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Ultrasound prediction of adverse perinatal outcome at diagnosis of late‐onset fetal growth restriction
Ultrasound prediction of adverse perinatal outcome at diagnosis of late‐onset fetal growth restriction
- Source :
- Ultrasound in Obstetrics & Gynecology. 59:342-349
- Publication Year :
- 2022
- Publisher :
- Wiley, 2022.
-
Abstract
- Background Abnormal umbilical, cerebral and uterine artery Doppler findings and fetal biometry below the 3rd percentile have been proposed as risk factors for perinatal complications in late-onset fetal growth restriction (FGR). Recent evidence has allowed to reach a consensus on the clinical use of Doppler ultrasound for the monitoring and timing of delivery in early-onset FGR, however there is limited data on the relationship between abnormal Doppler and severity of the growth restriction and adverse outcome when a diagnosis of late-onset FGR is made. Objective To evaluate the relationship between the ultrasound parameters measured at diagnosis and perinatal adverse outcome within a cohort of late-onset FGR fetuses. Methods This is a multicentre retrospective study between 2014 and 2019 including non-anomalous singleton pregnancies complicated by late-onset FGR, which was defined either by abdominal circumference (AC), estimated fetal weight (EFW) Results Overall, 468 cases with full biometry and umbilical, middle cerebral, and uterine artery (UtA) Doppler data were included, among whom CAO was recorded in 53 (11.3%). At logistic regression analysis, only the EFW percentile proved to be independently associated with CAO (p=0.01) and NICU admission (p 95th percentile at diagnosis proved to be independently associated with obstetric intervention due to intrapartum distress (p Conclusions Retrospective data on a large cohort of late-onset FGR fetuses shows that at diagnosis the EFW is the only sonographic parameter independently associated with the occurrence of adverse perinatal outcomes, while a mean UtA PI MoM >95th percentile at diagnosis is independently associated with intrapartum distress leading to obstetric intervention. This article is protected by copyright. All rights reserved.
- Subjects :
- medicine.medical_specialty
Percentile
Pregnancy Trimester, Third
Gestational Age
Logistic regression
Fetal Distress
Ultrasonography, Prenatal
Umbilical Arteries
Predictive Value of Tests
Pregnancy
medicine.artery
medicine
Humans
Radiology, Nuclear Medicine and imaging
Uterine artery
Retrospective Studies
Fetus
Fetal Growth Retardation
Radiological and Ultrasound Technology
Obstetrics
business.industry
Infant, Newborn
Infant
Obstetrics and Gynecology
Retrospective cohort study
General Medicine
Distress
Fetal Weight
Reproductive Medicine
Child, Preschool
Infant, Small for Gestational Age
Cohort
Female
business
Cohort study
Subjects
Details
- ISSN :
- 14690705 and 09607692
- Volume :
- 59
- Database :
- OpenAIRE
- Journal :
- Ultrasound in Obstetrics & Gynecology
- Accession number :
- edsair.doi.dedup.....b27afbc519105d9b33dcad2db2f2283e
- Full Text :
- https://doi.org/10.1002/uog.23714