scholarly journals SMALL FOR GESTATIONAL AGE FETUS

2006 ◽  
Vol 13 (04) ◽  
pp. 705-709
Author(s):  
SYED MEHDI RAZA RIZVI ◽  
NASIR IQBAL ◽  
NAILA YASMEEN
Keyword(s):  
Doppler Ultrasound ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Antenatal Clinic ◽  
Diastolic Flow ◽  
Intercurrent Illness ◽  
Biophysical Profile ◽  
History Of ◽  
Umbilical Arteries ◽  
Bleeding History

Objective: To evaluate the role of Colour Doppler Ultrasound in the management of small forgestational age fetus. SGA or IUGR. Design: Descriptive study. Place & duration of study: Study performed in theDeptt. of Radiology & Deptt. of Gynae. & Obstetrics in Allied Hospital, Faisalabad from August 2005 to July 2006.Material & Methods: This study was carried out on 45 patients admitted through antenatal clinic having suspicion ofcarrying small for gestational age fetus. A brief clinical record including age, parity, nutritional status, intercurrent illness,per-vaginum bleeding, history of drug intake, smoking, past obstetrical history was recorded. Methods involved inscreening SGA fetuses were measurement of Symphyseal Fundal Height chart & Ultrasound biometry, Biophysicalprofile (BPP), Cardiotocography (CTG), Middle cerebral and Umbilical Arteries Doppler studies were performed afteradmission in the management of SGA fetuses. All these information were recorded in a specially designed Performa.Results: Out of 45 SGA fetuses 15(33.3%) were constitutionally small, 20(44.4%) had history of pre-eclampsia,2(4.4%) had cardiac disease, 3(6.6%) had placental abnormalities, 5(11.1%) had multiple gestations. Gestation ofpatients ranged between 30-36 weeks. Umbilical Artery Doppler was used as the primary surveillance tool. Smallfetuses with normal Doppler and anomaly scan were managed on out-patient basis with fortnightly Doppler ultrasound.15 patients (33.3%) with normal end-diastolic flow were delivered at 37 weeks. 20 patients (44.47%) with absent orreversed end-diastolic flow were delivered at 34-35 weeks. 10 patients (22.2%) at 30 weeks gestation with abnormalDoppler study were managed on CTG (Cardiotocography) & biophysical profile over a period ranging between 1-14days. Perinatal mortality was 8.8% (4 cases) mostly due to extreme prematurity. Conclusion: Doppler ultrasound isa very helpful tool in the management of small for gestational age fetuses & it reduces perinatal morbidity & Mortality.

Doppler measurements of both umbilical arteries do not improve predictive value for adverse perinatal outcomes in small-for-gestational age fetuses

2018 ◽  
Vol 231 ◽  
pp. 169-173
Author(s):  
Charlotte A. Vollgraff Heidweiller-Schreurs ◽  
Ninieck E. van Maasakker ◽  
Peter M. van de Ven ◽  
Christianne J.M. de Groot ◽  
Caroline J. Bax ◽  
...  
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Predictive Value ◽  
Perinatal Outcomes ◽  
Adverse Perinatal Outcomes ◽  
Umbilical Arteries

scholarly journals A study of haemoglobin percentage among pregnant woman at first visit in antenatal clinic in South Dumdum Municipal hospital, Kolkata

2021 ◽  
Vol 9 (11) ◽  
pp. 3383
Author(s):  
Chaitali Mondal ◽  
Riyanka Panti
Keyword(s):  
Pregnant Woman ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Antenatal Clinic ◽  
Municipal Hospital ◽  
Obstetrics And Gynaecology ◽  
Increase Risk

