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Fetal Abdominal Circumference

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161. The Role of Umbilical Cord Thickness in Prediction of Fetal Macrosomia in Patients With Gestational Diabetes Mellitus

on the last reliable menstrual period or ultrasound examination within the first trimester. The ultrasound examination will be with Voluson E6 equipped with a 3.5 Hz trans-abdominal probe at fetal medicine unit of maternity hospital Ain Shams University. Ultrasound examination will be performed twice at 27-28 weeks and 36-37 weeks of gestation prospectively. During ultrasound, fetal biometry (biparietal diameter, abdominal circumference, femur length) and estimated fetal weight will be calculated (...) The Role of Umbilical Cord Thickness in Prediction of Fetal Macrosomia in Patients With Gestational Diabetes Mellitus The Role of Umbilical Cord Thickness in Prediction of Fetal Macrosomia in Patients With Gestational Diabetes Mellitus - 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

2015 Clinical Trials

162. Fetal Effects of Pre-Pregnancy Lifestyle Interventions in Unexplained Infertility Patients

: University of Oklahoma Information provided by (Responsible Party): Karl Hansen, University of Oklahoma Study Details Study Description Go to Brief Summary: This is a cross-sectional comparison study of three maternal and fetal groups. Patients studied are women (and their fetus if they conceive) participating in the Reproductive Medicine Network's (RMN) FIT-PLESE investigation (funded, the NuPA and PAo arms) compared to control mothers who decline the intervention protocols and their fetuses (...) arm that achieve pregnancy. Infertile, non-lifestyle intervention controls Obese women (60) with unexplained infertility who meet the inclusion/exclusion criteria for FIT-PLESE but decline participation in the trial and who elect to undergo CC-IUI treatment and achieve pregnancy without prior diet and exercise interventions. Outcome Measures Go to Primary Outcome Measures : evaluate fetal biometry [ Time Frame: during pregnancy ] evaluate subcutaneous abdominal, thigh, and arm adiposity. [ Time

2015 Clinical Trials

163. A Trial Evaluating the Role of Sildenafil in the Treatment of Fetal Growth Restriction

Years to 40 Years (Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Pregnant women, singleton pregnancy, gestational age 24-34 weeks, with Fetal growth restriction. Intact membranes. Abnormal umbilical artery Doppler waveforms. Fetal abdominal circumference at or below the tenth percentile. Normal venous fetal Doppler Exclusion Criteria: Undetermined gestational age. Intrauterine infection. High Risk for aneuploidy (e.g. maternal age ≥40 years (...) A Trial Evaluating the Role of Sildenafil in the Treatment of Fetal Growth Restriction A Trial Evaluating the Role of Sildenafil in the Treatment of Fetal 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 one or more studies

2015 Clinical Trials

164. Analysis of the effectiveness of ultrasound and clinical examination methods in fetal weight estimation for term pregnancies Full Text available with Trip Pro

height and abdominal circumference at the level of umbilicus. Accuracy was determined by mean percentage error, mean absolute percentage error and proportion of estimates within 10% of actual birth weight (birth weight ±10%). Patients were divided into two groups according to actual birth weight, the normal birth weight group (2500-3999 g) and high birth weight group (≥4000 g).All three methods statistically overestimated birth weight for the high and normal birth weight groups (p<0.001, p=1.000, p (...) Analysis of the effectiveness of ultrasound and clinical examination methods in fetal weight estimation for term pregnancies To compare the accuracy of clinical and ultrasonographic (USG) estimation of fetal weight in non-complicated, term pregnancies.Two hundred term pregnant women were included in the study. We used three formulae for the estimation of fetal weight at term; the Hadlock formula for the USG method, and two different formulas for clinical methods, maternal symphysis-fundal

