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We aimed to analyse mode of delivery, perinatal and maternal outcomes of pregnancies complicated by SGA undergoing expectant management > 40 weeks. Higher incidence of urgent Caesarean section (CS) (RR 1.5 CI 1.1-2.0) and CS for abnormal cardiotocography (RR 2.1 CI 1.5-2.9) was observed in SGA, but the overall CS rate was similar to the rest of population. Despite widespread recommendation for induction of labour < 40 weeks in pregnancies complicated by small-for-gestational-age fetus (SGA), several observational studies suggest that expectant management is an option in selected cases. [Extracted from the article]

Objective : To evaluate the incidence of gestational diabetes in our population and verify costs of universal screening. To assess neonatal and obstetrical outcomes with respect to maternal epidemiological characteristics. Methods : Eight hundred and fifty-six pregnant women between 24th and 28th weeks of gestation were examined in this observational study. Universal screening with glucose challenge test was used to screen the group for gestational diabetes. History, obstetrical and neonatal outcomes were collected and then analyzed. Results : Gestational diabetes was diagnosed in 6.6% of cases. Patients with at least one risk factor had a cesarean section in 50% of cases and a spontaneous vaginal delivery in 23.59% of cases ( p < 0.001). The absence of any risk factor was found in 73.7% of positive glucose tolerance test and in 62.5% of affected patients. The cost of universal screening in our study, was 57,60 € per case identified. Conclusions : Given the high prevalence of diabetes, the high proportion of patients potentially not identified with a selective screening in this study and the relatively low cost, universal screening for gestational diabetes seems the best way to identify patients and prevent adverse obstetrical and neonatal outcomes. [ABSTRACT FROM AUTHOR]

To evaluate umbilical vein blood flow volume (UmbQ) in fetuses with inappropriate growth for gestational age with normal Doppler indices and adverse perinatal outcome. The figure represents fetuses with inappropriate growth and normal Doppler indices with (orange dots n = 14) or without (green dots n = 40) adverse perinatal outcome: a) absolute QUmbV (both p < 0.001); b) normalised for EFW QUmbV (p = 0.004 for fetuses with and p = 0.06 for fetuses without adverse perinatal outcome, respectively). [Extracted from the article]