277: Screening for fetal growth abnormalities in the obese woman: a comparison of fundal height to bedside fetal abdominal circumference

2015 ◽  
Vol 212 (1) ◽  
pp. S151
Author(s):  
Adriane Haragan ◽  
Thomas Hulsey ◽  
Roger Newman ◽  
Eugene Chang
Keyword(s):  
Fetal Growth ◽  
Obese Woman ◽  
Abdominal Circumference ◽  
Growth Abnormalities

scholarly journals Diagnostic accuracy of fundal height and handheld ultrasound-measured abdominal circumference to screen for fetal growth abnormalities

2015 ◽  
Vol 212 (6) ◽  
pp. 820.e1-820.e8 ◽  
Author(s):  
Adriane F. Haragan ◽  
Thomas C. Hulsey ◽  
Angela F. Hawk ◽  
Roger B. Newman ◽  
Eugene Y. Chang
Keyword(s):  
Diagnostic Accuracy ◽  
Fetal Growth ◽  
Abdominal Circumference ◽  
Handheld Ultrasound ◽  
Growth Abnormalities

DIAGNOSIS AND MANAGEMENT OF SELECTIVE FETAL GROWTH RESTRICTION IN MONOCHORIONIC TWINS

2009 ◽  
Vol 20 (4) ◽  
pp. 269-281 ◽  
Author(s):  
EDUARD GRATACÓS ◽  
ELISENDA EIXARCH ◽  
FATIMA CRISPI
Keyword(s):  
Fetal Growth ◽  
Common Sense ◽  
Fetal Growth Restriction ◽  
Growth Restriction ◽  
Fetal Weight ◽  
Abdominal Circumference ◽  
Monochorionic Twins ◽  
Normal Ranges ◽  
Estimated Fetal Weight ◽  
Simple Definition

Selective fetal growth restriction (sFGR) has been reported to occur in about 10–15% of monochorionic (MC) twins. The diagnosis of sFGR has been based on variable criteria including estimated fetal weight (EFW), abdominal circumference and/or the degree of fetal weight discordance. Recent studies tend to use a simple definition which includes the presence of an EFW less than the 10th percentile in the smaller twin. Some would argue that the intertwin fetal weight discordance should be included in the definition. Indeed this factor plays a major role in the complications presented by these cases. While the majority of cases with one fetus below the 10th percentile usually will also present with a large intertwin EFW discordance, the contrary is not always true. Thus, it is possible to find MC twins with remarkable intertwin EFW discordance but the EFW of both fetuses are still within normal ranges. Although it appears to be common sense that a large intertwin discrepancy might represent a higher risk for some of the complications described later in this review, there is no consistent evidence to support this notion. Therefore, due to its simplicity, a definition based on an EFW below 10th percentile in one twin is probably the most useful for clinical and research purposes.

scholarly journals Fetal growth restriction defined by abdominal circumference alone predicts perinatal mortality

2022 ◽  
Vol 226 (1) ◽  
pp. S179
Author(s):  
Miranda Long ◽  
Angela Nakahara ◽  
Ardem Elmayan ◽  
Rick Tivis ◽  
Joseph Biggio ◽  
...  
Keyword(s):  
Perinatal Mortality ◽  
Fetal Growth ◽  
Fetal Growth Restriction ◽  
Growth Restriction ◽  
Abdominal Circumference

scholarly journals Fetal growth in low-risk Indian population at a tertiary centre and its comparison with INTERGROWTH-21 standards: a prospective cohort study

2019 ◽  
Vol 8 (11) ◽  
pp. 4400
Author(s):  
Anoosha K. Ravi ◽  
Krishna Agarwal ◽  
Siddarth Ramji ◽  
Sreenivas Vishnubhatla
Keyword(s):  
Fetal Growth ◽  
Indian Population ◽  
Abdominal Ultrasound ◽  
Low Risk ◽  
Abdominal Circumference ◽  
Indian Women ◽  
Tertiary Centre ◽  
Biparietal Diameter ◽  
Z Scores ◽  
Experienced Operator

