scholarly journals The possibility of modifications methods of determine volume of amniotic fluid

2016 ◽  
Vol 65 (3) ◽  
pp. 12-17
Author(s):  
Viktor A Mudrov
Keyword(s):  
Body Mass Index ◽  
Amniotic Fluid ◽  
Pregnant Women ◽  
Body Mass ◽  
Gestational Age ◽  
First Trimester ◽  
Fetal Weight ◽  
Abdominal Circumference ◽  
Pregnancy And Childbirth ◽  
Maternity Hospitals

Selection of the optimal tactics of pregnancy and childbirth significantly depends on the expected volume of amniotic fluid. The amount of amniotic fluid reflects a condition of a fetus and changes at pathological conditions of both a fetus, and an uteroplacental complex. The aim of the study was a modification of methods for determining the expected volume of amniotic fluid. On the basis of maternity hospitals Trans-Baikal Region in the years 2013-2015 was held retrospective and prospective analysis of 300 labor histories, which were divided into 3 equal groups: 1 group - pregnant women with a body mass index (BMI) for Quetelet less than 24, Group 2 - with a BMI from 24 to 30, group 3 - with a BMI more than 30. In order to determine the expected volume of amniotic fluid were used the subjective method, the Chamberlain’s and Phelan’s methods. The error in determining volume of amniotic fluid by the existing methods exceeds 10 %, that defined need of creation of a quantitative method. On the basis of mathematical and 3d-modeling of the volume of amniotic fluid and fetal weight determined pattern change, which is expressed by the formula: VAF = IAF × М × π / GA2, where IAF - index of amniotic fluid (mm), M - fetal weight (g), GA - gestational age (weeks). Through a comprehensive analysis of anthropometric research of the pregnant women defined formula’s volume of amniotic fluid: V = 0,017 × HUF × (AC - 25 × BMI / GA)2 - М, where GA - gestational age (weeks), AC - abdominal circumference of the pregnant women (cm), BMI - body mass index for Quetelet in the first trimester of pregnancy (kg/m2), HUF - height of an uterine fundus (cm), M - the estimated fetal weight (g). In calculating volume of amniotic fluid according to the proposed ultrasonic formula error does not exceed 5,3 %, anthropometric formula error does not exceed 10,2 %. Thus, the method has a smaller error compared to the standard, and can be used to reliably determine volume of amniotic fluid in II and III trimester of pregnancy.

scholarly journals Modification ultrasonic methods estimating expected fetal weight

2016 ◽  
Vol 65 (2) ◽  
pp. 31-37
Author(s):  
Viktor A Mudrov
Keyword(s):  
Gestational Age ◽  
Fetal Tissue ◽  
Average Density ◽  
Fetal Weight ◽  
Abdominal Circumference ◽  
Average Error ◽  
Mortality And Morbidity ◽  
Pregnancy And Childbirth ◽  
Ultrasonic Methods ◽  
Maternity Hospitals

Selection of the optimal tactics of pregnancy and childbirth greatly depends on the expected weight of the fetus. Frequency of perinatal mortality and morbidity increased in grоup with growth retardation and fetal macrosomia. The aim of the study was a modification of ultrasonic methods for determining the expected fetal weight. Materials and methods. On the basis of maternity hospitals Trans-Baikal Region in the years 2013-2015 was held retrospective and prospective analysis of 210 labor histories, which were divided into 3 equal groups: 1 group - pregnant women with a body mass index (BMI) for Quetelet less than 24, group 2 - with a BMI from 24 to 30, group 3 - with a BMI more than 30. In order to determine the expected fetal weight by ultrasonic methods used formula of Hadlock, Shephard and Demidov. The error in determining fetal weight standard methods more than 250 g, which identified the need to establish new precise formula. The increase in the error in determining fetal weight at border gestation due to the lack of assessment of fetal tissue density. On the basis of mathematical and 3d-modeling of the body’s volume, depending on its mass determined pattern change of the average density of fetal tissue, depending on the gestational age, which is expressed by the formula: ρ = 0,833 + 0,004475GA, where ρ - the average density of tissue, GA - gestational age. Through a comprehensive analysis of ultrasound data’s fetometry and medium-density tissue defined fetal weight formula: M = (0,2777 + 0,001492 × GA) × OFD × AC × (Fe + Ti + Hu + Ra), where GA - gestational age (weeks), AC - abdominal circumference (cm), OFD - occipitofrontal diameter (cm), Fe - femur’s length (cm), Ti - tibia’s length (cm), Hu - humerus’s length (cm), Ra - radius’s length (cm), 0.2777 and 0.001492 - digital prognostic factors. In calculating the weight of the fetus according to the proposed formula ultrasonic average error does not exceed 150 g. Thus, the method has a smaller error compared to the standard, and can be used to reliably determine fetal weight in II and III trimester of pregnancy.

