Prediction of adverse perinatal outcome of small-for-gestational-age pregnancy using size centiles and conditional growth centiles

Karlsen, Henriette Odland; Johnsen, Synnøve Lian; Rasmussen, Svein; Kiserud, Torvid

doi:10.1002/uog.15835

Cited by 27 publications

(35 citation statements)

References 32 publications

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“…In part, because cross-sectional evaluation of fetal size fails to reflect individual variations in growth trajectories. It has been proposed that a longitudinal assessment of fetal growth overcomes this limitation as each fetus acts as its own control [12,14,37,38]. The results of our study show a similarly poor predictive capacity of third-trimester longitudinal evaluation of AC and EFW for predicting late FGR.…”

Section: Discussionmentioning

confidence: 41%

“…Owen et al [32] in a series of 274 low-risk pregnancies concluded that quantifying third-trimester fetal growth may be useful in predicting infants with a low ponderal index. Kiserud et al [33] evaluated a cohort of 211 pregnancies at risk of SGA and found that conditional centiles independently contribute in the prediction of adverse perinatal outcome.…”

Section: Discussionmentioning

confidence: 99%

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Longitudinal Assessment of Abdominal Circumference versus Estimated Fetal Weight in the Detection of Late Fetal Growth Restriction

Basuki¹,

Caradeux²,

Eixarch³

et al. 2018

Fetal Diagn Ther

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Objectives: To perform a longitudinal assessment comparison between estimated fetal weight (EFW) and abdominal circumference (AC) in the prediction of late fetal growth restriction (FGR) as opposed to small for gestational age (SGA). Patients and Methods: A cohort of unselected singleton pregnancies scanned at 32^±2 and 37^±1 weeks was created. Longitudinal growth assessment by calculating the conditional AC and conditional EFW was performed, and both parameters were compared for their prediction capacity for late FGR and SGA. Conditional standards set an expected size (EFW or AC) given a first measurement performed earlier. A declining growth was defined as a conditional growth of <10th centile. Results: A total of 938 pregnancies were included. As expected, declining growth between 32^±2 and 37^±1 weeks was associated with late FGR and SGA, but the predictive capacity of both conditional AC and conditional EFW was comparably poor, with detection rates of 28% at a 10% rate of false positives for late FGR. Conclusions: Longitudinal assessment of fetal growth during the third trimester has a low predictive capacity for late FGR, with no differences between conditional AC and conditional EFW.

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Section: Discussionmentioning

confidence: 41%

Section: Discussionmentioning

confidence: 99%

Longitudinal Assessment of Abdominal Circumference versus Estimated Fetal Weight in the Detection of Late Fetal Growth Restriction

Basuki¹,

Caradeux²,

Eixarch³

et al. 2018

Fetal Diagn Ther

View full text Add to dashboard Cite

show abstract

“…Moreover, the optimal way to interpret the information obtained from serial measurements of a fetus is unclear. Our study revealed that longitudinal assessment of fetal growth from the second to third trimester by means of AC growth velocity or conditional AC centiles has a low predictive capacity for SGA and late FGR in low‐risk pregnancy.…”

Section: Discussionmentioning

confidence: 78%

Second‐ to third‐trimester longitudinal growth assessment for prediction of small‐for‐gestational age and late fetal growth restriction

Caradeux

Eixarch

Mazarico

et al. 2018

Ultrasound in Obstet & Gyne

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“…Infants born at gestational week 25 weigh on average 750 grams, so a reduction of 79 grams here would likely be of clinical significance. [35] However, on the basis of the data upon which the present study is based, the reduction in gestational weight might not be the same in absolute terms in those born prematurely as in those born at term. It could well be so that a fixed relative reduction in body weight caused by ibuprofen exposure would be more likely.…”

Section: Discussionmentioning

confidence: 80%

Association of Prenatal Ibuprofen Exposure with Birth Weight and Gestational Age: A Population-Based Sibling Study

et al. 2016

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ObjectivesThree studies so far have investigated the effect of prenatal non-steroidal anti-inflammatory drug (NSAID) exposure on birth weight and gestational age. The aim in this study was to evaluate the association of prenatal ibuprofen with birth weight and gestational age at birth, using a sibling design in an attempt to adjust for the possibility of familial confounding.DesignUsing data from the Norwegian Mother and Child Cohort Study (MoBa) and the Medical Birth Registry of Norway (MBRN), we identified 28 597 siblings, of whom 1080 were prenatally exposed to ibuprofen and 26 824 were not exposed to any NSAID. Random and fixed effects models with propensity score adjustment were used to evaluate the effects of ibuprofen exposure on birth weight and gestational age.ResultsIbuprofen exposure during the first trimester was associated with a decrease in birth weight of 79 grams (95% confidence interval -133 to -25 grams). In contrast, second and/or third trimester exposure, and duration of exposure had no impact on the effect estimates. We found no association between ibuprofen exposure and gestational age at birth.ConclusionsOur results suggest that prenatal exposure to ibuprofen during the first trimester is associated with a slight decrease in birth weight. The association does not seem to be attributable to shared genetics and family environment, and could be explained by either exposure to ibuprofen, or to non-shared confounding between pregnancies.

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Prediction of adverse perinatal outcome of small-for-gestational-age pregnancy using size centiles and conditional growth centiles

Abstract: ABSTRACT

Cited by 27 publications

References 32 publications

Longitudinal Assessment of Abdominal Circumference versus Estimated Fetal Weight in the Detection of Late Fetal Growth Restriction

Longitudinal Assessment of Abdominal Circumference versus Estimated Fetal Weight in the Detection of Late Fetal Growth Restriction

Second‐ to third‐trimester longitudinal growth assessment for prediction of small‐for‐gestational age and late fetal growth restriction

Association of Prenatal Ibuprofen Exposure with Birth Weight and Gestational Age: A Population-Based Sibling Study

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