Influência do controle glicêmico no potencial de crescimento fetal em pacientes com diabetes melito gestacional

Trindade, Thatianne Coutheux

doi:10.11606/d.5.2012.tde-14012013-160501

Cited by 1 publication

(1 citation statement)

References 26 publications

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“… 9 Abdominal circumference is considered the earliest and, therefore, the most sensitive parameter in the evaluation of fetal macrosomia, reflecting liver growth abnormalities. 10 Estimated fetal weight is an indirect measurement calculated with formulas that use multiple biometric parameters, and it is subject to a higher percentage of errors. 11 Detecting fetal growth abnormalities is very important for therapeutic decisions, both to correct predisposing factors and to predict the type and moment of delivery.…”

Section: Introductionmentioning

confidence: 99%

Agreement Analysis between Sonographic Estimates and Birth Weight, by the WHO and Intergrowth-21st Tables, in Newborns of Diabetic Mothers

Souza

Fróes

Cortêz

et al. 2021

Rev Bras Ginecol Obstet

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Objective To analyze the agreement, in relation to the 90th percentile, of ultrasound measurements of abdominal circumference (AC) and estimated fetal weight (EFW), between the World Health Organization (WHO) and the International Fetal and Newborn Growth Consortium for the 21st Century (intergrowth-21st) tables, as well as regarding birth weight in fetuses/newborns of diabetic mothers. Methods Retrospective study with data from medical records of 171 diabetic pregnant women, single pregnancies, followed between January 2017 and June 2018. Abdominal circumference and EFW data at admission (from 22 weeks) and predelivery (up to 3 weeks) were analyzed. These measures were classified in relation to the 90th percentile. The Kappa coefficient was used to analyze the agreement of these ultrasound variables between the WHO and intergrowth-21st tables, as well as, by reference table, these measurements and birth weight. Results The WHO study reported 21.6% large-for-gestational-age (LGA) newborns while the intergrowth-21st reported 32.2%. Both tables had strong concordances in the assessment of initial AC, final AC, and initial EFW (Kappa = 0.66, 0.72 and 0.63, respectively) and almost perfect concordance in relation to final EFW (Kappa = 0.91). Regarding birth weight, the best concordances were found for initial AC (WHO: Kappa = 0.35; intergrowth-21st: Kappa = 0.42) and with the final EFW (WHO: Kappa = 0.33; intergrowth- 21st: Kappa = 0.35). Conclusion The initial AC and final EFW were the parameters of best agreement regarding birth weight classification. The WHO and intergrowth-21st tables showed high agreement in the classification of ultrasound measurements in relation to the 90th percentile. Studies are needed to confirm whether any of these tables are superior in predicting short- and long-term negative outcomes in the LGA group.

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Section: Introductionmentioning

confidence: 99%

Agreement Analysis between Sonographic Estimates and Birth Weight, by the WHO and Intergrowth-21st Tables, in Newborns of Diabetic Mothers

Souza

Fróes

Cortêz

et al. 2021

Rev Bras Ginecol Obstet

View full text Add to dashboard Cite

show abstract

Influência do controle glicêmico no potencial de crescimento fetal em pacientes com diabetes melito gestacional

Abstract: Trindade, T.C. Influence of glycemic control on fetal growth potential in patients with gestational diabetes. 2012. Dissertação

Cited by 1 publication

References 26 publications

Agreement Analysis between Sonographic Estimates and Birth Weight, by the WHO and Intergrowth-21st Tables, in Newborns of Diabetic Mothers

Agreement Analysis between Sonographic Estimates and Birth Weight, by the WHO and Intergrowth-21st Tables, in Newborns of Diabetic Mothers

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