2015 Turkish Journal of Obstetrics and Gynecology

165. Impact on Birth Weight of Two Therapeutic Strategies (Insulin Therapy From the Beginning of Pregnancy vs. Insulin Therapy Initiated According to Fetal Growth Evaluated by Ultrasonography Measurements) in Pregnant Women With Monogenic Diabetes

of pregnancy 2) treatment based on fetal abdominal circumference and fetal weight measurements by ultrasonography (US) and initiated if fetal biometry is greater than the 75th percentile. The purpose of the study is to evaluate for the first time these two management strategies through a prospective and standardized study. Hypothesis: US assessment would be sufficient to identify fetuses at risk of macrosomia and to initiate insulin treatment in mothers. Condition or disease Intervention/treatment Phase (...) ) initiated according to fetal growth evaluated by ultrasonography measurements. MODY2 women will not be treated with insulin until delivery, except when the fetal abdominal circumference exceeds ≥ the 75 percentile on one US or maternal fasting capillary blood glucose is ≥ 1,20 g/L or maternal post-prandial capillary blood glucose is ≥ 2,00 g/L. Insulin administered to patients either by subcutaneous injections or by pump. Other: insulin therapy Outcome Measures Go to Primary Outcome Measures : Birth

2015 Clinical Trials

166. Fetal Growth and Neurodevelopmental Outcome in Congenital Heart Disease. Full Text available with Trip Pro

Fetal Growth and Neurodevelopmental Outcome in Congenital Heart Disease. We evaluated differences in growth between fetuses with and without congenital heart disease (CHD) and tested associations between growth and early childhood neurodevelopment (ND). In this prospective cohort study, fetuses with hypoplastic left heart syndrome (HLHS), transposition of the great arteries (TGA), and tetralogy of Fallot (TOF) and controls had biparietal diameter (BPD), head (HC) and abdominal circumference (AC (...) at F2 predicted Language score (B = 127, P = 0.03, R (2) = 0.12). Differences in growth between CHD fetuses and controls can be measured early in pregnancy. In CHD fetuses, larger abdominal relative to head circumference is associated with better 18-month neurodevelopment.

2015 Pediatric Cardiology

167. Prediction of small for gestational age neonates: Screening by fetal biometry at 35-37 weeks. Full Text available with Trip Pro

. 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.Multivariable logistic regression analysis demonstrated that the likelihood of delivering a SGA neonate with a birth weight < 5th percentile decreased with maternal weight and height, and in parous (...) Prediction of small for gestational age neonates: Screening by fetal biometry at 35-37 weeks. To investigate the value of fetal biometry at 35-37 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 singleton pregnancies at 35-37 weeks' gestation, comprising 278 that delivered SGA neonates with a birth weight < 5th percentile and 5237 cases unaffected by SGA, PE or gestational hypertension

2015 Ultrasound in Obstetrics and Gynecology

168. Prediction of small for gestational age neonates: screening by fetal biometry at 19-24 weeks. Full Text available with Trip Pro

%) that delivered SGA neonates with birth weight < 5(th) percentile (SGA < 5(th)). Multivariable logistic regression analysis was used to determine if screening by a combination of maternal characteristics and medical history and Z-scores of fetal head circumference (HC), abdominal circumference (AC) and femur length (FL) had significant contribution in predicting SGA neonates. A model was developed for selecting the gestational age for third-trimester assessment, at 32 and/or 36 weeks, based on the results (...) Prediction of small for gestational age neonates: screening by fetal biometry at 19-24 weeks. To investigate the value of fetal biometry at 19-24 weeks' gestation in the prediction of delivery of small-for-gestational-age (SGA) neonates, in the absence of pre-eclampsia (PE), and examine the potential value of such assessment in deciding whether the third-trimester scan should be at 32 and/or 36 weeks' gestation.This was a screening study in 88,187 singleton pregnancies, including 5003 (5.7