Background: Low maternal haemoglobin concentrations during pregnancy have been reported to increase risk of small for gestational age (SGA) birth, which is a predictor of stillbirth. The objective was to find out a study of Hb% among pregnant woman.Methods: All consenting of 200 pregnant woman attending antenatal clinic in the department of obstetrics and gynaecology at South Dumdum municipal hospital, Dumdum, Nager Bazar, Kolkata were included in the study.Results: Out of 200 pregnant woman, 75 woman were anaemic and there average Hb% was 10.10 and 125 mothers were non-anaemic and their average Hb% was 11.61. 39 mothers whose parity p0+0 and avg. Hb%-11.305 out of them 10 mothers are anaemic. In contrast 73 mothers whose parity P0+1 and average Hb% was 23.860, out of them 30 mothers were anaemic. In contrast 5 mothers whose parity P0+2 and average Hb% was 10.76, out of them 0 mother was anaemic. In contrast 22 mothers whose parity P1+0 and average Hb% was 10.31, out of them 13 mothers were anaemic. In contrast 56 mothers whose parity P1+1 and average Hb% was 11.31, out of them 19 mothers were anaemic. In contrast one mother whose parity P1+2 and average Hb% was 0.2 and she was anaemic. In contrast one mother whose parity P2+0 and Hb% was 10 and she was anaemic. In contrast two mothers whose parity were P2+1 and Hb% was 9.55 and out of them one mother was anaemic. In contrast one mother whose parity is p3+1 and Hb% was 12.Conclusions: Out of 200 pregnant woman 75 were anaemic and 125 woman were non-anaemic.

scholarly journals Efficacy of intramuscular progesterone in prevention of preterm birth in patients with history of preterm birth

2020 ◽  
Vol 7 (7) ◽  
pp. 2487
Author(s):  
Khadija Shahzad ◽  
Tazeen Farhan ◽  
Sadia Ilyas
Keyword(s):  
Preterm Birth ◽  
Preterm Delivery ◽  
Gestational Age ◽  
Controlled Trial ◽  
Survival Rates ◽  
Previous History ◽  
Antenatal Clinic ◽  
Adverse Outcomes ◽  
History Of ◽  
The Mean

Background: Preterm birth is associated with many adverse outcomes and is defined as birth of a baby before 37 weeks of gestation. Around 15 million babies born preterm around the world with survival rates at different gestational like less 23 week, 23 weeks, 24 weeks and 25 weeks are 0%, 15%, 55% and 80% respectively. Progesterone has shown to reduce the incidence of preterm birth. Objective of the study was to find out frequency of preterm birth in patients (with previous history of preterm birth) treated with intramuscular progesterone.Methods: It was randomized controlled trial conducted in the department of Obstetrics and Gynecology, Unit-I, Sir Ganga Ram Hospital Lahore, Pakistan conducted from October 2017 to April 2018. It included 530 pregnant women with history of at least 1 previous preterm delivery presenting in antenatal clinic between 16-20 weeks of gestation. The lottery method was employed to segregate patients in two groups. Patients received intramuscular progesterone injection proluton depot 250 mg intramuscular weekly from 16-20 weeks till 37 weeks and other group received placebo drug.Results: Mean age was 27.52±4.57 years while the mean gestational age was 17.39±1.38 weeks. The mean gestational age at delivery was significantly higher among intramuscular group (36.14±2.23 versus 35.07±2.97 weeks; p=0.000). The frequency of preterm delivery was significantly lower in intramuscular group (24.9% versus 39.6%; p=0.000) as compared to placebo group.Conclusions: Frequency of preterm delivery was significantly lower in patients treated with intramuscular progesterone (24.9% versus 39.6%; p=0.000) irrespective of patients age, parity, BMI and number of previous preterm deliveries. 

The prediction of fetal compromise and acidosis by biophysical profile scoring in the small for gestational age fetus

1992 ◽  
Vol 20 (3) ◽  
pp. 227-232 ◽  
Author(s):  
Stephen Walkinshaw ◽  
Helen Cameron ◽  
Sheila MacPhail ◽  
Stephen Robson
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Biophysical Profile ◽  
Fetal Compromise

scholarly journals Maternal seafood intake and the risk of small for gestational age newborns: a case–control study in Spanish women

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e020424 ◽  
Author(s):  
Carmen Amezcua-Prieto ◽  
Juan Miguel Martínez-Galiano ◽  
Inmaculada Salcedo-Bellido ◽  
Rocío Olmedo-Requena ◽  
Aurora Bueno-Cavanillas ◽  
...  
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Low Birthweight ◽  
Case Control Study ◽  
Conditional Logistic Regression ◽  
Case Control ◽  
Spanish Women ◽  
History Of ◽  
Index Weight ◽  
Control Study

