DW, Prien SD. Estimation of fetal weight before and after amniotomy in the laboring gravid woman. Am J Obstet Gynecol 2000 ;182:1117-1120.
  • Townsend RR, Filly RA,Callen PW, et al. Factors af- fecting prenatal sonographic estimation of weight in extremely low birthweight infants. J Ultrasound Med 1988;7:183-187.
  • Schild RL, Sachs C, Fimmers R, et al. Sex-specific fe- tal weight prediction by ultrasound. Ultrasound Obstet Gynecol 2004;23:30-35.
  • Schwarzler P, Bland JM, Holden D, et al. Sex-specific antenatal reference growth charts for uncomplicated singleton pregnancies at 15-40 weeks of gestation. Ultrasound Obstet Gynecol 2004;23:23-29.
  • McNamara JM, Odibo AO, Macones GA, Cahill AG.The effect of breech presentation on the accuracy of estimated fetal weight. Am J Perinat 2012;29:353- 360.
  • Sanchez- Ramos L, Bernstein S, Kaunitz AM. Expect- ant management versus labor induction for suspected fetal macrosomia: a systematic review. Obstet Gyne- col 2002;100:997-1002.
  • Weiner Z, Ben-Shlomo I, Beck-Fruchter R, et al. Clini- cal and ultrasonographic weight estimation in large for gestational age fetus. Eur J Obstet Reprod Biol 2002;105:20-24.

Ardışık üçüncü trimester ultrason incelemeleri ile fetal ağırlığın tahmin edilmesi

Yıl 2013, , 28 - 33, 01.03.2013
https://doi.org/10.5799/ahinjs.01.2013.01.0229

Öz

Amaç: Bu çalışmanın amacı, üçüncü trimesterin değişik haftalarında ve doğumdan hemen önce yapılan ultraso­nografik ölçümlerin tahmini fetal ağırlığı tespit etmedeki doğruluğunu belirlemektir. Yöntemler: Toplam 664 hastanın üçüncü trimesterde ya­pılmış 3 adet ultrasonografik verisi elde edildi ve Hadlock formülü ile tahmini doğum ağırlığı ve persentili hesaplan­dı. Daha sonra tahmini fetal ağırlık persentilleri, doğum­daki gerçek ağırlık persentili ile karşılaştırıldı. Bulgular: Ortalama anne yaşı 30±4 (18-42) yıl, ilk üçüncü trimester ultrasonunun yapıldığı hafta ortalaması 32±0.5 hafta (30.4-33.6 hafta), ikinci ultrasonun yapıldığı hafta ortalaması 36±0.4 hafta (35-36.9 hafta), üçüncü ultraso­nun yapıldığı hafta ortalaması 38.6±1 hafta (36.3– 42 haf­ta). Doğumun gerçekleştiği ortalama gebelik haftası 39±1 hafta (36-42 hafta), ortalama doğum kilosu 3422±423 gram (1900-4900 gram). Birinci, ikinci, üçüncü ultrason ölçümlerinde elde edilen persentillerin doğum ağırlığı persentili ile korelasyonu (sırasıyla, r=0.556, p

Kaynakça

  • Heiskanen N, Raatkainen K, Heinonen S. Fetal macro- somia- a continuing obstetric challenge. Biol Neonate 2006;90:98-103.
  • Medchill MT, Peterson CM, Kreinick C, et al. Prediction of estimated fetal weight in extremely low birth weight neonates (500-1000 g). Obstet Gynecol 1991;78:286- 290.
  • Nahum GG, Stanislaw H. Validation of a birth weight prediction equation based on maternal characteris- tics. J Reprod Med 2002;47:752-760.
  • Mongelli M, Benzie R. Ultrasound diagnosis of fetal macrosomia: a comparison of weight prediction mod- els using computer simulation. Ultrasound Obstet Gy- necol 2005;26:500-503.
  • Chauhan SP, Hendrix NW, Magann EF, et al. Limita- tions of clinical and sonographic estimates of birth weight: experience with 1034 parturients. Obstet Gy- necol 1998;91:72-77
  • Halaska MG, Vlk R, Feldmar P, et al. Predicting term birth weight using ultrasound and maternal character- istics. Eur J Obstet Gynecol Biol 2006;128:231-235
  • Pressman EK, Bienstock JL, Blakemore KJ, et al. Pre- diction of birth weight by ultrasound in the third trimes- ter. Obstet Gynecol 2000;95:502-506.
  • Krantz C, Hitschold T. Impact and limitations of ultra- sound examination immediately before delivery-a prospective evaluation with 1127 pregnant women. Z Geburtshilfe Neonatol 2011;215:69-76.
  • Mongelli M, Gardosi J. Gestation-adjusted projection of estimated fetal weight. Acta Obstet Gynecol Scand 1996;75:28-31.
  • Hadlock FP, Harrist RB, Sharman RS, et al. Estima- tion of fetal weight with the use of head, body, and fe- mur measurements: a prospective study. Am J Obstet Gynecol 1985;151:333-337.
  • Dudley NJ. A systematic review of the ultrasound es- timation of fetal weight. Ultrasound Obstet Gynecol 2005;25:80-89.
  • Larsen T, Greisen G, Petersen S. Prediction of birth weight by ultrasound-estimated fetal weight: a com- parison between single and repeated estimates. Eur J Obstet Gynecol Reprod Biol 1995;60:37-40.
  • Ben-Haroush A, Yogev Y, Bar J, et al. Accuracy of so- nographic estimated fetal weight in 840 women with different pregnancy complications prior to induction of labor. Ultrasound Obstet Gynecol 2004;23:172-176.
  • Colman A, Maharaj D, Hutton J, et al. Reliability of ultrasound estimation of fetal weight in term singleton pregnancies. N Z Med J 20068;119:2146-2149.
  • Ben-Haroush A, Yogev Y, Hod M, et al. Predictive value of a single early fetal weight estimete in normal pregnancies. Eur J Obstet Gynecol Biol 2007;130:187- 192.
  • Nelson L, Wharton B, Grobman WA. Prediction of large for gestational age birth weights in diabetic mothers based on early third trimester sonography. J Ultrasound Med 2011;30:1625-1628.
  • Kehl RJ, Krew MA, Thomas A, Catalano PM. Fetal growth and body composition in infants of women with diabetes mellitus during pregnancy J Matern Fetal Med 1996;5:273-280.
  • Blann DW, Prien SD. Estimation of fetal weight before and after amniotomy in the laboring gravid woman. Am J Obstet Gynecol 2000 ;182:1117-1120.
  • Townsend RR, Filly RA,Callen PW, et al. Factors af- fecting prenatal sonographic estimation of weight in extremely low birthweight infants. J Ultrasound Med 1988;7:183-187.
  • Schild RL, Sachs C, Fimmers R, et al. Sex-specific fe- tal weight prediction by ultrasound. Ultrasound Obstet Gynecol 2004;23:30-35.
  • Schwarzler P, Bland JM, Holden D, et al. Sex-specific antenatal reference growth charts for uncomplicated singleton pregnancies at 15-40 weeks of gestation. Ultrasound Obstet Gynecol 2004;23:23-29.
  • McNamara JM, Odibo AO, Macones GA, Cahill AG.The effect of breech presentation on the accuracy of estimated fetal weight. Am J Perinat 2012;29:353- 360.
  • Sanchez- Ramos L, Bernstein S, Kaunitz AM. Expect- ant management versus labor induction for suspected fetal macrosomia: a systematic review. Obstet Gyne- col 2002;100:997-1002.
  • Weiner Z, Ben-Shlomo I, Beck-Fruchter R, et al. Clini- cal and ultrasonographic weight estimation in large for gestational age fetus. Eur J Obstet Reprod Biol 2002;105:20-24.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma Yazısı
Yazarlar