2015 Ultrasound in Obstetrics and Gynecology

169. The association of fetal growth, cerebral blood flow, and neurodevelopmental outcome in single ventricle fetuses. Full Text available with Trip Pro

a subset of 82 infants in whom ND was assessed at 14 months using mental (MDI) and psychomotor (PDI) developmental indices. US examinations were assigned to one of four gestational time periods: (1) 20-23 weeks, (2) 24-29 weeks, (3) 30-33 weeks and (4) ≥ 34 weeks. Middle cerebral artery (MCA) flow velocity was measured and pulsatility index (PI), a measure of downstream resistance, was calculated. Data on fetal head circumference (HC), femur length, abdominal circumference (AC) and estimated fetal (...) The association of fetal growth, cerebral blood flow, and neurodevelopmental outcome in single ventricle fetuses. To investigate the association of fetal growth and cerebrovascular resistance at different periods in gestation with neurodevelopment (ND) at 14 months in the univentricular subject.We reviewed serial prenatal ultrasound (US) examinations from 133 infants enrolled in the Pediatric Heart Network's Single Ventricle Reconstruction or Infants with Single Ventricle trials, including

2015 Ultrasound in Obstetrics and Gynecology

170. Fetal growth trajectory and risk for eczema in a Saudi population. (Abstract)

Fetal growth trajectory and risk for eczema in a Saudi population. Recent studies in Western cohorts have identified associations between increasing fetal abdominal circumference (AC) during mid-pregnancy and increased risk for eczema and atopy. We sought to replicate these findings in a Saudi population where antenatal environmental exposures are different compared with Western countries.A Saudi birth cohort was recruited to relate maternal dietary intake and fetal growth to wheeze, eczema (...) relationship between change in abdominal circumference between the second and third trimesters for eczema (OR 0.66 per z score increase in AC [95% CI 0.49, 0.89]), and the quartile with the greatest faltering growth were at increased risk compared with other groups (p ≤ 0.045). Change in fetal size between the third trimester and birth was not associated with altered eczema risk. There were no associations between fetal growth and wheeze at the age of 2 yrs.Our findings contrast observations made

2015 Pediatric Allergy and Immunology

171. Sex differences in the association between foetal growth and child attention at age four: specific vulnerability of girls. (Abstract)

there are higher rates of perinatal problems. This study aimed to test for sex differences in the association between foetal growth indices and attention problems at age four, in a large, prospective birth cohort from a middle-income country.A total of 3,749 neonates from the 2004 Pelotas birth cohort (Brazil) with foetal growth indices collected at birth [low birthweight (LBW), small-for-gestational age (SGA), head circumference (HC), head circumference-to-abdominal circumference ratio (HC/AC) and ponderal (...) Sex differences in the association between foetal growth and child attention at age four: specific vulnerability of girls. Recent evidence suggests that impaired foetal growth may provide an early indication of increased risk of child attention problems. However, despite both foetal growth and child attention problems differing by sex, few studies have examined sex differences in this association. Furthermore, no studies have been conducted in low- and middle-income countries, where

2015 Journal of Child Psychology and Psychiatry

172. Fetal sonographic characteristics associated with shoulder dystocia in pregnancies of women with type 1 diabetes. (Abstract)

of women was comparable [6.1% (range 5.5-6.9) vs. 6.0% (range 4.7-8.4, P = 0.30)]. Fetal biometry at 36 weeks showed a higher estimated fetal weight of 3597 g (range 3051-4069) vs. 2989 g (range 2165-4025), P < 0.001, corresponding to 20% (4-41%) vs. 5% (-20 to 44%) above the mean estimated fetal weight for gestational age (P = 0.002) and a greater abdominal circumference SD score of 2.51 (range 1.56-4.20) vs. 1.33 (range -1.08 to 4.25), P = 0.001). Head circumference was comparable. Vacuum extraction (...) was more frequent during deliveries with shoulder dystocia (58 vs. 17%, P = 0.005). Seven (58%) newborns with shoulder dystocia had brachial plexus injuries, fractures, intra-abdominal bleeding or needed resuscitation.Excessive estimated fetal weight and abdominal circumference at 36 weeks' sonographic examination may help in identifying diabetic women at high risk of later shoulder dystocia.© 2015 Nordic Federation of Societies of Obstetrics and Gynecology.

