A Comparative Study of Gravidogram and Ultrasound in Detection of IUGR

Pillay, P.; Janaki, S.; Manjila, Cecy

doi:10.1007/s13224-012-0292-z

Cited by 5 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Present study is comparable to the study conducted by Pillay P et al who in their study found that detection of IUGR by USG had a sensitivity of 85.2%, specificity of 96.6% and PPV of 83.6% and NPV of 97%. 8 Present study was contrary to that of Baschat and Weiner. 13 In their study, they showed that low abdominal circumference percentile had the highest sensitivity (98.1%) for diagnosing IUGR.…”

Section: Discussioncontrasting

confidence: 99%

“…Pillay P et al in their comparative study of Gravidogram and USG in diagnosing IUGR found that when both these modalities were used together, it reduced the sensitivity to 31.4% but increased the specificity to 98.8%, PPV to 92.5% and NPV to 98%. 8 Pearce JM et al in their comparative study of SFH and USG also concluded that screening from both the tests improved the sensitivity to 93%, reduced specificity to 67% and had a PPV of 32%. 14 The study reflected following facts:…”

Section: Discussionmentioning

confidence: 98%

“…7 Pillay P et al, found that the sensitivity of the Gravidogram was 74.1%, specificity was 95.9%, PPV was 78.4% and NPV was 94.8%. 8 Mc Dermott et al, estimated the average sensitivity of detecting IUGR using SFH to be 65% with a false positive rate of 50%. 9 Jenson et al showed that SFH identified only 40 % cases of IUGR.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Validity of clinical and sonographic diagnosis of IUGR: a comparative study

Marhatta

Kaul

2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: IUGR refers to a condition in which a fetus is unable to grow to its genetically predetermined potential size. It is the major cause of perinatal morbidity and mortality in developing countries. The present study was conducted to compare the validity of clinical diagnosis against sonographic diagnosis of IUGR. Methods: This study was conducted in the department of Obstetrics and Gynaecology, SMGS Hospital, Jammu from Octobar 2013 to September 2014. It included 247 women with singleton pregnancies with longitudinal lie. They underwent serial clinical assessment using SFH, AG and weight gain along with Ultrasound and Doppler of Umbilical & Middle cerebral artery. Birth weight of newborns was measured at delivery and was thereafter correlated with clinical and sonographic diagnosis; to access their validity. Results: Sensitivity of SFH in detecting IUGR was 71.4% against 75.7% by Ultrasound and was highest with Doppler of 82.9%. Specificity was 43.6% by SFH, 64.3% by Ultrasound and 86.2% by Doppler. Doppler also had the highest NPV of 92.6% against 79.1% by SFH and 86.8% by Ultrasound. The combination of clinical and ultrasound diagnosis increased the sensitivity to 95.2% and NPV to 95.91%. However, the combination of clinical and Doppler assessments did not significantly change the outcome. Conclusions: Doppler is the single best investigation available for diagnosing IUGR with a high specificity and NPV. However, importance of clinical diagnosis cannot be overlooked, especially in a developing country with limited resources like ours. In the absence of Doppler combined clinical and Ultrasound assessment should be considered.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Validity of clinical and sonographic diagnosis of IUGR: a comparative study

Marhatta

Kaul

2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…Incidence of low birth weight babies is 16.8% in some studies in India. 15 Primiparity is an independent risk factor for intrauterine growth restriction. 16 This coincides with our present study analysis where most pregnant women with IUGR were primigravidae (72%).…”

Section: Discussionmentioning

confidence: 99%

Analysis of fetal growth restriction in pregnancy in subjects attending in an obstetric clinic of a tertiary care teaching hospital

