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Fetal Abdominal Circumference

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101. Maternal stress and neonatal anthropometry: the NICHD Fetal Growth Studies. (PubMed)

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

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2017 American Journal of Obstetrics and Gynecology

102. Reduced physical activity in pregnancy reduces maternal vascular resistance and improves fetal growth. (PubMed)

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 and Gynecology

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

2017 Clinical Trials

104. 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

105. Investigating the Structured Use of Ultrasound Scanning for Fetal Growth

collected ultrasound fetal measurements - Head Circumference. Physiological parameter Risk Factors for adverse outcomes - ultrasound abdomen circumference [ Time Frame: 4 yrs ] Routinely collected ultrasound fetal measurements - Abdominal Circumference.Physiological parameter Risk Factors for adverse outcomes - ultrasound femur length [ Time Frame: 4 yrs ] Routinely collected ultrasound fetal measurements - Femur Length. Physiological parameter Risk Factors for adverse outcomes - ultrasound presentation (...) Investigating the Structured Use of Ultrasound Scanning for Fetal Growth Investigating the Structured Use of Ultrasound Scanning for Fetal Growth - 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 one or more studies before adding more

2017 Clinical Trials

106. 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 (...) Sildenafil Versus Low Molecular Weight Heparin in Fetal Growth Restriction Treatment Sildenafil Versus Low Molecular Weight Heparin in Fetal Growth Restriction Treatment - 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 one or more studies before

2017 Clinical Trials

107. 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

108. 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

109. Fetal biometric parameters: Reference charts for a non-selected risk population from Uberaba, Brazil (PubMed)

) was measured at the level of the thalami and cavum septi pellucidi. Head circumference (HC) was calculated by the following formula: HC = 1.62*(BPD + occipital frontal diameter, OFD). Abdominal circumference (AC) was measured using the following formula: AC = (anteroposterior diameter + transverse abdominal diameter) × 1.57. Femur diaphysis length (FDL) was obtained in the longest axis of femur without including the distal femoral epiphysis. The estimated fetal weight (EFW) was obtained by the Hadlock (...) Fetal biometric parameters: Reference charts for a non-selected risk population from Uberaba, Brazil To establish reference charts for fetal biometric parameters in a non-selected risk population from Uberaba, Southeast of Brazil.A retrospective cross-sectional study was performed among 5656 non-selected risk singleton pregnant women between 14 and 41 weeks of gestation. The ultrasound exams were performed during routine visits of second and third trimesters. Biparietal diameter (BPD

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2017 Journal of Ultrasonography

110. A Systematic Evaluation of Ultrasound-based Fetal Weight Estimation Models on Indian Population (PubMed)

, 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

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2017 Journal of medical ultrasound

111. Fetal Thoracoamniotic Shunting in a Case of Congenital Pulmonary Airway Malformations with Hydrops Fetalis (PubMed)

, 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

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2017 AJP Reports

112. Maternal exposure to ambient air pollution and fetal growth in North-East Scotland: A population-based study using routine ultrasound scans (PubMed)

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.

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2017 Environment international

113. Polyhydramnios or Excessive Fetal Growth Are Markers for Abnormal Perinatal Outcome in Euglycemic Pregnancies (PubMed)

(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

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2017 American journal of perinatology

114. Gestational age at diagnosis of early-onset fetal growth restriction and impact on management and survival: a population-based cohort study. (PubMed)

to discharge. 50% were live born when diagnosis occurred before 25 weeks, 66% at 25 weeks and >90% at 26 and 27 weeks of gestation. In all, 94.1% of live births were by prelabour caesarean, principally for maternal indications before 26 weeks. Low GA at diagnosis, an estimated fetal weight or abdominal circumference below the third centile and male sex were adversely associated with live birth in adjusted models.Gestational age at FGR diagnosis had an impact on the probability of live birth and survival (...) Gestational age at diagnosis of early-onset fetal growth restriction and impact on management and survival: a population-based cohort study. To investigate the impact of gestational age (GA) at diagnosis of fetal growth restriction (FGR) on obstetric management and rates of live birth and survival for very preterm infants with early-onset FGR.Population-based cohort study.All maternity units in 25 French regions in 2011.Fetuses diagnosed with FGR before 28 weeks of gestation among singleton

2017 BJOG

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

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

116. Fetal growth and birth anthropometrics in metformin exposed offspring born to mothers with PCOS. (PubMed)

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

117. Relationship of amniotic fluid index (AFI) in third trimester with fetal weight and gender in a southeast Nigerian population (PubMed)