2015 Acta Obstetricia et Gynecologica Scandinavica

173. Isolated Short Fetal Femur Length in the Second Trimester and the Association with Adverse Perinatal Outcome: Experiences from a Tertiary Referral Center Full Text available with Trip Pro

the 5th percentile in a fetus with an abdominal circumference greater than the 10th percentile. Cases of aneuploidy, skeletal dysplasia and major anomalies were excluded. Primary outcomes of interest included the risk of small for gestational age neonates, low birth weight and preterm birth (PTB). Secondary outcome parameters were a 5-min Apgar score less than 7 and a neonatal intensive care unit admission. A control group of 200 fetuses with FL ≥ 5th percentile was used to compare primary (...) Isolated Short Fetal Femur Length in the Second Trimester and the Association with Adverse Perinatal Outcome: Experiences from a Tertiary Referral Center To determine the association between isolated mid-trimester short fetal femur length and adverse perinatal outcome.This is a retrospective cohort study of patients with singleton gestations routinely assessed by second trimester ultrasound examination during 2006-2013. A fetal isolated short femur was defined as a femur length (FL) below

2015 PloS one

174. A Preliminary Study of Three-dimensional Sonographic Measurements of the Fetus Full Text available with Trip Pro

measuring the biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), and femur diaphysis length (FL). Volume estimates were computed utilizing Virtual Organ Computer-aided AnaLysis (VOCAL), and the correlation between measured volumes and actual neonatal weight was calculated.Overall, this longitudinal study consisted of 110 patients between 28 and 41 weeks' gestation. Normal values were computed for the fetal abdomen and head volume throughout the third trimester. Ultrasound (...) estimation of fetal weight. The purpose of this phase was to establish normal values for the fetal abdominal and head volumes throughout the third trimester. Phase II was a prospective study that included patients admitted for an elective cesarean section or for induction of labor between 38 and 41 weeks' gestation (n=91). This phase of the study compared the actual birth weight to two- (2D) and three-dimensional (3D) measurements of the fetus. Conventional 2D ultrasound fetal biometry was performed

2015 Rambam Maimonides medical journal

175. Disproportionate Fetal Growth and the Risk for Congenital Cerebral Palsy in Singleton Births Full Text available with Trip Pro

Disproportionate Fetal Growth and the Risk for Congenital Cerebral Palsy in Singleton Births To investigate the association between proportionality of fetal and placental growth measured at birth and the risk for congenital cerebral palsy (CP).We identified all live-born singletons born in Denmark between 1995 and 2003 and followed them from 1 year of age until December 31st, 2008. Information on four indices of fetal growth: ponderal index, head circumference/ abdominal circumference ratio (...) . Head/ abdominal circumference ratio (aHR:1.12; 95%CI:1.07-1.16) and cephalization index (aHR:1.14; 95%CI:1.11-1.16) were associated with the risk of CP irrespective of gestational age. Birth weight-placental weight ratio was also associated with CP in the entire cohort (aHR:0.90; 95%CI:0.83-0.97). Ponderal index had a u-shaped association with CP, where both children with low and high ponderal index were at higher risk of CP.CP is associated with disproportions between birth weight, birth length

2015 PloS one

176. PRETERM BIRTH AND FETAL GROWTH RESTRICTION IN HIV-INFECTED BRAZILIAN PREGNANT WOMEN Full Text available with Trip Pro

, antiretroviral users, publicly assisted, HIV-infected women and to verify its relation to the HIV infection stage.Out of 250 deliveries from HIV-infected mothers that delivered at a tertiary public university hospital in the city of Vitória, state of Espírito Santo, Southeastern Brazil, from November 2001 to May 2012, 74 single pregnancies were selected for study, with ultrasound validated gestational age (GA) and data on birth dimensions: fetal weight (FW), birth length (BL), head and abdominal (...) circumferences (HC, AC). The data were extracted from clinical and pathological records, and the outcomes summarized as proportions of preterm birth (PTB, < 37 weeks), low birth weight (LBW, < 2500 g) and small (SGA), adequate (AGA) and large (LGA) for GA, defined as having a value below, between or beyond the ± 1.28 z/GA score, the usual clinical cut-off to demarcate the 10th and 90th percentiles.PTB was observed in 17.5%, LBW in 20.2% and SGA FW, BL, HC and AC in 16.2%, 19.1%, 13.8%, and 17.4% respectively

