Performance de l’échographie dans l’estimation du poids fœtal à terme

Lafont, M.; Dellinger, Patrick; Mutumba, W; Bernard, C; Hoyek, T

doi:10.1016/j.gyobfe.2016.05.005

Cited by 11 publications

(10 citation statements)

References 18 publications

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“…The cohort of Lafont et al [9] has 233 patients, and the author has already described the characteristics in his study [9]. We have extracted 42 patients who gave birth to a macrosomic child.…”

Section: Resultsmentioning

confidence: 99%

“…Indeed, many articles show that screening for macrosomia, and more at term, is a difficult and less accurate diagnosis [8,9,15]. Indeed, in a review of the literature in 2014, Filkaszova et al [5] showed that the sensitivity for detection of ultrasound averaged 64% for EFW and 83% for the EFWAC [5].…”

Section: Discussionmentioning

confidence: 99%

“…For our study we used the cohort of Lafont et al [9] study of 233 patients, i.e. a retrospective study to estimate fetal weight singleton pregnancies, conducted during the consultation of 41 weeks for patients who gave birth in 2014 to an IIB level maternity at Auxerre Hospital.…”

Section: Methodsmentioning

confidence: 99%

“…For this purpose, several methods have been studied such as fetal weight estimation with various formulas, measurement of waist circumference on ultrasound measurement of uterine height with the formula of Johnson, clinical and sonographic estimations whose performances are contradictory in studies [4][5][6]. Several recent studies have demonstrated the performance of an ultrasound to estimate fetal weight in the delivery room [7] at term [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…Lafont et al [9] showed in his study that the estimated fetal weight using the formula Hadlock with 3 parameters [11], performed by licensed practitioners and taking into account the growth effect, was a reliable and efficient way to estimate the term fetal weight [9].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Screening for Macrosomia at Term: Performances of Ultrasonographic Estimation of the Fetal Weight and the Use of the Uterine Height

Sellier¹

2017

OGIJ

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Objective: The aim of our study was to assess the performance for the detection of macrosomia at term of estimating fetal weight corrected by the growth effect (EFWc) measured by ultrasound, EFWC via measuring uterine height (UH), the waist circumference and higher uterine height threshold or equal to 37. Methods:It is a retrospective study of 233 patients whose newborn macrosomes were sampled. The estimated fetal weight (EFW) ultrasound was performed during the 41th week of amenorrhea, as the EFW by measuring waist circumference with the Warsof 's formula and EFW by measuring the uterine height according to the kayem's formula. These 3 estimates were corrected taking into account the growth effect. Results:The proportion of estimates with a margin of error of less than 10% was 61.3%, 50% and 68.4% respectively for the EFWc EFWUHc and EFWACc. ROC curves of the EFWc EFWUHc and EFWACc find the Aires under the curve (AUC) to 0.859, 0.783 and 0.856. The EFWc and EFWACc are significantly higher than for term screening for macrosomia compared to EFWUHc (p <0.001 and p <0.001 respectively). Conclusion:Measuring the EFWc and EFWACc are reliable and simple means for screening for macrosomia term, but will be improved.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Screening for Macrosomia at Term: Performances of Ultrasonographic Estimation of the Fetal Weight and the Use of the Uterine Height

Sellier¹

2017

OGIJ

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Perinatal loss at term: role of uteroplacental and fetal Doppler assessment

Monaghan

Binder

Thilaganathan

et al. 2018

Ultrasound in Obstet & Gyne

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Adipositas und andere Einflussgrößen auf die sonographische Schätzgenauigkeit makrosomer Neugeborener

Dathan-Stumpf

Geide

Stepan

2019

Adipositas - Ursachen, Folgeerkrankungen, Therapie

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Zusammenfassung Ziel Ziel der Studie war die Untersuchung von Einflussgrößen auf die sonographische Schätzgenauigkeit makrosomer Neugeborener. Studiendesign und Methoden In die Untersuchung wurden 224 schwangere Frauen im Alter von 16–43 Jahren eingeschlossen und deren fetale Gewichtsschätzungen (EFW) mit den Geburtsgewichten (BW) der Neugeborenen verglichen. Die Daten wurden monozentrisch und retrospektiv am Universitätsklinikum Leipzig für 2014 erhoben. Eingeschlossen wurden Einlingsschwangerschaften mit einem tatsächlichen BW ≥ 4000 g. Ergebnisse Die Prävalenz der Makrosomie betrug 10 % (mittleres Geburtsgewicht 4270g). Mit 80,6 % wurden die makrosomen Feten sonographisch primär unterschätzt. Für den mittleren Schätzfehler ∆ nach Merz und Hadlock sowie die Schätzgenauigkeit nach Entbindungsmodus und klinische Qualifikation des Untersuchers konnten keine Signifikanzen gezeigt werden. Für das maternale Alter, die Gewichtszunahme in der Schwangerschaft, den maternalen BMI, das Vorliegen einer diabetischen Stoffwechsellage sowie die Fruchtwassermenge vor Entbindung konnten ebenfalls keine signifikanten Korrelationen zum Schätzfehler ∆ gezeigt werden. Schlussfolgerung Makrosome Neugeborene werden antenatal eher unterschätzt, wobei der mütterliche BMI den Schätzfehler nicht beeinflusst.

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Performance de l’échographie dans l’estimation du poids fœtal à terme

Cited by 11 publications

References 18 publications

Screening for Macrosomia at Term: Performances of Ultrasonographic Estimation of the Fetal Weight and the Use of the Uterine Height

Screening for Macrosomia at Term: Performances of Ultrasonographic Estimation of the Fetal Weight and the Use of the Uterine Height

Perinatal loss at term: role of uteroplacental and fetal Doppler assessment

Adipositas und andere Einflussgrößen auf die sonographische Schätzgenauigkeit makrosomer Neugeborener

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