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Fetal Abdominal Circumference

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101. 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

102. 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

103. 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

104. 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

105. 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

106. The Relationship Between Second Trimester Placental Growth Factor Level and Fetal Growth Restriction

to follow up (attrition problem). Inclusion criteria: Singleton pregnancy between 13-28 weeks of gestation. Pregnant women aged 18 - 35 years Pregnant women with fetal abdominal circumference (AC) < 10th percentile for gestational age (GA) on ultrasound Exclusion criteria: To exclude any factors that cause IUGR: Chronic or gestational hypertension and/or preeclampsia Premature rupture of membranes A fetus with known chromosomal and/or congenital abnormalities confirmed after delivery. Multiple gestation (...) Hospital, Obstetrics and Gynecology Department, Faculty of medicine. Criteria Inclusion Criteria: - Singleton pregnancy between 13-28 weeks of gestation. Pregnant women aged 18 - 35 years Pregnant women with fetal abdominal circumference (AC) < 10th percentile for gestational age (GA) on ultrasound Exclusion Criteria: Chronic or gestational hypertension and/or preeclampsia Premature rupture of membranes A fetus with known chromosomal and/or congenital abnormalities confirmed after delivery. Multiple

2017 Clinical Trials

107. 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

108. 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

109. Maternal weight gain and associations with longitudinal fetal growth in dichorionic twin pregnancies: a prospective cohort study. Full Text available with Trip Pro

and 21 to 27 wk (second trimester) was significantly associated with increased fetal weight at 21 wk [increase of 10.5 g/kg maternal weight gain (95% CI: 1.2, 19.8 g)] and 28 wk [increase of 21.3 g/kg maternal weight gain (95% CI: 0.6, 42.0 g)]. Maternal weight gain from 14 to 20 wk was associated with increased twin abdominal circumference (AC) and biparietal diameter at 21 wk. Maternal weight gain from 21 to 27 wk was associated with increased femur and humerus lengths at 28 wk.Conclusion: Maternal (...) Maternal weight gain and associations with longitudinal fetal growth in dichorionic twin pregnancies: a prospective cohort study. Background: Maternal metabolic demands are much greater with twin gestations; however, there are no accepted recommendations for maternal weight gain in twin pregnancies.Objective: We assessed the association of maternal weight gain and fetal growth in dichorionic twins throughout pregnancy.Design: This was a prospective US cohort study (n = 143, 2012-2013

2017 American Journal of Clinical Nutrition

110. 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

111. 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

112. Fetal somatic growth trajectory differs by type of congenital heart disease. Full Text available with Trip Pro

Fetal somatic growth trajectory differs by type of congenital heart disease. BackgroundThe growth trajectories of common measurements, including estimated fetal weight (EFW), head circumference (HC), and abdominal circumference (AC), in fetuses with congenital heart disease (CHD) have not been described for different cardiac lesions. We hypothesized that (i) fetuses with CHD have differential growth in utero, and (ii) different categories of CHD demonstrate different in utero growth (...) curves.MethodsWe performed a retrospective observational cohort study of pregnancies with known fetal CHD seen from January 2000 to June 2013. For analysis, the infants were divided into single ventricle (SV), biventricular conotruncal, d-transposition of great arteries (d-TGA), biventricular septal defects (SD; including atrial, ventricular, and atrioventricular SD), and all others (Other).ResultsA total of 194 newborns met inclusion criteria. There was significant differential growth of EFW in all CHD types

2017 Pediatric Research

113. Fetal growth standards in gastroschisis: Reference values for ultrasound measurements. (Abstract)

, 10th, 50th, 90th, and 95th centiles being established for biometric parameters according to gestational age. Curves were obtained, comparing with normal reference via the Mann-Whitney test. UA Doppler velocimetry patterns were obtained.A total of 434 examinations were performed, and centiles were established for biparietal diameter, head circumference, abdominal circumference, femur length, and estimated fetal weight. A significant difference was observed between the gastroschisis measurements when (...) compared to control, with all curves shifted downwards. Abdominal circumference was the parameter presenting the largest difference. Estimated fetal weight was also lower, with mean difference of 256.3 ± 166.8 g for the 50th centile (P < .0001). UA Doppler velocimetry was normal in 97.5%.Fetuses with gastroschisis show symmetrical growth deficits in the second and third trimesters, with normal UA Doppler velocimetry. These results reinforce the hypothesis that they are constitutionally smaller, yet

