Second- to Third-Trimester Longitudinal Growth Assessment for the Prediction of Largeness for Gestational Age and Macrosomia in an Unselected Population

Caradeux, Javier; Eixarch, Elisenda; Mazarico, Edurne; Basuki, Tri Rahmat; Gratacós, E.; Figueras, F.

doi:10.1159/000477460

Cited by 9 publications

(9 citation statements)

References 36 publications

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“…Our finding that the addition of growth velocity between 32 and 36 weeks' gestation did not improve the prediction of a LGA neonate provided by EFW at 36 weeks alone is consistent with the results of a study that examined 3440 pregnancies and reported that serial fetal biometry did not improve the prediction of a LGA neonate provided by the last EFW before delivery alone, and of another study that examined 2696 pregnancies and reported that AC growth velocity between 22 and 32 weeks did not improve the prediction of a LGA neonate provided by AC at 32 weeks. Similarly, in previous studies, we reported that growth velocity between 22 and 36 weeks and between 32 and 36 weeks did not improve the predictive performance for small‐for‐gestational‐age (SGA) neonates provided by EFW at 36 weeks.…”

Section: Discussionsupporting

confidence: 91%

“…Fourth, on the issue of timing of the third-trimester scan, there is some evidence that the predictive performance of a scan for LGA neonates at 36 weeks' gestation may be superior to that at 32 weeks 14,15 . Fifth, there is uncertainty as to the additive value for prediction of a LGA neonate of fetal growth velocity to the performance of EFW during the late third trimester [16][17][18] .…”

Section: Introductionmentioning

confidence: 99%

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Prediction of large‐for‐gestational‐age neonate by routine third‐trimester ultrasound

Khan

Ciobanu

Karampitsakos

et al. 2019

Ultrasound in Obstet & Gyne

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Objectives First, to evaluate and compare the performance of routine ultrasonographic estimated fetal weight (EFW) and fetal abdominal circumference (AC) at 31 + 0 to 33 + 6 and 35 + 0 to 36 + 6 weeks' gestation in the prediction of a large-for-gestational-age (LGA) neonate born at ≥ 37 weeks' gestation. Second, to assess the additive value of fetal growth velocity between 32 and 36 weeks' gestation to the performance of EFW at 35 + 0 to 36 + 6 weeks' gestation for prediction of a LGA neonate. Third, to define the predictive performance for a LGA neonate of different EFW cutoffs on routine ultrasound examination at 35 + 0 to 36 + 6 weeks' gestation. Fourth, to propose a two-stage strategy for identifying pregnancies with a LGA fetus that may benefit from iatrogenic delivery during the 38 th gestational week. Methods This was a retrospective study. First, data from 21 989 singleton pregnancies that had undergone routine ultrasound examination at 31 + 0 to 33 + 6 weeks' gestation and 45 847 that had undergone routine ultrasound examination at 35 + 0 to 36 + 6 weeks were used to compare the predictive performance of EFW and AC for a LGA neonate with birth weight > 90 th and > 97 th percentiles born at ≥ 37 weeks' gestation. Second, data from 14 497 singleton pregnancies that had undergone routine ultrasound examination at 35 + 0 to 36 + 6 weeks' gestation and had a previous scan at 30 + 0 to 34+ 6 weeks were used to determine, through multivariable logistic regression analysis, whether addition of growth velocity, defined as the difference in EFW Z-score or AC Z-score between the early and late third-trimester scans divided by the time interval between the scans, improved the performance of EFW at 35

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Prediction of large‐for‐gestational‐age neonate by routine third‐trimester ultrasound

Khan

Ciobanu

Karampitsakos

et al. 2019

Ultrasound in Obstet & Gyne

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“…Our results are not in concordance with Blue, who observed that after the 24 th week of gestation AC measurement has no advantage in the LGA risk assessment in fetuses with estimated overgrowth [14]. Caradeux has not confirmed the effectiveness of longitudinal growth assessment as a better method to detect excessive growth compared to standard biometric measurements [15]. In our opinion although fetal weight estimation is still imperfect there is no better way, as longitudinal observations to diagnose hypertrophy among fetuses.…”