), and fetal gender.A prospective cross-sectional estimation of AFI and FWT was done in 385 apparently healthy pregnant women in the gestational age range of 28-42 weeks. General scanning in longitudinal, transverse, and oblique directions of the abdomen was done to assess the fetal wellbeing and determine the fetal gender for each participant. AF was measured in each of the quadrants of the abdomen. The four values of the AF were summed to get the AFI. Measurement of the head circumference, biparietal (...) diameter, abdominal circumference, and femoral length of the fetus were obtained. The EFWT was calculated using Hadlock's formula. The data were divided into five groups: 28-30 weeks 6 days; 31-33 weeks 6 days; 34-36 weeks 6 days; 37-39 weeks 6 days; and 40-42 weeks. AFI for the different gestational age group studied and their percentiles were obtained.AFI normogram for the local population was established. Positive and significant correlations of AF and EFWT were seen in all the gestational age

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2016 Acta Radiologica Open

118. Maternal and fetal outcomes in pregnancies complicated by overweight and obesity (PubMed)

exercise more frequently (p = 0.010) than normal weight women. A greater proportion of obese mothers (13.4 %) had large for gestational age babies (p = 0.021), with higher thoracic circumference (33.6 ± 2.0 cm) and abdominal circumference (31.6 ± 2.3 cm). Obesity increased the risk of developing hypertension (OR = 7.0; 3.1-15.9), hyperglycemic disturbances (OR = 5.5; 2.9-10.6) and HbA1c ≥ 6.5 % (OR = 3.7; 1.2-11.1). The infants born to obese mothers had longer hospital stay (3.9 ± 3.9 days) (p = 0.005 (...) Maternal and fetal outcomes in pregnancies complicated by overweight and obesity Overweight and obesity are associated with pregnancy complications and adverse perinatal outcomes, posing short and long-term risks for maternal and child health. This study evaluated maternal, delivery and neonatal outcomes in pregnancies complicated by overweight and obesity.This prospective cross-sectional study included 258 pregnant women. According to prepregnancy body mass index (BMI), participants were

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2016 Reproductive health

119. Estimation of Fetal Weight by MR Imaging to PREdict Neonatal MACROsomia (PREMACRO Study)

Ultrasound. Area Under the Receiver Operating Curve (AUROC) for prediction of macrosomia (≥ P97) [ Time Frame: Between 36 weeks and 36 weeks + 6 days of gestation ] AUROC for prediction of macrosomia (≥ P97 for gestational age) with Magnetic Resonance (4 mm slice thickness/ 20 mm gap) versus Ultrasound. Area Under the Receiver Operating Curve (AUROC) for prediction of macrosomia (Abdominal Circumference) [ Time Frame: Between 36 weeks and 36 weeks + 6 days of gestation ] AUROC for prediction (...) of macrosomia with Abdominal Circumference ≥ P90 for gestational age. Measured in cm with Ultrasound Area Under the Receiver Operating Curve (AUROC) for prediction of 'Small for gestational age' (SGA) [ Time Frame: Between 36 weeks and 36 weeks + 6 days of gestation ] Measured with Magnetic Resonnace (4 mm slice thickness)/ 20 mm gap) versus ultrasound. Comparative prediction rate for significant shoulder dystocia [ Time Frame: Between 36 weeks and 36 weeks + 6 days of gestation ] Ability of Magnetic

2016 Clinical Trials

120. Increased fetal adiposity prior to diagnosis of gestational diabetes in South Asians: more evidence for the 'thin-fat' baby. (PubMed)

head circumference (HC), abdominal circumference (AC), femur length (FL) and biparietal diameter (BPD) were recorded at 11, 20 and 32 weeks. Anterior abdominal wall thickness (AAWT) as a marker of abdominal adiposity at 20 and 32 weeks was compared between groups. Adjustments were made for maternal age, BMI, parity, gestational weight gain, fetal sex and gestational age.Fetuses of women with GDM had significantly higher AAWT at 20 weeks (β 0.26 [95% CI 0.15, 0.37] mm, p < 0.0001) despite lower (...) Increased fetal adiposity prior to diagnosis of gestational diabetes in South Asians: more evidence for the 'thin-fat' baby. Gestational diabetes mellitus (GDM) is associated with an increased future risk of obesity in the offspring. Increased adiposity has been observed in the newborns of women with GDM. Our aim was to examine early fetal adiposity in women with GDM.Obstetric and sonographic data was collated for 153 women with GDM and 178 controls from a single centre in Chennai, India. Fetal

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2016 Diabetologia

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