2015 Revista do Instituto de Medicina Tropical de São Paulo

177. Head Circumference

Head Circumference Head Circumference 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 Head Circumference Head Circumference Aka: Head (...) Circumference , Microcephaly , Microcephalic Infant , Macrocephaly , Macrocephalic Infant II. Exam: Head Size Measurement Normal term newborn Head Circumference: 33 to 38 cm Technique Measuring tape around frontal forehead and occiput Take largest of several measurements III. Causes: Macrocephaly Familial with inheritance Other conditions (skeletal dysplasia) Sotos' Syndrome ( ) Alexander's Disease Canavan's Disease Gangliosidoses Glutaric aciduria Type I Type I IV. Causes: Microcephaly Familial Trisomy 13

2015 FP Notebook

178. MAIN STUDY: Low Glycaemic Index (GI) Diet in the Management of GDM SUB-STUDY: The Breast Milk Sub-Study

to give informed consent willing and able to comply with the study protocol Exclusion Criteria: Women: with acute or chronic illness other than GDM or IGTP or use of drug (other than insulin) which may affect carbohydrate metabolism, gastrointestinal function or carbohydrate digestion (i.e. crohn's disease, HIV/AIDS, liver disease, kidney disease etc.). known to have type 1 or type 2 DM prior to pregnancy known multi-fetal pregnancy at enrolment ≥ 33 weeks' gestation prescribed oral anti (...) , head circumference, abdominal circumference, and femur length) from baseline to delivery. MAIN STUDY: Maternal height at baseline [ Time Frame: Baseline ] Maternal height at baseline MAIN STUDY: Maternal medical history [ Time Frame: Baseline ] Maternal medical history MAIN STUDY: Maternal medical complications from baseline to 6-8 weeks post-partum [ Time Frame: Baseline to 6-8 weeks after delivery ] Incidence and type of maternal medical complications from baseline to 6-8 weeks post-partum MAIN

2012 Clinical Trials

179. Gastrointestinal Tolerance of Infant Formula

. Exclusion Criteria: Adverse maternal, fetal or infant medical history that effects tolerance, growth, and/or development. Infants using medications, home remedies, herbal preparations, probiotics or rehydration fluids that might affect GI tolerance. Mother intends to use a combination of breast and formula feeding. Participation in another study that has not been approved as a concomitant study by AN. Contacts and Locations Go to Information from the National Library of Medicine To learn more about (...) Gastrointestinal Tolerance of Infant Formula Gastrointestinal Tolerance of Infant Formula - 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. Gastrointestinal Tolerance of Infant Formula The safety

2014 Clinical Trials

180. Growth assessment in diagnosis of Fetal Growth Restriction. Review Full Text available with Trip Pro

fetus that does not require special surveillance and the truly growth restricted fetus who is predisposed to perinatal complications, even if its parameters are above the cut-off limits established. In this article, we present the clinical tools of fetal growth assessment: Symphyseal-Fundal Height (SFH) measurement, the fetal ultrasound parameters widely taken into consideration when discussing fetal growth: Abdominal Circumference (AC) and Estimated Fetal Weight (EFW); several types of growth (...) Growth assessment in diagnosis of Fetal Growth Restriction. Review The assessment of fetal growth represents a fundamental step towards the identification of the true growth restricted fetus that is associated to important perinatal morbidity and mortality. The possible ways of detecting abnormal fetal growth are taken into consideration in this review and their strong and weak points are discussed. An important debate still remains about how to discriminate between the physiologically small

2014 Journal of medicine and life

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