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Fetal Abdominal Circumference

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181. Maternal Serum Vascular Endothelial Growth Factor in Pregnant Women With Foetal Growth Restriction

Growth Restriction Device: obstetric Ultrasound Other: serum Vascular Endothelial Growth Factor Detailed Description: Small-for-gestational age (SGA) is defined as an estimated foetal weight (EFW) or abdominal circumference (AC) less than the 10th centileand severe SGA as an EFW or AC less than the 3rd centile. Foetal Growth Restriction refers to failure of the foetus to achieve its predetermined growth potential for various reasons.Foetus with foetal growth restriction (FGR) greatly contributes (...) Maternal Serum Vascular Endothelial Growth Factor in Pregnant Women With Foetal Growth Restriction Maternal Serum Vascular Endothelial Growth Factor in Pregnant Women With Foetal Growth Restriction - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove

2014 Clinical Trials

182. Fetal growth reference ranges in twin pregnancy: analysis of the Southwest Thames Obstetric. (Abstract)

hospitals over a 10-year period. The measurements obtained in each fetus at each examination included head circumference (HC), biparietal diameter (BPD), abdominal circumference (AC) and femur length (FL). Multilevel mixed effects statistical models were used to evaluate growth in each biometric variable in relation to gestational age, taking account of the serial examinations and the association between the two fetuses in each pregnancy, with separate models constructed for DCDA and MCDA (...) Fetal growth reference ranges in twin pregnancy: analysis of the Southwest Thames Obstetric. To generate reference charts for expected fetal growth in dichorionic diamniotic (DCDA) and monochorionic diamniotic (MCDA) twin pregnancies and to compare these with those from singleton pregnancies.This was a retrospective study of biometric measurements from serial ultrasound examinations of twin pregnancies in the second and third trimesters, from 14 weeks' gestation to term, collected by nine

2014 Ultrasound in Obstetrics and Gynecology

183. The Dutch STRIDER (Sildenafil TheRapy In Dismal Prognosis Early-onset Fetal Growth Restriction)

times daily orally from randomization until delivery Outcome Measures Go to Primary Outcome Measures : Intact neonatal survival until term age [ Time Frame: Term age, up to 20 weeks after randomization ] Secondary Outcome Measures : Fetal growth velocity assessed by ultrasound: abdominal circumference measurements (AC) [ Time Frame: At contact moments with the patient, up to 20 weeks after randomization ] Average daily increase in ultrasound-estimated AC Age-adequate performance on the two-year (...) , abdominal circumference and Doppler of umbilical artery [ Time Frame: At contact moments with the patients, up to 20 weeks after randomization ] Umbilical artery, middle cerebral artery, ductus venosus and aortic isthmus Doppler indices; fetal biometry; amniotic fluid index; deepest vertical amniotic fluid pocket. PlGF (Placental Growth Factor) point-of-care assessment [ Time Frame: At baseline ] If possible in designated clinic Eligibility Criteria Go to Information from the National Library

2014 Clinical Trials

184. Prediction of small for gestational age neonates: screening by fetal biometry at 30-34 weeks. (Abstract)

hypertension. Multivariable logistic regression analysis was used to determine if screening by a combination of maternal factors and Z-scores of fetal head circumference (HC), abdominal circumference (AC) and femur length (FL) or estimated fetal weight (EFW) had a significant contribution to the prediction of SGA neonates.Combined screening by maternal characteristics and obstetric history, with Z-scores of EFW at 30-34 weeks, predicted 79%, 87% and 92% of the SGA neonates that delivered < 5 weeks (...) Prediction of small for gestational age neonates: screening by fetal biometry at 30-34 weeks. To investigate the value of fetal biometry at 30-34 weeks' gestation in the prediction of delivery of small-for-gestational-age (SGA) neonates, in the absence of pre-eclampsia (PE).This was a screening study in 30 849 singleton pregnancies at 30-34 weeks' gestation, comprising 1727 that delivered SGA neonates with a birth weight < 5(th) percentile and 29 122 cases unaffected by SGA, PE or gestational