Nilgün Güdücü Bu kişi benim

Gökçenur Gönenç Bu kişi benim

Herman İşçi Bu kişi benim

Alin Başgül Yiğiter Bu kişi benim

İlkkan Dünder Bu kişi benim

Yayımlanma Tarihi 1 Mart 2013
Yayımlandığı Sayı Yıl 2013

Kaynak Göster

APA Güdücü, N., Gönenç, G., İşçi, H., Yiğiter, A. B., vd. (2013). Ardışık üçüncü trimester ultrason incelemeleri ile fetal ağırlığın tahmin edilmesi. Journal of Clinical and Experimental Investigations, 4(1), 28-33. https://doi.org/10.5799/ahinjs.01.2013.01.0229
AMA Güdücü N, Gönenç G, İşçi H, Yiğiter AB, Dünder İ. Ardışık üçüncü trimester ultrason incelemeleri ile fetal ağırlığın tahmin edilmesi. J Clin Exp Invest. Mart 2013;4(1):28-33. doi:10.5799/ahinjs.01.2013.01.0229
Chicago Güdücü, Nilgün, Gökçenur Gönenç, Herman İşçi, Alin Başgül Yiğiter, ve İlkkan Dünder. “Ardışık üçüncü Trimester Ultrason Incelemeleri Ile Fetal ağırlığın Tahmin Edilmesi”. Journal of Clinical and Experimental Investigations 4, sy. 1 (Mart 2013): 28-33. https://doi.org/10.5799/ahinjs.01.2013.01.0229.
EndNote Güdücü N, Gönenç G, İşçi H, Yiğiter AB, Dünder İ (01 Mart 2013) Ardışık üçüncü trimester ultrason incelemeleri ile fetal ağırlığın tahmin edilmesi. Journal of Clinical and Experimental Investigations 4 1 28–33.
IEEE N. Güdücü, G. Gönenç, H. İşçi, A. B. Yiğiter, ve İ. Dünder, “Ardışık üçüncü trimester ultrason incelemeleri ile fetal ağırlığın tahmin edilmesi”, J Clin Exp Invest, c. 4, sy. 1, ss. 28–33, 2013, doi: 10.5799/ahinjs.01.2013.01.0229.
ISNAD Güdücü, Nilgün vd. “Ardışık üçüncü Trimester Ultrason Incelemeleri Ile Fetal ağırlığın Tahmin Edilmesi”. Journal of Clinical and Experimental Investigations 4/1 (Mart 2013), 28-33. https://doi.org/10.5799/ahinjs.01.2013.01.0229.
JAMA Güdücü N, Gönenç G, İşçi H, Yiğiter AB, Dünder İ. Ardışık üçüncü trimester ultrason incelemeleri ile fetal ağırlığın tahmin edilmesi. J Clin Exp Invest. 2013;4:28–33.
MLA Güdücü, Nilgün vd. “Ardışık üçüncü Trimester Ultrason Incelemeleri Ile Fetal ağırlığın Tahmin Edilmesi”. Journal of Clinical and Experimental Investigations, c. 4, sy. 1, 2013, ss. 28-33, doi:10.5799/ahinjs.01.2013.01.0229.
Vancouver Güdücü N, Gönenç G, İşçi H, Yiğiter AB, Dünder İ. Ardışık üçüncü trimester ultrason incelemeleri ile fetal ağırlığın tahmin edilmesi. J Clin Exp Invest. 2013;4(1):28-33.