Fetal malnutrition: Its incidence, causes, and effects

Scott, Kenneth E.; Usher, Robert H.

doi:10.1016/0002-9378(66)90033-0

Cited by 199 publications

(102 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In 1966 Scott and Usher reported that the death rate was nearly 8 times higher than in total study population when birth weight was below the 10 th percentile. 8 Among the various clinical criteria LMP preceded by normal cycle is known to best correlate with the gestational age but it is not reliable when a woman is not sure about her last menstrual period. Ultrasonography is routinely used for dating of pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of transverse cerebellar diameter measurement by ultrasonography in the evaluation of foetal age

Ravindernath

Reddy

2017

Int J Adv Med

View full text Add to dashboard Cite

INTRODUCTIONThe commonest problem an obstetrician faces frequently is the assessment of fetal maturity for either prolonging the pregnancy or terminating it, for complications such as fetal distress, pregnancy induced hypertension, diabetes and Rh incompatibility diseases. The means that are widely accepted for estimating fetal maturity are Gestational age, weight of the fetus. The methods used to estimate gestational age (GA) and predict the expected date of delivery are menstrual history, clinical examination, perception of fetal movement and Nagele's rule.1 Nagele's rule is in women with regular cycles and certain LMP, the EDD is calculated by adding 7 days to the first day of the LMP and then adding 9 months. A menstrual history could be misleading for a number of reasons, such as, many women do not accurately recall the first day of last menstrual period, particularly if they are not trying to conceive. LMP may be unreliable or misleading because of oligomenorrhea, abnormal bleeding events, use of oral contraceptives and becoming pregnant in the first ovulatory cycle after a recent ABSTRACT Background: Assessment of accurate gestational age of fetus is very imperative for proper obstetric management of normal as well as IUGR pregnancies. The objective of this study was to evaluate the accuracy of transverse cerebellar diameter as against the conventional parameters of Biparietal diameter, head circumference, abdominal circumference and femur length in normal pregnant mothers between 15 to 40 weeks and in antenatal diagnosis of intrauterine growth retardation. Methods: Study done on 100 women attending antenatal department, 80 were normal pregnancy cases and 20 were clinically suspected IUGR cases. In each patient BPD, HC, AC, FL and TCD was measured. Correlation of TCD was done with other measured parameters as well as with estimated gestational age of fetus. Results: There was no statistically significant difference between the age and parity distributions of two groups It was seen that 18 cases were below the fifth percentile for AC and HC, 19 cases were below the fifth percentile for BPD and 16 cases were below the fifth percentile for FL. In 16 out of 20 cases the TCD values were within the normal range. Only in 4 cases the TCD values were below the 5 th percentile. This difference in number of cases below the 5

show abstract

Section: Discussionmentioning

confidence: 99%

Accuracy of transverse cerebellar diameter measurement by ultrasonography in the evaluation of foetal age

Ravindernath

Reddy

2017

Int J Adv Med

View full text Add to dashboard Cite

show abstract

“…Although population-based birth-weight standards have been used most commonly, they do not distinguish between the small healthy infant and the compromised infant. Customized growth charts that are adjusted for sex, gestational age, parity, maternal weight and height, and ethnicity have been shown to improve the detection of infants at risk of stillbirth, 34 whereas neonatal indices have been shown to identify the malnourished infant at risk of peripartum asphyxia 35 and long-term neurologic sequelae. 36 Unfortunately, these have rarely been used as outcome measures.…”

Section: Overall Intrauterine Growth Restrictionmentioning

confidence: 99%

Use of uterine artery Doppler ultrasonography to predict pre-eclampsia and intrauterine growth restriction: a systematic review and bivariable meta-analysis

Cnossen¹,

Morris²,

Riet³

et al. 2008

Canadian Medical Association Journal

636

403

View full text Add to dashboard Cite

Background: : Alterations in waveforms in the uterine artery are associated with the development of pre-eclampsia and intrauterine growth restriction. We investigated the predictive accuracy of all uterine artery Doppler indices for both conditions in the first and second trimesters. Methods: :We identified relevant studies through searches of MEDLINE, EMBASE, the Cochrane Library and Medion databases (all records to April 2006) and by checking bibliographies of identified studies and consulting with experts. Four of us independently selected studies, extracted data and assessed study validity. We performed a bivariable meta-analysis of sensitivity and specificity and calculated likelihood ratios. Results:We identified 74 studies of pre-eclampsia (total 79 547 patients) and 61 studies of intrauterine growth restriction (total 41 131 patients). Uterine artery Doppler ultrasonography provided a more accurate prediction when performed in the second trimester than in the first-trimester. Most Doppler indices had poor predictive characteristics, but this varied with patient risk and outcome severity. An increased pulsatility index with notching was the best predictor of pre-eclampsia (positive likelihood ratio 21.0 among high-risk patients and 7.5 among low-risk patients). It was also the best predictor of overall (positive likelihood ratio 9.1) and severe (positive likelihood ratio 14.6) intrauterine growth restriction among low-risk patients.Interpretation: Abnormal uterine artery waveforms are a better predictor of pre-eclampsia than of intrauterine growth restriction. A pulsatility index, alone or combined with notching, is the most predictive Doppler index. These indices should be used in clinical practice. Future research should also concentrate on combining uterine artery Doppler ultrasonography with other tests. Abstract CMAJ 2008;178(6):701-11From the Departments of General Practice (Cnossen, ter Riet, Bindels), of Obstetrics and Gynaecology (Cnossen, Mol, van der Post) and

show abstract

“…The extent to which anemias of pregnancy affect \ length of gestation and fetal growth varies among the many reports [l, 2,6,11,12,18,22]. Because the hemoglobin (Hb) normally decreases during pregnancy, results obtained at varying times during pregnancy (e.g.…”

Section: (1977) 172mentioning

confidence: 99%

Hemoglobin changes during pregnancy and growth disturbances in the neonate

G¹

1977

Journal of Perinatal Medicine

View full text Add to dashboard Cite

Fetal malnutrition: Its incidence, causes, and effects

Cited by 199 publications

References 12 publications

Accuracy of transverse cerebellar diameter measurement by ultrasonography in the evaluation of foetal age

Accuracy of transverse cerebellar diameter measurement by ultrasonography in the evaluation of foetal age

Use of uterine artery Doppler ultrasonography to predict pre-eclampsia and intrauterine growth restriction: a systematic review and bivariable meta-analysis

Hemoglobin changes during pregnancy and growth disturbances in the neonate

Contact Info

Product

Resources

About