Background: The objective of this study was to compare the fetal growth pattern in low risk Indian population with the INTERGROWTH-21 standards.Methods: Low risk women were enrolled at 10 to 20 weeks of gestation and followed up until delivery. An experienced operator performed abdominal ultrasound every 5±1 week and measured biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC) and femur length (FL) of the fetus. Newborn anthropometric measurements were taken within 12 hours of childbirth.Results: A total of 126 healthy women, enrolled at mean gestation of 16.8±1.6 weeks, completed the follow up until delivery. None of the participants developed any major obstetric or medical morbidity. The study subjects showed lower mean z scores for BPD (-0.7±1.3), HC (-0.4±1.3) and AC (-0.4±1.3) but a higher mean z-score for FL (0.3±1.7) as compared to INTERGROWTH-21 standards. From 1st through 5th visit, the z scores for BPD and HC improved whereas declined for AC and FL.Conclusions: The fetal growth in non-affluent healthy Indian women had a lower fetal growth compared to INTERGROWTH-21 standards.

scholarly journals Combined Effect of Maternal Vitamin D Deficiency and Gestational Diabetes Mellitus on Trajectories of Ultrasound-Measured Fetal Growth: A Birth Cohort Study in Beijing, China

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Zheng Liu ◽  
Hui Liu ◽  
Xiangrong Xu ◽  
Shusheng Luo ◽  
Jue Liu ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Birth Cohort ◽  
Fetal Growth ◽  
Reference Population ◽  
Abdominal Circumference ◽  
Birth Cohort Study ◽  
Increased Risk ◽  
Beijing China

Objective. Few studies have examined whether maternal 25(OH)D deficiency and gestational diabetes mellitus (GDM) jointly affect fetal growth. We aimed to examine the separate and combined effects of maternal 25(OH)D deficiency and GDM on trajectories of fetal growth. Methods. We established a birth cohort (2016-2017) with 10,913 singleton pregnancies in Tongzhou Maternal and Child Health Hospital of Beijing, China. Maternal 25(OH)D deficiency (serum 25OHD concentration<20.0 ng/mL) was detected, and GDM was diagnosed at 24~28 gestational weeks. Fetal growth was assessed by longitudinal ultrasound measurements of estimated fetal weight (EFW) and abdominal circumference (AC) from 28 gestational weeks to delivery, both of which were standardized as gestational-age-adjusted Z-score. A k-means algorithm was used to cluster the longitudinal measurements (trajectories) of fetal growth. Logistic regression models were used for estimating exposure-outcome associations and additive interactions. Results. We identified two distinct trajectories of fetal growth, and the faster one resembling the 90th centile curve in the reference population was classified as excessive fetal growth. Maternal 25(OH)D deficiency and GDM were independently associated with an increased risk of excessive fetal growth. The combination of maternal 25(OH)D deficiency and GDM was associated with an increased risk of excessive fetal growth assessed by EFW Z-score (odds ratio (OR): 1.36; 95% confidence interval (CI): 1.15~1.62) and AC Z-score (OR (95% CI): 1.32 (1.11~1.56)), but the relative excess risks attributable to interaction were nonsignificant (P>0.05). Conclusion. Maternal 25(OH)D deficiency and GDM may jointly increase the risk of excessive fetal growth. Interventions for pregnancies with GDM may be more beneficial for those with 25(OH)D deficiency than those without regarding risk of excessive fetal growth, if confirmed in a large sample.

scholarly journals Sonographic Assessment of Fetal Growth Abnormalities

Radiographics ◽  
2021 ◽  
Vol 41 (1) ◽  
pp. 268-288
Author(s):  
Michelle P. Debbink ◽  
Shannon L. Son ◽  
Paula J. Woodward ◽  
Anne M. Kennedy
Keyword(s):  
Fetal Growth ◽  
Sonographic Assessment ◽  
Growth Abnormalities
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