ObjectiveTo investigate the relationship between seafood consumption during pregnancy and the risk of delivering a small for gestational age (SGA) newborn.DesignThis case–control study included women with SGA newborns and controls matched 1:1 for maternal age (±2 years) and hospital.SettingFive hospitals in Eastern Andalusia, Spain.Participants518 pairs of pregnant Spanish women. The SGA group included women who delivered SGA newborns: SGA was defined as a birth weight below the 10th percentile of infants at a given gestational age. Controls were women who delivered newborns with adequate birth weights.InterventionsWe collected data on demographic characteristics, socioeconomic status, toxic habits and diet. Midwives administered a 137-item Food Frequency Questionnaire.Outcome measuresWe calculated quintiles of seafood intake and applied conditional logistic regression to estimate ORs and 95% CIs.ResultsShellfish intake more than once/week yielded a significant protective effect against an SGA newborn (OR 0.25, 95% CI 0.08 to 0.76, after adjusting for energy, educational level, smoking, prepregnancy body mass index, weight and a history of preterm or low birthweight newborn). The risk of an SGA newborn was lower among women who consumed >29 g/day fish compared with women who consumed ≤8 g (adjusted OR 0.63, 95% CI 0.41 to 0.98; p=0.025 for a trend). Similarly, the risk of an SGA newborn was lower among women who consumed >1 g/day of marine n-3 polyunsaturated fatty acids compared with those who consumed ≤0.4 g/day (adjusted OR 0.58, 95% CI 0.38 to 0.90; p=0.025 for a trend).ConclusionAn average seafood intake of at least 29 g/day during pregnancy, equivalent to 2–3 servings/week, reduced the risk of an SGA newborn, compared with an average seafood intake of less than 8 g/day.

scholarly journals Small for gestational age babies and depressive symptoms of mothers during pregnancy: Results from a birth cohort in India

2020 ◽  
Vol 3 ◽  
pp. 76
Author(s):  
Giridhara R. Babu ◽  
G.V.S. Murthy ◽  
Yogesh Reddy ◽  
R. Deepa ◽  
A. Yamuna ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Low Birthweight ◽  
Strong Association ◽  
Depression Scale ◽  
Antenatal Clinic ◽  
P Value ◽  
Antenatal Depressive Symptoms ◽  
Obstetric Factors

Background: Annually, more than a million low birthweight (LBW) is born in India, often afflicting disadvantaged families. Several studies have undertaken the association of poverty, nutritional status, and obstetric factors with LBW. Through our study, we aimed to examine the possibility of any relation between the Edinburgh Postnatal Depression Scale (EPDS) score measured during pregnancy with the incidence of babies born Small for Gestational Age (SGA). Methods: Pregnant women attending the antenatal clinic at a public hospital between 14 to 32 weeks were recruited from April 2016 to Oct 2017. The EPDS was administered to assess depression through face-to-face interviews. Newborn anthropometry was performed post-delivery. For analysis, birth weight <10 percentile was classified as SGA. Results: Prevalence of depressive symptoms (EPDS score >11) was 16.5% (n=108/654) in antenatal mothers. These women delivered a higher proportion of SGA babies (21.3 v/s 15.8) compared to women with no symptoms. The odds of women giving birth to a child with SGA were twice as high for women with EPDS scores >11 (adjusted OR = 2.03; 95% CI = 1.12 – 3.70) compared to the women with EPDS scores of ≤11, The EPDS 12 (Adjusted OR = 1.96; 95% CI = 1.04 – 3.69) and EPDS 13 (Adjusted OR = 2.42; 95% CI = 1.24 – 4.70) cut-off categories also proved to be a risk factor for SGA with significant p-value (0.0006 and 0.0003) and the individuals with more than 13 EPDS score is found to have the highest odds of SGA. Conclusions: We found a strong association of antenatal depressive symptoms during pregnancy with SGA measured by EPDS. Thus, we recommend the implementation of timely and effective screening, diagnostic services, and evidence-based antenatal mental health services to combat SGA and further associated-metabolic syndromes.

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