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Fetal Abdominal Circumference

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101. Fetal Thoracoamniotic Shunting in a Case of Congenital Pulmonary Airway Malformations with Hydrops Fetalis Full Text available with Trip Pro

, abdominal circumference, and amniotic fluid index started increasing from 28 weeks and hydrops worsened. The insufficient shunting and the fetal cardiac failure had to be considered. At 32 weeks, a male infant with general edema and massive ascites was born weighing 3,362 g (+4.79 SD) with Apgar scores of 2 and 4. The infant was intubated and high-frequency oscillation and nitric oxide therapies were instituted. The resection of CPAM was performed on day 2. Nasal continuous positive airway pressure (...) Fetal Thoracoamniotic Shunting in a Case of Congenital Pulmonary Airway Malformations with Hydrops Fetalis Aim  We report a case of congenital pulmonary airway malformation (CPAM) with hydrops in which the fetus underwent thoracoamniotic shunting. Case Report  A 40-year-old (G1P1) woman was diagnosed with a macrocystic CPAM. Thoracoamniotic shunting was performed at 19 weeks of gestation but not well drained and was successfully performed again at 23 weeks. However, the CPAM volume ratio

2017 AJP Reports

102. Maternal exposure to ambient air pollution and fetal growth in North-East Scotland: A population-based study using routine ultrasound scans Full Text available with Trip Pro

and nitrogen dioxide (NO2) for in utero fetal growth, size at birth and effect modification by smoking status.Administratively acquired second and third trimester fetal measurements (bi-parietal diameter, femur length and abdominal circumference), birth outcomes (weight, crown heel length and occipito-frontal circumference) and maternal details were obtained from routine fetal ultrasound scans and maternity records (period 1994-2009). These were modelled against residential annual pollution concentrations (...) and abdominal circumference were not significantly associated with pollution exposure.Fetal growth is strongly associated with particulates exposure from later in second trimester onwards but the effect appears to be subsumed by smoking. Typical ambient exposures in this study were relatively low compared to other studies and given these results, it may be necessary to consider reducing recommended "safe" ambient air exposures.Copyright © 2017. Published by Elsevier Ltd.

2017 Environment international

103. Patterns of Fetal Growth Based on Ultrasound Measurement and its Relationship with Small for Gestational Age at Birth in Rural Vietnam. (Abstract)

micronutrient supplementation in Thai Nguyen province, Vietnam. Ultrasound examinations included biparietal diameter (BPD), head circumference (HC) and abdominal circumference (AC), and femur length (FL). Measures were assessed using the new international fetal growth standards (INTERGROWTH-21st Project). Generalised linear mixed logit regression models were used to examine the association between ultrasound measures and SGA at birth.Overall fetal growth restriction began in early pregnancy and continued (...) Patterns of Fetal Growth Based on Ultrasound Measurement and its Relationship with Small for Gestational Age at Birth in Rural Vietnam. Small for gestational age (SGA) is a global health problem. Identifying the timing of fetal growth faltering is critical for developing preventive interventions. We aim to describe patterns of fetal growth and to predict SGA at birth using fetal ultrasound measurements.We studied 1412 pregnant women enrolled in a randomised-controlled trial evaluating maternal

2017 Paediatric and perinatal epidemiology Controlled trial quality: uncertain

104. Evaluation of Fetal Cardiac Function and Vascular Hemodynamics in Intrauterine Growth Restriction

ultrasound studies as well as detailed fetal echocardiography and five-component biophysical profile score. - Criteria for study eligibility are: Singleton fetus with normal fetal anatomy documentedon a detailed sonogram. Fetal abdominal circumference <5th percentile forgestational age.• Evidence of placental insufficiency documented by an elevated umbilical artery pulsatility index (UA-PI) by reference ranges. Criteria Inclusion Criteria: Singleton fetus with normal fetal anatomy documented a detailed (...) sonogram. Fetal abdominal circumference <5th percentile for gestational age. Evidence of placental insufficiency documented by an elevated umbilical artery pulsatility index (UA-PI) by reference ranges. Exclusion Criteria: evidence of fetal infection chorioamnionitis fetal anomalies abnormal fetal karyotype patient withdrawal from the study and/or unavailability for follow-up. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your