2014 Ultrasound in Obstetrics and Gynecology

185. Impact of gestational weight gain on fetal growth in obese glycemic mothers: A comparative study. (Abstract)

relationship to GWG. GWG had a significant positive relationship with intrauterine femur length (r = 0.32, p = 0.04) and abdominal circumference (r = 0.42, p = 0.006) growth trajectories, as well as birthweight standard deviation scores (r = 0.32, p = 0.036) and the ponderal index (r = 0.45, p = 0.003) in the obese mothers.Gestational weight gain among lean mothers is biphasic and significantly higher than their obese counterparts, but without effect on fetal growth. The obese mothers' monophasic weight (...) Impact of gestational weight gain on fetal growth in obese glycemic mothers: A comparative study. To assess the pattern of gestational weight gain (GWG) and its effect on fetal growth among normogylycemic obese and lean mothers.Prospective longitudinal study.Teaching hospitals, Sheffield, UK.Forty-six euglycemic obese and 30 lean mothers and their offspring.The contrast slope of GWG was calculated and its impact on fetal growth trajectory and birth anthropometry examined in both groups.The GWG

2014 Acta Obstetricia et Gynecologica Scandinavica

186. Human fetoplacental and fetal liver blood flow after maternal glucose loading: a cross-sectional observational study. (Abstract)

after completed 75-g oral glucose tolerance test (OGTT). Liver blood flow was defined as the umbilical vein blood flow minus ductus venosus blood flow.Changes in umbilical vein and fetal liver blood flow following OGTT related to fetal biometric measurements.In the fasting state, fetal abdominal circumference z-scores did not correlate with any of the flow parameters; 120 min after glucose loading, the z-scores correlated positively with the changes in umbilical vein (r = 0.25, p = 0.010) and fetal (...) liver blood flow (r = 0.25, p = 0.009), but not with those in ductus venosus (p = 0.84). In simultaneous multiple linear regression analyses, the effects of the changes in umbilical vein or fetal liver blood flow after OGTT on the fetal abdominal circumference z-scores were almost equal to or greater than other parameters related to fetal size (body mass index, fasting plasma glucose, parity, and sex). Fetal heart rate increased after OGTT, but did not influence the association between the blood

2014 Acta Obstetricia et Gynecologica Scandinavica

187. Fetal biometry in the Korean population: reference charts and comparison with charts from other populations. (Abstract)

Fetal biometry in the Korean population: reference charts and comparison with charts from other populations. The objectives of this article were to construct size charts for fetal biometry in the Korean population and to identify ethnic differences in fetal biometry.A prospective, cross-sectional study was performed with 986 fetuses between 15 to 40 weeks of gestation. The following biometric variables were measured: biparietal diameter (BPD), head circumference (HC), abdominal circumference (...) (AC), and long bones lengths including the femur, tibia, humerus, and ulna. For each measurement, regression models were fitted to estimate the mean and standard deviation at each gestational age. The calculated centiles were compared with centiles from other populations using Z-scores.New charts for the Korean population were presented for the fetal biometric variables. Most of the parameters were similar to those for the Italian population. Also, in comparison with the North American and UK

2014 Prenatal diagnosis

188. Fetal subcutaneous tissue measurements in pregnancy as a predictor of neonatal total body composition. (Abstract)

then correlated with neonatal body composition, which was analysed using the PEAPOD™ Infant Body Composition System (Cosmed USA, Concord, CA, USA).At 38 weeks gestation, fetal abdominal subcutaneous tissue (FAST) in millimetres was significantly associated with infant fat mass at delivery (+64 g per mm of FAST, p < 0.001). Thigh fat (TF) at 28 weeks gestation was associated with infant fat mass at delivery (+79 g/mm TF, p = 0.023). TF at 38 weeks gestation was associated with infant fat mass (+63/mm TF, p (...)  = 0.004). TF and FAST at 38 weeks were also predictive of both birth weight and increased abdominal circumference (AC) (p = 0.001) with FAST measurement predicting an additional 5.7 mm in AC per millimetre of FAST (p = 0.002) and TF predicting an additional 6.9 mm per mm of TF (p = 0.002).We believe that this study further validates the use of prenatal measures of subcutaneous tissue and may help to highlight fetuses at risk of newborn adiposity and metabolic syndrome.© 2014 John Wiley & Sons, Ltd.

