The Assessment of Fetal Growth

Thomson, A. M.; Billewicz, W. Z.; Hytten, F. E.

doi:10.1111/j.1471-0528.1968.tb01615.x

Cited by 718 publications

(257 citation statements)

References 7 publications

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“…Além da idade gestacional e da gemelaridade, a altura materna e a desnutrição intra-uterina tem sido consideradas, mesmo em países desenvolvidos 14,15 , contribuintes muito importantes para o baixo peso ao nascer.…”

Section: * Da Disciplina Higiene Materna Do Departamento De Prática Munclassified

Relação entre peso da criança ao nascer, altura materna, idade gestacional e restrição alimentar em gestantes normais

1975

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Há evidências, também, de que a qualidade da atenção pré-natal, ao parto e ao recém-nascido seja insatisfatória 10, 12, 13 .Tem sido muito enfatizada, ultimamente, a relação entre baixo peso ao nascer e mortalidade neonatal (e, por extensão, mortalidade infantil) ; Chase 4 , por exemplo considera o peso ao nascer como a variável de maior influência na mortalidade neonatal. A mesma autora exemplifica, dizendo que o simples fato de nos Estados Unidos haver uma proporção de recém-nascidos de baixo peso da ordem de 8% cotejados com 5% verificados na Holanda, explica 90% da diferença entre as respectivas mortalidades neonatais (20% n.v. contra 13% n.v.) dos 2 países.Percebe-se, assim, a importância enorme que o peso ao nascer exerce na sobrevivência dos recém-nascidos. Além disso,

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Section: * Da Disciplina Higiene Materna Do Departamento De Prática Munclassified

Relação entre peso da criança ao nascer, altura materna, idade gestacional e restrição alimentar em gestantes normais

1975

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“…Among the infants with biparietal diameters above our SIUBG in the mid-trimester we found: In 13 cases, large-for-date infants (with birth weight over 90 percentiles according to THOMSON [6]). ' From this group, in 6 cases we diagnosed a pathologic carbohydrate metabolism in the mother.…”

Section: Cases With Measurements Above Siugb (Tab 2)mentioning

confidence: 99%

“…Abnormal cephalometry in the 2nd trimester of pregnancy below SIUBG (n = 61). Twenty infants from the selected group of 61 were severely retarded (with birth weight under 10 percentiles according to THOMSON [6]). The retardation was found to have occurred prior to the 24th week of gestation and was probably due to reduced fetal growth potential.…”

Section: Cases With Measurements Below Siubg (Tab 1)mentioning

confidence: 99%

Prognostic significance of abnormal ultrasonographic findings during the second trimester of gestation

Ramzin¹,

Meudt²,

Hinselmann³

1973

Jpme

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While dealing with the problem of congenital cardiac malformations in perinatology, we noted that the intrauterine cephalometric measurements in infants with transposition of the great vessels, observed during the second trimester of pregnancy, were abnormal [4]. It was assumed 'that at this time of gestation, pathology was more likely caused by reduced potential of fetal growth rather than by placental insufficiency [1]. This finding lead us to conduct a retrospective study of the cases with pathological cephalometry in the micUtrimester and to evaluate the meaning äs well äs the prognostic significance of abnormal fetal development prior to the 28th week of gestation. Methods and materialThe routine examination was carried out using the echoscopic (Vidoson 635, B-scan, SIEMENS, W. Germany) and ultrasonographic (A-and B-transverse scan, KRETZ 4100, Austria) methods [3]. The evaluation of the fetal biparietal diameter was done with reference to our Standard curve ( fig. 1) cephalometry and 164 (11%) with pathological measurements. In 69 cases (4.6%) with abnormal biparietal measurements, it was necessary to readjust the estimated gestational age, while the remaining 95 cases (6.9%) were considered for further analysis. From the 95, 61 cases were below and 34 cases above our SIUBG. Results Cases with measurements below SIUBG (tab. 1)20 (33%) Small-for-date infants (under 10 percentiles according to THOMSON) 10 (17%) Fetuses died before the 28th week.of gestation 8 (18%) imminent abortion (pathological placentation) 7 (11%) Malformations ! p < 0,01 16 (26%) Normal infants after normal pregnancies Tab. 1. Abnormal cephalometry in the 2nd trimester of pregnancy below SIUBG (n = 61). J. Perinat. Med. 2 (1973)Ramzin et al., Prognostic significance of abnormal ultrasonographic findings during the second trimester of gestation 61 Twenty infants from the selected group of 61 were severely retarded (with birth weight under 10 percentiles according to THOMSON [6]). The retardation was found to have occurred prior to the 24th week of gestation and was probably due to reduced fetal growth potential. Ten infants died before the beginning of the 28th week of gestation. A study of the case history of these patients revealed infertility in 6 cases. In 8 cases, the pregnancy was disturbed by faulty placentation, causing retroplacental hemorrhages, äs confirmed by ultrasonic exploration. One of those cases is shown in fig. 2. Seven infants were malformed and in 16 cases pregnancy proceded normally with healthy newborns. Statistical analysis showed that the rate of fetal pathology had increased significantly (p < 0.01) in cases with early retarded biparietal growth (tab. 1). Cases with measurements above SIUGB (tab. 2)Among the infants with biparietal diameters above our SIUBG in the mid-trimester we found:13 (38%) Large-for-date infants (over 90 percentiles according to THOMSON) 6 (17%) Malformations p > 0,05 15 (45%) Normal infants after normal pregnancics Tab. 2. Abnormal cephalometry in the 2nd trimester of pregnancy above SIU...

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“…Among them, we found 118 small-for-dates babies who were classified according to the tables of THOMPSON et al [28]. Corrections were made for maternal parity and fetal sex.…”

Section: Methodsmentioning

confidence: 99%

Ultrasonic recognition of two types of growth retardation by measurement of four fetal dimensions

Kurjak¹,

Latin²,

Polak³

1978

Journal of Perinatal Medicine

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The Assessment of Fetal Growth

Cited by 718 publications

References 7 publications

Relação entre peso da criança ao nascer, altura materna, idade gestacional e restrição alimentar em gestantes normais

Relação entre peso da criança ao nascer, altura materna, idade gestacional e restrição alimentar em gestantes normais

Prognostic significance of abnormal ultrasonographic findings during the second trimester of gestation

Ultrasonic recognition of two types of growth retardation by measurement of four fetal dimensions

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