The role of the platelet profile in the prediction of gestational diabetes

2021 ◽  
pp. 50-54
Keyword(s):  
Body Mass Index ◽  
Blood Glucose ◽  
Gestational Diabetes ◽  
Pregnant Women ◽  
Body Mass ◽  
First Trimester ◽  
Oral Glucose ◽  
Mean Corpuscular Hemoglobin ◽  
Lymphocyte Ratio ◽  
Significant Difference

Objective: In our study, the results of oral glucose tolerance test (OGTT) and other hemogram parameters of pregnant women with and without gestational diabetes mellitus (GDM) were compared. The aim of our study is to investigate the benefit of these parameters in predicting GDM risk. Material and Method: The study was planned as a descriptive, retrospective and cross-sectional study. It was included 218 pregnant women who applied to the Gynecology and Obstetrics Clinic of Amasya Sabuncuoğlu Şerefeddin Training and Research Hospital between January 01, 2019 and January 31, 2020. It was examined complete blood count parameters, ultrasound findings, complete urinalysis, first trimester blood glucose, body mass index, age, and gravide parameters the patients we included in the study. The results were analyzed retrospectively and was evaluated the statistical significance relationship with gestational diabetes. Results: There was no statistically significant difference in age, body mass index (BMI), obesity status and number of gravida between the pregnant women who were examined and those without GDM (p> 0.05). The hemoglobin, platelet count, mean platelet volume (MPV), mean corpuscular volume (MCV), mean corpuscular hemoglobine (MCH), and mean corpuscular hemoglobin concentration (MCHC) values, and neutrophil, lymphocyte, monocyte and basophil counts, urine density and femur length were statistically significant. There was no difference (p> 0.05). No statistically significant difference was found in terms of neutrophile lymphocyte ratio (NLR), neutrophile monocyte ratio (NMR), platelet lymphocyte ratio (PLR), monocyte eosinophil ratio (MER), platelet MPV ratio (PMPVR), and platelet neutrophile ratio (PNR) values (p> 0.05) Conclusion: HbA1c, hematocrit and blood glucose in the first trimester may be predictors of GDM. In addition, we think that further studies are needed in a prospective design in more patients in terms of others parameters.

Effect of Maternal Body Mass Index and Amniotic Fluid Index on the Accuracy of Sonographic Estimation of Fetal Weight in Late Gestation

2018 ◽  
Vol 35 (13) ◽  
pp. 1235-1240 ◽  
Author(s):  
Burton Rochelson ◽  
Leah Stork ◽  
Stephanie Augustine ◽  
Meir Greenberg ◽  
Cristina Sison ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Amniotic Fluid ◽  
Body Mass ◽  
Fetal Weight ◽  
Maternal Body Mass Index ◽  
Amniotic Fluid Index ◽  
Maternal Body ◽  
Significant Difference ◽  
Substantial Error ◽  
Maternal Bmi

Objective The objective of this study was to determine the effect, if any, of maternal body mass index (BMI) and amniotic fluid index (AFI) on the accuracy of sonographic estimated fetal weight (EFW) at 40 to 42 weeks' gestation. Methods This was a retrospective cohort study of singleton gestations with ultrasound performed at 40 to 42 weeks from 2010 to 2013. In this study, patients with documented BMI and sonographic EFW and AFI, concurrently, within 7 days of delivery were included. Chronic medical conditions and fetal anomalies were excluded from this study. The primary variable of interest was the rate of substantial error in EFW, defined as absolute percentage error (APE) >10%. Results A total of 1,000 pregnancies were included. Overall, the APE was 6.0 ± 4.5% and the rate of substantial error was 17.4% (n = 174). There was no significant difference in APE or rate of substantial error between BMI groups. In the final multivariable logistic regression model, the rate of substantial error was increased in women with oligohydramnios (OR 1.79; 95% CI: 1.10–2.92). Furthermore, oligohydramnios was significantly more likely to overestimate EFW while polyhydramnios was more likely to underestimate EFW. Maternal BMI did not affect the accuracy of sonographic EFW. Conclusion Sonographic EFW may be affected by extremes of AFI in the postdates period. Maternal BMI does not affect EFW accuracy at 40 to 42 weeks.