2014 Prenatal diagnosis

189. Second-trimester prediction of delivery of a small-for-gestational-age neonate: integrating sequential Doppler information, fetal biometry, and maternal characteristics. (Abstract)

, and low abdominal circumference (AC) z-score were independent predictors of SGA. No difference was found in the magnitude of ΔUtA-PI and ΔUA-PI between SGA and no-SGA. Receiver-operating characteristics curve analysis yielded an area under the curve of 0.700 for AC z-score. The combination of low AC and bilateral notching had high specificity (99%) but low sensitivity (7%) for SGA prediction.A small second-trimester fetal AC is a specific marker for SGA when found with bilateral UtA notching. Only (...) Second-trimester prediction of delivery of a small-for-gestational-age neonate: integrating sequential Doppler information, fetal biometry, and maternal characteristics. The aim of this study was to investigate the predictive accuracy of second-trimester ultrasound parameters, maternal characteristics, and sequential Doppler changes between first and second trimesters for the prediction of small-for-gestational-age (SGA) infants (birth weight < 10th percentile).We conducted a prospective study

2014 Prenatal diagnosis

190. Reference charts for fetal biometric parameters in twin pregnancies according to chorionicity. (Abstract)

), abdominal circumference (AC), femurs length (FL) and estimated fetal weight (EFW). To evaluate the correlation between biometric parameters and gestational age, polynomial regression models were created, with adjustments using the coefficient of determination (R(2) ). Comparison between monochorionic and dichorionic pregnancies was performed using analysis of covariance.The mean BPD, AC, FL and EFW for the dichorionic pregnancies were 56.16 mm, 191.1 mm, 41.08 mm and 816.1 g, respectively. The mean BPD (...) Reference charts for fetal biometric parameters in twin pregnancies according to chorionicity. The objective of this article is to determine reference values for fetal biometric parameters in twin pregnancies and to compare these values between monochorionic and dichorionic pregnancies.A retrospective cross-sectional study was conducted among 157 monochorionic and 176 dichorionic twin pregnancies between 14 and 38 weeks of gestation. Biometric measurements included the biparietal diameter (BPD

2014 Prenatal diagnosis

191. Predictive value of fetal lung volume in prenatally diagnosed skeletal dysplasia. (Abstract)

diagnosis of skeletal dysplasia for which fetal magnetic resonance imaging (MRI) was performed between 21 and 38 weeks of gestation and ultrasound biometry data were available. Femur length to abdominal circumference ratio (FL/AC) and O/E lung volumes were calculated. The association between O/E lung volume, FL/AC, and lethality was measured using logistic regression.Lethality was significantly associated with O/E lung volume (p = 0.002) and FL/AC (p = 0.0476). Analysis with receiver-operating (...) Predictive value of fetal lung volume in prenatally diagnosed skeletal dysplasia. Pulmonary hypoplasia is a major cause of death in lethal skeletal dysplasias. We hypothesize that in fetuses with prenatally diagnosed skeletal dysplasia, comparison of observed-to-expected (O/E) lung volume will help predict lethality.We conducted a retrospective chart review of patients referred for evaluation of suspected fetal skeletal anomalies. Twenty-three pregnancies were identified with confirmed fetal

2014 Prenatal diagnosis

192. Assessment of Antepartum Fetal Growth by Customized “GROW” Curves Versus Noncustomized Growth Curves in Correlation with Neonatal Growth Pattern Full Text available with Trip Pro

Assessment of Antepartum Fetal Growth by Customized “GROW” Curves Versus Noncustomized Growth Curves in Correlation with Neonatal Growth Pattern To study the antepartum fetal growth between customized "GROW" curves and noncustomized growth curves with neonatal growth pattern.Fetal growth scans are performed between 30 and 35 weeks to singleton mother. Estimated fetal weights (EFWs) were determined using ultrasound variables (biparietal diameter, head circumference, abdominal circumference (...) , and femur length). This EFW is plotted on SONOCARE software [noncustomized growth curves developed by Medialogic solutions (P) Ltd., Chennai, India] and customized "GROW" curves to determine the type of antenatal fetal growth as AGA, small for gestational age (SGA), or large for gestational age (LGA). The fetuses were followed longitudinally till birth, and the newborns' growth patterns were determined according to birth weight at the gestational age of delivery (<10th percentile for gestational age

2014 Journal of obstetrics and gynaecology of India

193. Estimation of Fetal Weight (Overview)

and the gestational age of the newborns (especially those with very low or extremely low birth weight). [ ] Successfully and accurately classifying fetuses in each of these three broad categories before delivery can help in predicting and possibly avoiding neonatal complications in underweight newborns. Fetal macrosomia The term fetal macrosomia denotes a fetus that is too large (see the image below). Photograph of a macrosomic newborn soon after birth. In ideal usage, this designation should be referenced (...) Herrero et al, 1999 9.5; 61 NA; NA 9.5; 62 Hendrix et al, 2000 10.6; 58 16.5; 32 NA; NA Dar et al, 2000 8.5; 61 5.9; 83 NA; NA Nahum et al, 2002 9.9; 51 8.3; 71 11.5; 55 Total 7.2-10.6; 51-73 5.9-16.5; 32-83 8.7-11.5; 55-70 * Sonographic prediction algorithms used to estimate fetal weight were those of Shepard, [ ] Hadlock, [ , ] Sabbagha, [ ] and Warsof, [ , ] in addition to the best of 8 algorithms based on various combinations of abdominal circumference (AC), femoral length (FL), biparietal