2017 Clinical Trials

105. Assessment of Cardiac Sparing in Fetal Hypoxia

umbilical artery (UA), middle cerebral artery (MCA) and ductus venosus (DV) Doppler ultrasound studies as well as detailed fetal doppler echocardiography Criteria for study eligibility are: Singleton fetus with normal fetal anatomy documented on a detailed sonogram. Fetal abdominal circumference <5th percentile for gestational age. Evidence of placental insufficiency documented by an elevated umbilical artery pulsatility index (UAPI) by reference ranges. Criteria Inclusion Criteria: Singleton fetus (...) with normal fetal anatomy documented on a detailed sonogram. Fetal abdominal circumference <5th percentile for gestational age. Evidence of placental insufficiency documented by an elevated umbilical artery pulsatility index (UA-PI) by reference ranges. Exclusion Criteria: evidence of fetal infection chorioamnionitis fetal anomalies patient withdrawal from the study and/or unavailability for follow-up. Contacts and Locations Go to Information from the National Library of Medicine To learn more about

2017 Clinical Trials

106. Sonographic Evaluation of Fetal Growth in the Third Trimester of Low-risk Pregnancy: a Randomized Trial

, ethnicity, parity, height, weight, socioeconomic status and smoking habits. In the study group (ultrasound evaluation at 35-35+6 (6 / 7 days weeks)), the ultrasound evaluation will include biometric parameters of the fetus: cephalic perimeter, biparietal diameter, abdominal circumference and femur length. Based on these measurements, the computer system (Astraia) provides the estimated fetal weight and respective percentile according to the Hadlock formula. Amniotic fluid will also be measured (maximum (...) of national guidelines (third trimester ultrasound at 30-32 (6 / 7 days weeks)) will be submitted to an additional third trimester ultrasound at 35-36 (6 / 7 days weeks). Diagnostic Test: Ultrasound 35-36 (6 / 7 days weeks) An obstetric ultrasound will be performed at 35-36 (6 / 7 days weeks) including biometric parameters and functional parameters of the fetus No Intervention: Standard of Care This is the control group that will be managed in accordance to national guidelines of screening of late fetal

2017 Clinical Trials

107. Sildenafil Versus Low Molecular Weight Heparin in Fetal Growth Restriction Treatment

for Study: Female Gender Based Eligibility: Yes Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Maternal age between 20-35 years. Being at a gestational age 28-35wks. Singleton pregnancy. Fetal growth restriction diagnosed by ultrasound with estimated fetal weight below the 10th percentile, and/or fetal abdominal circumference at or below the tenth percentile. Exclusion Criteria: Maternal age less than 20 years or more than 35 years. Undetermined gestational age. Multiple gestation. Chronic (...) : One hundred pregnant women with documented intrauterine growth restriction due to placental insufficiency at 28-35 weeks of gestation will be distributed into two groups: Group S: 50 women will receive Sildenafil citrate 25 mg tab 3 times daily. Group H: 50 women will receive single dose of LMWH subcutaneous daily. Both groups will undergo strict fetal surveillance in the form of: Umbilical artery Doppler (UAD) is the primary surveillance tool in the FGR fetus: middle cerebral artery (MCA) Doppler

2017 Clinical Trials

108. Blinded ultrasonic fetal biometry at 36 weeks and the risk of emergency caesarean delivery: a prospective cohort study of 3,047 low risk nulliparous women. Full Text available with Trip Pro

' gestation. Both the women and their clinicians were blinded to fetal biometry results. Emergency CD was defined as delivery by Cesarean section in pregnancies in which the date of delivery had not been prearranged. Additional candidate predictors of emergency CD evaluated were maternal age, height, body mass index (BMI), weight gain, fetal abdominal circumference growth velocity and fetal sex. External validation of the predictive model was performed using routinely collected data from 55 337 births (...) Blinded ultrasonic fetal biometry at 36 weeks and the risk of emergency caesarean delivery: a prospective cohort study of 3,047 low risk nulliparous women. To compare the association between risk of emergency Cesarean delivery (CD) and non-customized vs customized ultrasound estimated fetal weight (EFW) at 36 weeks' gestation, determine whether addition of ultrasound EFW to a model based on maternal characteristics alone improved prediction of emergency CD, assess the screening performance