scholarly journals Socio-demographic factors and cervical length in pregnancy

2008 ◽  
Vol 61 (9-10) ◽  
pp. 443-451 ◽  
Author(s):  
Djordje Petrovic ◽  
Aleksandra Novakov-Mikic ◽  
Vesna Mandic
Keyword(s):  
Body Mass Index ◽  
Pregnant Women ◽  
Body Mass ◽  
Linear Trend ◽  
Smoking Habit ◽  
First Trimester ◽  
Cervical Length ◽  
Demographic Characteristics ◽  
The Body ◽  
The Moment

The cervical length is an important factor in the risk evaluation of preterm delivery. The aim of this work was to determine the correlation between the cervical length and the demographic characteristics. A transversal type prospective study was done on a sample of 579 pregnant women at various gestational age of low risk mono-fetal pregnancy. The cervical length was measured by trans-vaginal ultrasound procedure within the regular pregnancy monitoring process. The following data were taken into consideration: the woman's age, her body mass at the beginning of the pregnancy and her height in order to calculate the body mass index as well as her smoking habit at the moment of conception. The mean cervical length was 34.3 mm and 35 mm in the group of women aged 30 and less and 31 and over, respectively. The cervix was insignificantly shorter in younger women (being 34.9 mm/35.9 mm in the 1st trimester, 34.5 mm/35.1 mm in the 2nd one and 33.9 mm/34.7 mm in the 3rd trimester). The sample of 579 pregnant women consisted of 448 non-smokers and 131 smokers. The difference in the length of the cervix in smokers and non-smokers was not significant (being 32.2 mm/35.9 mm; 35 mm/34 mm and 34.4 mm/33.5 mm in the 1st, 2nd and 3rd trimester, respectively). The correlation between the body mass index and the cervical length was analyzed by trimesters. In the first trimester the increase in the body mass index was followed by the shortening of the cervix; the cervical length was not affected by the BMI in the second trimester, whereas the higher the body mass index the longer the cervix in the third trimester. Our study has shown that the cervical length is affected neither by the age of the woman nor her smoking habit but it is affected by the body mass index at the moment of conception, that linear trend being negative in the 1st trimester but positive in the 3rd one. Since the cervical length may be affected not only by the socio-demographic characteristics but the gynecologic obstetric history of the woman as well, we strongly suggest further investigations in this field.

scholarly journals P07.08: First trimester evaluation of the tricuspid flow: influence of body mass index and gestational age

2012 ◽  
Vol 40 (S1) ◽  
pp. 195-195
Author(s):  
G. R. Lobo ◽  
P. M. Nowak ◽  
A. P. Panigassi ◽  
A. F. Lima ◽  
L. Nardozza ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Gestational Age ◽  
First Trimester

scholarly journals The effects of body mass index, smoking and anemia on fetal birth weight

2021 ◽  
Vol 29 ◽  
Author(s):  
Ersin Çintesun ◽  
Feyza Nur İncesu Çintesun ◽  
Meltem Aydoğdu ◽  
Emine Taşkın ◽  
Mete Can Ateş ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Birth Weight ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Body Mass ◽  
Fetal Weight ◽  
Important Indicator ◽  
Significant Difference ◽  
Fetal Birth Weight ◽  
Smoking Group

Objective: Fetal growth is an important indicator of fetal health. Low birth weight (LBW) is also associated with increased perinatal morbidity and mortality. Numerous factors that affect fetal weight have been identified. In this study, we aimed to investigate the effect of body mass index, smoking, and anemia on fetal birth weight on term pregnant women who had vaginal delivery in our clinic. Methods: This study is a retrospective cross-sectional study. This study included patients who had a spontaneous vaginal delivery at our hospital between January 1st, 2018, and June 15th, 2020. Measurements of hemoglobin (Hb) and hematocrit (Hct) levels during birth supported the diagnosis of anemia. Hb levels were compared in three categories in this study: (1) Hb<10 g/dL; (2) ≥10<11 g/dL; and (3) Hb ≥11 g/dL. Anemia was defined as having a Hb level <11 mg/dL. Birth weight was categorized as LBW <2500 g; normal birth weight (NBW) as ≥2500–3999 g, and macrosomia as ≥4000 g. Results: Analysis was performed on 1428 pregnant women. There was a statistically significant difference for the Hct and Hb subgroups between the groups (p<0.05). Fetal birth weight was found higher in the non-smoking group than in the smoking group (3302.1± 381.5 g vs. 2839.7±491.5 g; p<0.001). Body mass index (BMI) and Hb levels positively predicted fetal birth weight (β=0.134; p<0.001 and β=0.051; p=0.046), smoking was negatively predicted fetal birth weight (β=-0.245; p<0.001). Conclusion: BMI, Hb levels, and smoking status during mothers’ delivery are effective on fetal weight. Smoking was the strongest predictor of fetal birth weight compared with the other variables.