2014 eMedicine.com

194. Fetal Growth Restriction (Overview)

measurements and individual parameters. Assessing individual values is important to identify a fetus that is growing asymmetrically. In the presence of normal head and femur measurements, abdominal circumference (AC) measurements of less than 2 standard deviations below the mean appear to be a reasonable cutoff to consider a fetus asymmetric. Baschat and Weiner showed that a low AC percentile had the highest sensitivity (98.1%) for diagnosing IUGR (birth weight < 10th percentile). The sensitivity of EFW (...) . Fetal Diagn Ther . 2000 Jan-Feb. 15(1):8-19. . Gardosi J, Mul T, Mongelli M, Fagan D. Analysis of birthweight and gestational age in antepartum stillbirths. Br J Obstet Gynaecol . 1998 May. 105(5):524-30. . Campbell S, Thoms A. Ultrasound measurement of the fetal head to abdomen circumference ratio in the assessment of growth retardation. Br J Obstet Gynaecol . 1977 Mar. 84(3):165-74. . Dashe JS, McIntire DD, Lucas MJ, Leveno KJ. Effects of symmetric and asymmetric fetal growth on pregnancy outcomes

2014 eMedicine.com

195. Fetal Growth Restriction (Treatment)

measurements and individual parameters. Assessing individual values is important to identify a fetus that is growing asymmetrically. In the presence of normal head and femur measurements, abdominal circumference (AC) measurements of less than 2 standard deviations below the mean appear to be a reasonable cutoff to consider a fetus asymmetric. Baschat and Weiner showed that a low AC percentile had the highest sensitivity (98.1%) for diagnosing IUGR (birth weight < 10th percentile). The sensitivity of EFW (...) . Fetal Diagn Ther . 2000 Jan-Feb. 15(1):8-19. . Gardosi J, Mul T, Mongelli M, Fagan D. Analysis of birthweight and gestational age in antepartum stillbirths. Br J Obstet Gynaecol . 1998 May. 105(5):524-30. . Campbell S, Thoms A. Ultrasound measurement of the fetal head to abdomen circumference ratio in the assessment of growth retardation. Br J Obstet Gynaecol . 1977 Mar. 84(3):165-74. . Dashe JS, McIntire DD, Lucas MJ, Leveno KJ. Effects of symmetric and asymmetric fetal growth on pregnancy outcomes

2014 eMedicine.com

196. Estimation of Fetal Weight (Treatment)

and the gestational age of the newborns (especially those with very low or extremely low birth weight). [ ] Successfully and accurately classifying fetuses in each of these three broad categories before delivery can help in predicting and possibly avoiding neonatal complications in underweight newborns. Fetal macrosomia The term fetal macrosomia denotes a fetus that is too large (see the image below). Photograph of a macrosomic newborn soon after birth. In ideal usage, this designation should be referenced (...) Herrero et al, 1999 9.5; 61 NA; NA 9.5; 62 Hendrix et al, 2000 10.6; 58 16.5; 32 NA; NA Dar et al, 2000 8.5; 61 5.9; 83 NA; NA Nahum et al, 2002 9.9; 51 8.3; 71 11.5; 55 Total 7.2-10.6; 51-73 5.9-16.5; 32-83 8.7-11.5; 55-70 * Sonographic prediction algorithms used to estimate fetal weight were those of Shepard, [ ] Hadlock, [ , ] Sabbagha, [ ] and Warsof, [ , ] in addition to the best of 8 algorithms based on various combinations of abdominal circumference (AC), femoral length (FL), biparietal