2017 Ultrasound in Obstetrics and Gynecology

109. Maternal stress and neonatal anthropometry: the NICHD Fetal Growth Studies. Full Text available with Trip Pro

model to identify distinct groupings (ie, classes) of the Perceived Stress Survey trajectories over pregnancy. Trend analysis was used to determine whether neonatal measurements including birthweight, length, head circumference, and abdominal circumference differed by Perceived Stress Survey class and whether this relationship was modified by maternal race/ethnicity, after adjustment for gestational age at delivery, maternal height, age, and parity.Of the 2334 women enrolled in the study, 1948 women (...) had complete neonatal anthropometry and were included in the analysis. Latent class analysis identified 3 Perceived Stress Survey trajectory classes, with mean Perceived Stress Survey scores of 2.82 (low), 7.95 (medium), and 14.80 (high). Neonatal anthropometric measures of birthweight, length, head circumference and abdominal circumference were similar (P=.78, =.10, =.18, and =.40 respectively), regardless of the participants' Perceived Stress Survey class. There was no effect modification

2017 American Journal of Obstetrics and Gynecology

110. IS Cerebroplacental Ratio A Marker of Impaired Fetal Growth Velocity and Adverse Pregnancy Outcome? Full Text available with Trip Pro

of reduced fetal growth rate. The secondary aim was to investigate the relationship between a low cerebroplacental ratio at term, reduced fetal growth velocity, and adverse pregnancy outcome.This was a retrospective cohort study of singleton pregnancies in a tertiary referral center. The abdominal circumference was measured at 20-24 weeks' gestation and both abdominal circumference and fetal Dopplers recorded at or beyond 35 weeks, within 2 weeks of delivery. Abdominal circumference and birthweight (...) values were converted into Z scores and centiles, respectively, and fetal Doppler parameters into multiples of median, adjusting for gestational age. Abdominal circumference growth velocity was quantified using the difference in the abdominal circumference Z score, comparing the scan at or beyond 35 weeks with the scan at 20-24 weeks. Both univariable and multivariable logistic regression analyses were performed to investigate the association between low cerebroplacental ratio and the low abdominal

2017 American Journal of Obstetrics and Gynecology

111. Development of Customized Fetal Growth Charts in Twins. (Abstract)

characteristics.Fetal biometric measurements obtained from serial ultrasound examinations in uncomplicated twin pregnancies delivering after 36 weeks of gestation were collected by 19 Italian fetal medicine units under the auspices of the Società Italiana di Ecografia Ostetrica e Ginecologica. The measurements acquired in each fetus at each examination included biparietal diameter, head circumference, abdominal circumference, and femur length. Multilevel linear regression models were used to adjust for the serial (...) ultrasonographic measurements obtained and the clustering of each fetus in twin pregnancy. The impact of maternal and paternal characteristics (height, weight, ethnicity), parity, fetal sex, and mode of conception was also considered. Models for each parameter were stratified by fetal chorionicity and compared with our previously constructed growth curves for singletons.The data set included 1781 twin pregnancies (dichorionic, n = 1289; monochorionic diamniotic, n = 492) with 8923 ultrasonographic examinations

2017 American Journal of Obstetrics and Gynecology

112. Reduced physical activity in pregnancy reduces maternal vascular resistance and improves fetal growth. Full Text available with Trip Pro

pregnancy, TVR between 1300 and 1400 dynes × s/cm5 at enrolment, normal fetal Doppler parameters at enrolment and abdominal circumference between the 10th and 25th centiles. Patients were assigned to activity restriction (activity-restriction group; n = 15) or no treatment (control group; n = 15) and were assessed after 4 weeks for TVR and fetal growth.TVR at enrolment and estimated fetal weight centile were similar in the activity-restriction group vs controls (1358 ± 26 vs 1353 ± 30 dynes × s/cm5 (...) Reduced physical activity in pregnancy reduces maternal vascular resistance and improves fetal growth. To test the efficacy of maternal activity restriction for reducing peripheral vascular resistance in normotensive pregnant women with raised total vascular resistance (TVR) and to evaluate its effect on fetal growth.This was a prospective case-control study of 30 women enrolled between 27 and 29 weeks' gestation. All patients met the following criteria: normal blood pressure before and during