Section: Discussioncontrasting

confidence: 96%

Fetal growth trajectory in type 1 pregestational diabetes (PGDM) — an ultrasound study

et al. 2021

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Objectives: Growth disorders are frequent in diabetic pregnancies. However, they are difficult to predict and capture early during pregnancy. These newborns are at risk of obesity, diabetes, and cardiovascular disease. While developing, fetal growth abnormalities are typically progressive. Therefore, capturing the earliest moment when they emerge is essential to guide subsequent obstetric management. Material and methods: We aimed to analyze fetal ultrasound growth trajectories in type 1 diabetics. Moreover, we aimed to establish time points when first ultrasound manifestations of fetal growth abnormalities appear and to identify factors that affect fetal growth in women with diabetes. We collected clinical and ultrasound data from 200 patients with PGDM managed in the third-referential centre for diabetes in pregnancy. During every visit, patients underwent an ultrasound examination according to a standard protocol giving 1072 ultrasound scan's records. Every ultrasound consisted of fetal weight estimation, according to the Hadlock 3 formula. Retrospectively patients were divided into three groups depending on neonatal weight. In the group of 200 patients, 60 (30%) delivered LGA and 9 (4.5%) SGA newborns. Results: Fetal growth trajectories show different patterns among fetuses with growth abnormalities in women with type 1 diabetes. The moment, when fetal growth curves diverge, seems to take place in the second trimester, just after the 23 rd week of gestation. Conclusions: It suggests that fetal growth abnormalities in type 1 diabetes may have its roots much earlier than expected. In the first trimester, there were differences in LDL-cholesterol, total cholesterol, triglyceride levels and in insulin requirements between AGA, SGA and LGA subgroups.

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“…These findings are in line with a recent definition of late FGR by 56 participating experts 63 , which considered a decline of more than two quartiles in a growth chart to be a criterion for late FGR. Previous studies have demonstrated that a decline in fetal growth velocity is a major determinant of adverse perinatal outcome both in SGA 31,34,53 and appropriately grown 64–67 fetuses. According to Chatzakis et al 67 ,.…”

Section: Discussionmentioning

confidence: 99%

Reduced fetal growth velocity precedes antepartum fetal death

Pacora

Romero

Jung

et al. 2021

Ultrasound in Obstet & Gyne

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What are the novel findings of this work?Pregnancies that resulted in antepartum fetal death had significantly lower growth velocities of fetal head circumference, biparietal diameter, abdominal circumference, femur length and estimated fetal weight (EFW) compared to pregnancies that delivered a liveborn neonate, according to the Perinatology Research Branch/Eunice Kennedy Shriver National Institute of Child Health and Human Development (PRB/NICHD) and the Hadlock fetal growth standards. What are the clinical implications of this work?Assessment of fetal growth velocity doubles the detection rate of antepartum fetal death compared to a single EFW measurement at the last available ultrasound scan before diagnosis of demise. Fetuses with EFW growth velocity < 10 th percentile value of pregnancies with a live birth had a 9.4-fold and 11.2-fold increased risk of antepartum death, based on the Hadlock and PRB/NICHD growth standards, respectively.

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Second- to Third-Trimester Longitudinal Growth Assessment for the Prediction of Largeness for Gestational Age and Macrosomia in an Unselected Population

Cited by 9 publications

References 36 publications

Prediction of large‐for‐gestational‐age neonate by routine third‐trimester ultrasound

Prediction of large‐for‐gestational‐age neonate by routine third‐trimester ultrasound

Fetal growth trajectory in type 1 pregestational diabetes (PGDM) — an ultrasound study

Reduced fetal growth velocity precedes antepartum fetal death

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