2014 eMedicine.com

197. Estimation of Fetal Weight (Follow-up)

and the gestational age of the newborns (especially those with very low or extremely low birth weight). [ ] Successfully and accurately classifying fetuses in each of these three broad categories before delivery can help in predicting and possibly avoiding neonatal complications in underweight newborns. Fetal macrosomia The term fetal macrosomia denotes a fetus that is too large (see the image below). Photograph of a macrosomic newborn soon after birth. In ideal usage, this designation should be referenced (...) Herrero et al, 1999 9.5; 61 NA; NA 9.5; 62 Hendrix et al, 2000 10.6; 58 16.5; 32 NA; NA Dar et al, 2000 8.5; 61 5.9; 83 NA; NA Nahum et al, 2002 9.9; 51 8.3; 71 11.5; 55 Total 7.2-10.6; 51-73 5.9-16.5; 32-83 8.7-11.5; 55-70 * Sonographic prediction algorithms used to estimate fetal weight were those of Shepard, [ ] Hadlock, [ , ] Sabbagha, [ ] and Warsof, [ , ] in addition to the best of 8 algorithms based on various combinations of abdominal circumference (AC), femoral length (FL), biparietal

2014 eMedicine.com

198. Fetal Growth Restriction (Follow-up)

measurements and individual parameters. Assessing individual values is important to identify a fetus that is growing asymmetrically. In the presence of normal head and femur measurements, abdominal circumference (AC) measurements of less than 2 standard deviations below the mean appear to be a reasonable cutoff to consider a fetus asymmetric. Baschat and Weiner showed that a low AC percentile had the highest sensitivity (98.1%) for diagnosing IUGR (birth weight < 10th percentile). The sensitivity of EFW (...) . Fetal Diagn Ther . 2000 Jan-Feb. 15(1):8-19. . Gardosi J, Mul T, Mongelli M, Fagan D. Analysis of birthweight and gestational age in antepartum stillbirths. Br J Obstet Gynaecol . 1998 May. 105(5):524-30. . Campbell S, Thoms A. Ultrasound measurement of the fetal head to abdomen circumference ratio in the assessment of growth retardation. Br J Obstet Gynaecol . 1977 Mar. 84(3):165-74. . Dashe JS, McIntire DD, Lucas MJ, Leveno KJ. Effects of symmetric and asymmetric fetal growth on pregnancy outcomes

2014 eMedicine.com

199. Estimation of Fetal Weight (Diagnosis)

and the gestational age of the newborns (especially those with very low or extremely low birth weight). [ ] Successfully and accurately classifying fetuses in each of these three broad categories before delivery can help in predicting and possibly avoiding neonatal complications in underweight newborns. Fetal macrosomia The term fetal macrosomia denotes a fetus that is too large (see the image below). Photograph of a macrosomic newborn soon after birth. In ideal usage, this designation should be referenced (...) Herrero et al, 1999 9.5; 61 NA; NA 9.5; 62 Hendrix et al, 2000 10.6; 58 16.5; 32 NA; NA Dar et al, 2000 8.5; 61 5.9; 83 NA; NA Nahum et al, 2002 9.9; 51 8.3; 71 11.5; 55 Total 7.2-10.6; 51-73 5.9-16.5; 32-83 8.7-11.5; 55-70 * Sonographic prediction algorithms used to estimate fetal weight were those of Shepard, [ ] Hadlock, [ , ] Sabbagha, [ ] and Warsof, [ , ] in addition to the best of 8 algorithms based on various combinations of abdominal circumference (AC), femoral length (FL), biparietal

2014 eMedicine.com

200. Fetal Growth Restriction (Diagnosis)

measurements and individual parameters. Assessing individual values is important to identify a fetus that is growing asymmetrically. In the presence of normal head and femur measurements, abdominal circumference (AC) measurements of less than 2 standard deviations below the mean appear to be a reasonable cutoff to consider a fetus asymmetric. Baschat and Weiner showed that a low AC percentile had the highest sensitivity (98.1%) for diagnosing IUGR (birth weight < 10th percentile). The sensitivity of EFW (...) . Fetal Diagn Ther . 2000 Jan-Feb. 15(1):8-19. . Gardosi J, Mul T, Mongelli M, Fagan D. Analysis of birthweight and gestational age in antepartum stillbirths. Br J Obstet Gynaecol . 1998 May. 105(5):524-30. . Campbell S, Thoms A. Ultrasound measurement of the fetal head to abdomen circumference ratio in the assessment of growth retardation. Br J Obstet Gynaecol . 1977 Mar. 84(3):165-74. . Dashe JS, McIntire DD, Lucas MJ, Leveno KJ. Effects of symmetric and asymmetric fetal growth on pregnancy outcomes

2014 eMedicine.com

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