2017 Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology

113. Influence of fetal blood flow redistribution on fetal and childhood growth and fat distribution: the Generation R Study. Full Text available with Trip Pro

circumference, length and weight from third trimester fetal life until childhood (all P < 0.05). The fetal U/C ratio was not associated with total body and abdominal fat measures at 6 years.Our results suggest that fetal blood flow redistribution affects fetal development and has persistent consequences for childhood growth.Fetal blood flow redistribution affects fetal development and has persistent consequences for childhood growth.© 2016 Royal College of Obstetricians and Gynaecologists. (...) Influence of fetal blood flow redistribution on fetal and childhood growth and fat distribution: the Generation R Study. A suboptimal intrauterine environment leads to fetal blood flow redistribution and fetal growth restriction. Not much is known about childhood growth consequences. We examined the associations of fetal blood flow redistribution with birth outcomes, and repeatedly measured fetal and childhood growth and fat mass measures.Prospective cohort study.Population-based.One thousand

2016 BJOG

114. Fetal Hemodynamics and Fetal Growth Indices by Ultrasound in Late Pregnancy and Birth Weight in Gestational Diabetes Mellitus Full Text available with Trip Pro

women with GDM and 124 normal controls (NC) were enrolled in this study. Fetal hemodynamic indices, including the systolic/diastolic ratio (S/D), resistance index (RI), pulsatility index (PI) of umbilical artery (UA), middle cerebral artery (MCA), and renal artery (RA), were collected. Fetal growth indices, including biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), and femur length, were also measured by ultrasound. Birth weight, newborn gender, and maternal clinical (...) Fetal Hemodynamics and Fetal Growth Indices by Ultrasound in Late Pregnancy and Birth Weight in Gestational Diabetes Mellitus The offspring of women with gestational diabetes mellitus (GDM) are prone to macrosomia. However, birth weight is difficult to be correctly estimated by ultrasound because of fetal asymmetric growth characteristics. This study aimed to investigate the correlations between fetal hemodynamics, fetal growth indices in late pregnancy, and birth weight in GDM.A total of 147

2016 Chinese medical journal

115. IMPLEMENTING THE INTERGROWTH-21<sup>st</sup> FETAL GROWTH STANDARDS IN FRANCE: A « FLASH » STUDY OF THE COLLEGE FRANÇAIS D'ECHOGRAPHIE FOETALE (CFEF). Full Text available with Trip Pro

IMPLEMENTING THE INTERGROWTH-21st FETAL GROWTH STANDARDS IN FRANCE: A « FLASH » STUDY OF THE COLLEGE FRANÇAIS D'ECHOGRAPHIE FOETALE (CFEF). To assess potential differences in fetal size between the French population and the international population from the INTERGROWTH-21st (IG-21st ) Project and to measure the impact of switching to the IG-21st reference standards for fetal size.This was a nationwide cross-sectional study of fetal ultrasound biometry. Low-risk singleton pregnancies (...) were recruited prospectively within the network of the national French College of Fetal Ultrasound, CFEF, over a 6-week period. Further selection was performed based on the criteria of the IG-21st Project in order to obtain a comparable population. Head circumference (HC) was used as the main fat-free skeletal measure of growth for comparison of French fetal size with that of the IG-21st population. The impact of switching to the IG-21st fetal growth standards was quantified by comparing Z-scores

2016 Ultrasound in Obstetrics and Gynecology

116. The Effects of Fetal Gender on Maternal and Fetal Insulin Resistance. Full Text available with Trip Pro

The Effects of Fetal Gender on Maternal and Fetal Insulin Resistance. Gender plays a role in the development of a number of cardiovascular and metabolic diseases and it has been suggested that females may be more insulin resistant in utero. We sought to assess the relationship between infant gender and insulin resistance in a large pregnancy cohort.This is a secondary analysis of a cohort from the ROLO randomized control trial of low GI diet in pregnancy. Serum insulin, glucose and leptin were (...) measured in early pregnancy and at 28 weeks. At delivery cord blood C-peptide and leptin were measured. A comparison of maternal factors, fetal biometry, insulin resistance and leptin was made between male and female offspring. A multivariate regression model was built to account for the possible effects of maternal BMI, birthweight and original study group assignment on findings.A total of 582 women were included in this secondary analysis, of whom 304 (52.2%) gave birth to male and 278 (47.8%) gave

