Is Measurement of Placental Function and Maternal Weight Worth While?

Gordon, Y. B.; Lewis, J.D.; Pendlebury, D.J.; Leighton, Monica; Gold, Jay J.

doi:10.1016/s0140-6736(78)90733-x

Cited by 37 publications

(8 citation statements)

References 5 publications

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“…Although maternal nutrition remains an important element of antenatal care the antenatal detection of SGA or low birthweight babies has become one of the priorities in antenatal care (Gordon 1977). Despite the research describing the association of maternal weight gain and fetal growth, the effectiveness of routine measurement of maternal weight gain to detect women at risk of having a growth retarded fetus remains unclear (Thomson & Billewicz 1957, Singer et al 1968, Elder et al 1970, Gordon et al 1978, Rosso 1985, Abrams & Laros 1986, Lawton et al 1988).…”

Section: Discussionmentioning

confidence: 99%

“…Maternal weight gain has been estimated routinely in antenatal clinics since 1941 (Scott & Benjamin 1948) when it was introduced to monitor maternal nutrition. There is little evidence that maternal weight gain is an effective antenatal screening test for SGA infants (Gordon et al 1978; Elder et al 1970) although studies have shown a positive association between materna weight gain and infant birthweight (Beilly & Kurland, 1945; Thomson & Billewicz 1957; Nyirjesy et al 1968; Singer et al 1968; Niswander et al 1969; Simpson et al 1975; Miller et al 1976; Rosso & Luke 1978; Harrison et al 1980; Luke et al 1981; Ounsted & Scott 1984).…”

mentioning

confidence: 99%

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Repeated measurement of maternal weight during pregnancy. Is this a useful practice?

Dawes

Grudzinskas

1991

BJOG

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Summary. A retrospective study of 1092 pregnant women showed that the use of a centile chart of maternal weight gain was not effective at detecting women who give birth to small for gestational age (SGA) infants. Multiple regression analysis showed that of the various weight measurements recorded, weekly weight gain and maternal size at booking were the only factors which had a significant association with infant birthweight after taking into account maternal gestation, age, smoking habit and parity. Low maternal booking weight (< 51 kg) was the most effective maternal weight measurement for antenatal detection of SGA infants (positive predictive value 20.0%). Low average weekly maternal weight gain (< 0.20 kg) had a positive predictive value of only 12.9% for detecting these pregnancies. Weight loss or failure to gain weight over a 2‐week interval occurring in the third trimester was observed in 46% of all women studied. Maternal smoking had a positive predictive value of 16.3% in antenatal detection of SGA infants. Maternal weight need be recorded only at booking, with the exception of patients in whom nutrition is of concern. The subsequent routine weighing of patients may produce unnecessary anxiety and should cease.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Repeated measurement of maternal weight during pregnancy. Is this a useful practice?

Dawes

Grudzinskas

1991

BJOG

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“…The association of low HPL and intra-uterine growth retardation is well-established (Saxena et al., 1969;Letchworth and Chard, 1972;Yates, 1973;England et al, 1974;Edwards et al, 1978;Gordon et al, 1978;Obiekwe and Chard, 1982).…”

Section: Discussionmentioning

confidence: 99%

The value of serial estimations of placental lactogen for fetoplacental function testing in the diagnosis of intra-uterine growth retardation

Obiekwe

Chard

Sturdee

et al. 1984

Journal of Obstetrics and Gynaecology

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“…Though not as academically satisfactory as the analysis of a complete population (Gordon et al, 1978), this approach is statistically valid and has the great advantage of providing a rapid though preliminary indication of the likely value of a new clinical test. For this purpose an unselected population was examined and the criteria of 'normality' and 'abnormality' (namely, birth weight above and below the 10th centile) were derived solely from this population.…”

Section: Discussionmentioning

confidence: 99%

“…For this purpose an unselected population was examined and the criteria of 'normality' and 'abnormality' (namely, birth weight above and below the 10th centile) were derived solely from this population. Though not as academically satisfactory as the analysis of a complete population (Gordon et al, 1978), this approach is statistically valid and has the great advantage of providing a rapid though preliminary indication of the likely value of a new clinical test.…”

Section: Discussionmentioning

confidence: 99%

Circulating Levels of Placental Protein 5 in the Mother: Relation to Birth Weight

Obiekwe

Grudzinskas

Chard

1980

BJOG

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A total of 914 blood samples was obtained from an unselected population of 400 women between 36 and 40 weeks gestation. Serum PP5 levels were measured by a sensitive radioimmunoassay. After ranking of PP5 levels and birth weight the value of serum PP5 in the diagnosis of intrauterine growth retardation was examined. The sensitivity, predictive value, and specificity of the test were 17.07, 16.66, and 90.25 per cent respectively; these results suggest that serum PP5 levels are less accurate than other biochemical parameters in the identification of fetal growth retardation in late pregnancy.

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Is Measurement of Placental Function and Maternal Weight Worth While?

Cited by 37 publications

References 5 publications

Repeated measurement of maternal weight during pregnancy. Is this a useful practice?

Repeated measurement of maternal weight during pregnancy. Is this a useful practice?

The value of serial estimations of placental lactogen for fetoplacental function testing in the diagnosis of intra-uterine growth retardation

Circulating Levels of Placental Protein 5 in the Mother: Relation to Birth Weight

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