Seal

Dasgupta

Sengupta

et al. 2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Intrauterine growth restriction (IUGR) is defined as fetal growth less than the normal growth potential of a specific infant because of genetic or environmental factors. Fetal growth restriction or intrauterine growth restriction is one of the leading causes of perinatal mortality and morbidity in newborns. Fetal growth restriction is a complex multifactorial condition resulting from several fetal and maternal disorders. Objective of present study was to find out incidence of IUGR and assessment and evaluation of different important changes in IUGR.Methods: Women who attended the Obstetric OPD in their 1st trimester of pregnancy and those who were thought would be able to visit the antenatal clinic for their fortnightly check-up regularly were screened for intrauterine foetal growth retardation. Women with irregular and uncertain menstrual history and where the 1st trimester USG foetal crown rump length did not corroborate with the menstrual gestational age were excluded from this study.Results: Incidence of IUGR was 18.2% and 84% were found to be asymmetrical. IUGR was found to be double among primigravids and women above 30 years. It had been observed that IUGR was associated with certain conditions like short stature (52%), pregnancy induced hypertension (24%) and anaemia (12%).Conclusions: Thus, early USG screening along with robust screening for maternal BMI, nutritional status, and anaemia can assist the obstetric team in providing early diagnosis, prompt intervention, and better outcome in pregnancy with fetal growth restriction.

show abstract

“…Though in our study, the incidence of preterm labour was significantly more than controls (7.6% vs. 1.1%), it is not appreciably more than the general incidence of preterm labour (11.1%) [16]. The reported national incidences of hypertensive disorders of pregnancy (10.08%) [17], Gestational Diabetes (13.4%) [18], Anemia complicating pregnancy (50%) [19], placenta previa (1.01%) [20], IUGR (16.8%) [21], Low Birth Weight (20%) [22], Birth asphyxia (6%) [23], are relatively higher, compared to the statistics in maternal subclinical hypothyroidism, meaning that subclinical hypothyroidism with normal free T3 and T4 levels may not significantly contribute to the incidence of above-mentioned complications.…”

Section: Discussionmentioning

confidence: 99%

Subclinical Hypothyroidism in Pregnancy; Is There a Need for Pharmacological Intervention?

Hebbar

Kumar

Amin

et al. 2017

Int J Pharm Pharm Sci

View full text Add to dashboard Cite

Objective: To find the prevalence of subclinical hypothyroidism in the first trimester of pregnancy and to compare the maternal and perinatal outcome in them with euthyroid mothers.Methods: The present study was a prospective observational case-control study done in a tertiary hospital over the period of one and half years. Pregnant women in the first trimester of pregnancy were tested for Thyroid Stimulating Hormone (TSH) levels and those who had TSH>2.5mIU/l, free T3 and free T4 estimation was carried out on the same sample. A total of 171 women could be followed up till delivery and their first-trimester thyroid profile was available for analysis. They were grouped into two groups, Group 1: all women with TSH level>2.5 mIU/l, considered to be hypothyroid (n=79), Group 2: women with euthyroid status with TSH levels 0.1 to 2.5 mIU/l (n=95). All the neonates delivered in the first group had cord blood TSH estimation.Results: In the study period, there were 2632 deliveries. The number of pregnant women with first trimester TSH levels>2.5 mIU/l were 79, giving the prevalence rate of 3 % for subclinical hypothyroidism during pregnancy. The obstetric complications observed were gestational hypertension 3.8%, gestational diabetes 6.3%, placenta praevia1.3% and preterm delivery 7.6%. The perinatal complications included Intrauterine growth restriction (IUGR) 1.3%, Low Birth Weight (LBW) 3.8%, perinatal asphyxia 2.5% and neonatal hypothyroidism 1.3%. Only preterm delivery appeared to be significantly associated with subclinical hypothyroidism.Conclusion: The observed complication rates were much similar, in fact, lesser with gestational diabetes, pregnancy hypertension, IUGR, LBW compared to global and Indian prevalence rates. This indicates that the cut-off for diagnosing subclinical hypothyroidism should be derived from TSH assays from the local geographic population and should guide the treating physician to establish appropriate TSH ranges where definite therapeutic intervention is required to improve the maternal and foetal outcome.

show abstract

A Comparative Study of Gravidogram and Ultrasound in Detection of IUGR

Cited by 5 publications

References 5 publications

Validity of clinical and sonographic diagnosis of IUGR: a comparative study

Validity of clinical and sonographic diagnosis of IUGR: a comparative study

Analysis of fetal growth restriction in pregnancy in subjects attending in an obstetric clinic of a tertiary care teaching hospital

Subclinical Hypothyroidism in Pregnancy; Is There a Need for Pharmacological Intervention?

Contact Info

Product

Resources

About