305 A predictive index for severe adverse perinatal outcomes in pregnancies complicated by fetal growth restriction

Predictors of adverse perinatal outcomes in fetal growth restriction using a combination of maternal clinical factors and simple ultrasound parameters

“…In our study, some predictors of adverse perinatal outcomes, including chronic hypertension, 13–18 PIH history, 16,17 PIH, 13,14 and early‐onset FGR, 13–15 and all three simple ultrasound parameters (i.e., EFW < 5th percentile, 19 AFI <5 cm, 15 and abnormal UA Doppler 13,14,16,18–21 ) were consistent with those in previous reports. With regard to PIH history, chronic hypertension, and current pregnancy PIH, the results were expected because these factors were associated with maternal vascular diseases, leading to adverse effects on fetal growth and well‐being due to placental insufficiency.…”

“…In our study, some predictors of adverse perinatal outcomes, including chronic hypertension, [13][14][15][16][17][18] PIH history, 16,17 PIH, 13,14 and early-onset FGR, [13][14][15] and all three simple ultrasound parameters (i.e., EFW < 5th percentile, 19 AFI <5 cm, 15 and abnormal UA Doppler 13,14,16,[18][19][20][21] ) were consistent with those in previous reports.…”

“…Previous studies using a combination of clinical factors and ultrasound parameters to predict adverse perinatal outcomes have shown contradictory results, especially involving clinical factors, which varied among populations 13–15 . The differences among studies might be due to various factors such as ethnicity, definitions of adverse perinatal outcomes and FGR, and maternal characteristics 13–15 …”

“…Previous studies using a combination of clinical factors and ultrasound parameters to predict adverse perinatal outcomes have shown contradictory results, especially involving clinical factors, which varied among populations. [13][14][15] The differences among studies might be due to various factors such as ethnicity, definitions of adverse perinatal outcomes and FGR, and maternal characteristics. [13][14][15] Knowledge gaps regarding predictors of adverse perinatal outcomes using a combination of maternal risk factors and simple ultrasound parameters, including EFW, umbilical artery (UA) Doppler, and amniotic fluid index (AFI), which could be performed by general obstetricians, still exist, especially in developing countries.…”