scholarly journals Socioeconomic, demographic and obstetric profile of pregnant women with Hypertensive Syndrome in a public maternity

2020 ◽  
Vol 41 ◽  
Author(s):  
Lia Maristela da Silva Jacob ◽  
Artur Paiva Santos ◽  
Maria Helena Baena de Moraes Lopes ◽  
Antonieta Keiko Kakuda Shimo
Keyword(s):  
High School ◽  
Blood Pressure ◽  
Body Mass Index ◽  
Pregnant Women ◽  
Body Mass ◽  
Gestational Age ◽  
Skin Color ◽  
High School Education ◽  
Chronic Hypertension ◽  
Elevated Blood

ABSTRACT Objective: To describe the socioeconomic, demographic and obstetric profile of pregnant women with Gestational Hypertensive Syndrome. Methods: A descriptive and correlational study, conducted in Maternity School Assis Chateaubriand, with 120 pregnant women, through a questionnaire analyzed by descriptive and analytical statistics. Results: most women had chronic hypertension (60.83%). Regarding the socioeconomic and demographic profile, most pregnant women had a mean age of 30.9 ± 6.9 years, were Catholic, brown skin color, employed, in stable unions, complete high school education, and income of up to R$ 954.00. Regarding the obstetric profile, their Body Mass Index was up to 66, slightly elevated blood pressure, an average of five prenatal consultations, two pregnancies, one delivery and no abortions. Women with chronic hypertension were older (p = 0.0024), had lower gestational age (p = 0.0219) and a higher number of abortions (p = 0.0140). Conclusions: Pregnant women are overweight/obese, with a mean age of 30.9 years and are socially vulnerable. Pregnant women with chronic hypertension are older and have a higher number of abortions.

scholarly journals An investigation into the correlation between pre-pregnancy body mass index and birth outcomes of newborn in Jersey

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Urszula Sliwka ◽  
Katarzyna Przybylowicz ◽  
Neil MacLachlan ◽  
Jakub Morze ◽  
Anna Danielewicz ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Body Mass ◽  
Birth Outcomes ◽  
Gestational Age ◽  
Newborn Outcomes ◽  
Infant Birth ◽  
Maternal Bmi ◽  
Delivery Type

AbstractThe role of nutritional status of pregnant women and birth outcomes is ambiguous. Recent studies show that pre-pregnancy body weight is equally important as weight gain during pregnancy. Body mass index (BMI) is the most accessible and easy to check a nutritional status index, which may help to control the gestation and predict infant health outcome. This study aimed to examine the associations between pre-pregnancy body mass index and the infant birth parameters. A presented observational study was offered to 200 pregnant women from Antenatal Clinic at Jersey General Hospital in 2017. Total number of 83 women agreed to take part in this project. Diet, lifestyle, socio-economic, and demographic data were obtained from participants. Delivery and birth data were taken from hospital records. Offspring feeding data and selected anthropometric measurements for mothers and their newborns were also collected. Differences between BMI for delivery type and way of feeding were verified with chi-square test. Differences and correlation between maternal BMI and newborn outcomes were verified with Kruskal-Wallis’ test and Spearman's rank test. Mean BMI of mothers included to the study was 22.8 ± 4.4 with mean weight 61.9 ± 11.6. Before pregnancy BMI was normal in 67% women and about 23% was overweight or obese. We do not observed differences between delivery type and way of feeding during first 48 hours, and women in BMI categories. Also no differences and correlation were observed for the Apgar score, gestational age of birth, and newborn's weight and length at birth. However, newborn weight correlated with newborn length (r = 0.433) and gestational age (r = 0.568) at birth. Concluding, the maternal pre-pregnancy BMI was not correlated with type of delivery, way of feeding and newborn outcomes. Previous studies show that high pre-pregnancy maternal BMI may be associated with adverse offspring outcomes at birth and later life. Future extended research is needed to explain these relations, with inclusion of the specific factors as maternal diet, lifestyle and ethnicity.

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