2015 PloS one Controlled trial quality: uncertain

117. Screening for fetal growth restriction with universal third trimester ultrasonography in nulliparous women in the Pregnancy Outcome Prediction (POP) study: a prospective cohort study. Full Text available with Trip Pro

percentile was only associated with the risk of neonatal morbidity (pinteraction=0·005) if the fetal abdominal circumference growth velocity was in the lowest decile (RR 3·9, 95% CI 1·9-8·1, p=0·0001). 172 (4%) of 3977 pregnancies had both an estimated fetal weight of less than the 10th percentile and abdominal circumference growth velocity in the lowest decile, and had a relative risk of delivering an SGA infant with neonatal morbidity of 17·6 (9·2-34·0, p<0·0001).Screening of nulliparous women (...) Screening for fetal growth restriction with universal third trimester ultrasonography in nulliparous women in the Pregnancy Outcome Prediction (POP) study: a prospective cohort study. Fetal growth restriction is a major determinant of adverse perinatal outcome. Screening procedures for fetal growth restriction need to identify small babies and then differentiate between those that are healthy and those that are pathologically small. We sought to determine the diagnostic effectiveness

2015 Lancet

118. Fetal Macrosomia

Macrosomia , Large for Gestational Age From Related Chapters II. Definition Macrosomia Fetal weight 4500 grams (ranges from 4000-5000 grams) Large for Gestational Age Birth weight above 90th percentile III. Risk Factors: Macrosomia Maternal or Multiparity Prior history of macrosomic infant Post-Dates Gestation Maternal or excessive weight gain Male fetus Parental stature tic disorders Beckwith-Wiedemann Syndrome Sotos Syndrome IV. Pathophysiology Overgrowth Hallmark of No concurrent vascular disease (...) ( ) Error in weight estimation: 300 grams More accurate than estimate Estimate altered by physiologic characteristics Amniotic fluid volume and configuration Mother's body habitus Error in weight estimation: 300 to 550 grams Estimated fetal weight and Abdominal circumference Correlates 88% with diagnosis of macrosomia VII. Efficacy: Fetal Macrosomia prediction and prevention Methods proven ineffective at complication prevention Elective Analysis based on permanent C/S for EFW 4500g prevents 1 case/3700

2018 FP Notebook

119. Fetal Femur Length

Femur Length II. Technique Start with transducer at abdominal circumference Move transducer inferiorly to transect Rotate transducer 30 degrees to view femur Exclude distal femoral epiphyses present after 32 weeks Tibia is at times mistaken for femur III. Images Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Fetal Femur Length." Click on the image (or right click) to open the source website in a new browser window. Related (...) Fetal Femur Length Fetal Femur Length Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Fetal Femur Length Fetal Femur Length Aka: Fetal

2018 FP Notebook

120. 2 year neurodevelopmental and intermediate perinatal outcomes in infants with very preterm fetal growth restriction (TRUFFLE): a randomised trial. (Abstract)

, unblinded, randomised study, we included women with singleton fetuses at 26-32 weeks of gestation who had very preterm fetal growth restriction (ie, low abdominal circumference [<10th percentile] and a high umbilical artery Doppler pulsatility index [>95th percentile]). We randomly allocated women 1:1:1, with randomly sized blocks and stratified by participating centre and gestational age (<29 weeks vs ≥29 weeks), to three timing of delivery plans, which differed according to antenatal monitoring (...) 2 year neurodevelopmental and intermediate perinatal outcomes in infants with very preterm fetal growth restriction (TRUFFLE): a randomised trial. No consensus exists for the best way to monitor and when to trigger delivery in mothers of babies with fetal growth restriction. We aimed to assess whether changes in the fetal ductus venosus Doppler waveform (DV) could be used as indications for delivery instead of cardiotocography short-term variation (STV).In this prospective, European multicentre

2015 Lancet Controlled trial quality: predicted high

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