干旱区生态环境知识资源中心(Arid): Can Sonographic Fetal Biometry Predict Adverse Perinatal Outcome?

Arid

DOI	10.1055/a-0576-0143
	Can Sonographic Fetal Biometry Predict Adverse Perinatal Outcome?
	Pretscher, Jutta 1; Schwenke, Eva 1; Baier, Friederike 1; Kehl, Sven 1; Schneider, Michael 1; Stumpfe, Florian Matthias 1; Schmid, Matthias 2; Beckmann, MatthiasW.1; Mayr, Andreas 3; Schild, Ralf 4; Faschingbauer, Florian 1
通讯作者	Pretscher, Jutta
来源期刊	ULTRASCHALL IN DER MEDIZIN
ISSN	0172-4614
EISSN	1438-8782
出版年	2019
卷号	40 期号:2 页码:230-236
英文摘要	Objective To evaluate the association of sonographic fetal biometry (sonographic head circumference (soHC), sonographic abdominal circumference (soAC), estimated fetal weight (EFW)) with mode of delivery and adverse perinatal outcome. Methods Singleton pregnancies with a gestational age 37 weeks and an ultrasound examination with complete biometric parameters within 7 days before delivery were retrospectively included. The association between soHC, soAC, EFW and fetal (5-min Apgar <7, pH <7.1, neonatal intensive care unit (NICU) admission, shoulder dystocia (ShD)) and maternal (obstetric intervention (OI): caesarean or vaginal operative delivery, obstetric anal sphincter injury syndrome (OASIS), postpartum hemorrhage (pph)) adverse outcomes were analyzed using univariate and multivariate logistic regression analyses. Results 12396 women were included and 3479 (28.07%) needed an OI. Multivariate analyses demonstrated significant contributions for the prediction of OI by soHC and soAC, whereas EFW did not reach significance. The highest OR was shown for soHC (1087, p<0.001). ShD occurred in 73 (0.59%) of the deliveries. Multivariate analyses showed that significant contributions for the prediction of ShD were provided only by soAC (OR 1460, p=0.007). For the other maternal and neonatal adverse outcome parameters, no significant association with the biometric measurements could be demonstrated in the multivariate analyses. The overall detection rates for the prediction of adverse perinatal outcome by the different biometric parameters and EFW were poor. Conclusion Obstetric management decisions should not be based solely on measurements of biometric parameters or EFW.
英文关键词	ultrasound fetal weight estimation biometric parameters mode of delivery adverse perinatal outcome
类型	Article
语种	英语
国家	Germany
收录类别	SCI-E
WOS记录号	WOS:000466228700009
WOS关键词	HEAD CIRCUMFERENCE ; RISK-FACTORS ; ULTRASOUND EXAMINATION ; QUALITY REQUIREMENTS ; DEGUM ; LABOR ; ASSOCIATION ; DELIVERY ; WEIGHT ; BODY
WOS类目	Acoustics ; Radiology, Nuclear Medicine & Medical Imaging
WOS研究方向	Acoustics ; Radiology, Nuclear Medicine & Medical Imaging
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/219142
作者单位	1.Univ Hosp Erlangen, Obstet & Gynecol, Univ Str 21-23, D-91054 Erlangen, Germany; 2.Univ Bonn, Dept Med Biometry Informat & Epidemiol, Bonn, Germany; 3.Univ Erlangen Nurnberg, Dept Med Informat Biometry & Epidemiol, Erlangen, Germany; 4.Diakovere Krankenhaus gGmbH, Perinatalzentrum Hannover, Dept Obstet & Perinatal Med, Hannover, Germany
推荐引用方式 GB/T 7714	Pretscher, Jutta,Schwenke, Eva,Baier, Friederike,et al. Can Sonographic Fetal Biometry Predict Adverse Perinatal Outcome?[J],2019,40(2):230-236.
APA	Pretscher, Jutta.,Schwenke, Eva.,Baier, Friederike.,Kehl, Sven.,Schneider, Michael.,...&Faschingbauer, Florian.(2019).Can Sonographic Fetal Biometry Predict Adverse Perinatal Outcome?.ULTRASCHALL IN DER MEDIZIN,40(2),230-236.
MLA	Pretscher, Jutta,et al."Can Sonographic Fetal Biometry Predict Adverse Perinatal Outcome?".ULTRASCHALL IN DER MEDIZIN 40.2(2019):230-236.