2017 Prenatal diagnosis

114. Fetal growth and birth anthropometrics in metformin exposed offspring born to mothers with PCOS. Full Text available with Trip Pro

analysis of a randomized controlled trial.Double-blind, placebo-controlled, multicenter study.258 offspring born to mothers with PCOS.2000 mg metformin (n = 131) or placebo (n = 121) from first trimester to delivery.Mean abdominal diameter and biparietal diameter (BPD) at gestational weeks 19 and 32. Head circumference (HC), birth length, and weight related to a reference population of healthy offspring, expressed as gestational age- and sex-adjusted z-scores.Metformin- versus placebo-exposed offspring (...) Fetal growth and birth anthropometrics in metformin exposed offspring born to mothers with PCOS. Metformin is used in an attempt to reduce pregnancy complications associated with polycystic ovary syndrome (PCOS). Little is known about the effect of metformin on fetal development and growth.To compare the effect of metformin versus placebo on fetal growth and birth anthropometrics in PCOS offspring compared with a reference population in relation to maternal body mass index (BMI).Post hoc

2017 Journal of Clinical Endocrinology and Metabolism Controlled trial quality: predicted high

115. Subclinical Changes in Maternal Thyroid Function Parameters in Pregnancy and Fetal Growth. Full Text available with Trip Pro

score decrease (∼8.5 g) in birth weight (β = -0.41 for ln-transformed FT4; 95% confidence interval, -0.64 to -0.18). FT4 was also inversely associated with repeated measurements of estimated fetal weight, head circumference, and abdominal circumference. We observed weaker inverse associations for total T4 and a positive relationship between total triiodothyronine and birth weight z scores. We did not observe any associations for thyroid-stimulating hormone.In pregnant women without overt thyroid (...) Subclinical Changes in Maternal Thyroid Function Parameters in Pregnancy and Fetal Growth. Overt thyroid disease in pregnancy is a known risk factor for abnormal fetal growth and development. Data on the effects of milder forms of variation in maternal thyroid function on intrauterine growth are less well examined.We explored these associations using repeated thyroid hormone and ultrasound measurements.Data were obtained from 439 pregnant women without diagnosed thyroid disease who were

2017 Journal of Clinical Endocrinology and Metabolism

116. 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

117. 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

118. Polyhydramnios or Excessive Fetal Growth Are Markers for Abnormal Perinatal Outcome in Euglycemic Pregnancies Full Text available with Trip Pro

(abdominal circumference > 95th percentile) on two-third trimester examinations were studied. Maternal demographics, delivery, and neonatal information were recorded. Cases were compared with a reference group (normal oGCT with neither abnormal third-trimester growth nor polyhydramnios). A total of 282 pregnancies were in the study group, and 663 were in the reference group. Deliveries in the study group were at a higher risk for birth weight (BW)% > 90%, standard deviation, and postpartum hemorrhage (...) Polyhydramnios or Excessive Fetal Growth Are Markers for Abnormal Perinatal Outcome in Euglycemic Pregnancies  This study aims to investigate the perinatal outcome of fetuses with polyhydramnios and/or accelerated growth among women with a normal oral glucose challenge test (oGCT). Singleton, nonanomalous pregnancies with an oGCT(< 130 mg/dL) at 24 to 28 weeks, who subsequently demonstrate polyhydramnios (amniotic fluid index > 24 cm or maximum vertical pocket > 8 cm) and/or accelerated growth

2017 American journal of perinatology

119. A Systematic Evaluation of Ultrasound-based Fetal Weight Estimation Models on Indian Population Full Text available with Trip Pro

, gestational age ≥34 weeks and ultrasound scan to delivery duration ≤7 days. Cases with fetal growth restriction or malformation were excluded. The cases were divided into standard weight bands of 500 g each based on newborns' actual birth weights (ABW). For each weight band, performance of 12 different models based on abdominal circumference (AC), biparietal diameter (BPD), head circumference (HC) and femur length (FL) was evaluated by mean percentage error (MPE) and its standard deviation (random error (...) A Systematic Evaluation of Ultrasound-based Fetal Weight Estimation Models on Indian Population The purpose of this study was to systematically evaluate ultrasound-based fetal weight estimation models on Indian population to find out their performance across different weight bands and ability to correctly categorize low birth weight (LBW) and high birth weight (HBW) fetuses.We used retrospectively collected data of 154 cases for the study. Inclusion criteria were a live singleton pregnancy

2017 Journal of medical ultrasound

120. 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

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