RELIABILITY OF ULTRASONOGRAPHIC FORMULARY IN THE PREDICTION OF FETAL WEIGHT AND SURVIVAL OF VERY-LOW-BIRTH-WEIGHT INFANTS

被引:12
作者
MILLS, MD [1 ]
NAGEOTTE, MP [1 ]
ELLIOTT, JP [1 ]
CRADE, M [1 ]
DORCHESTER, W [1 ]
机构
[1] MEM HOSP MED CTR LONG BEACH,DEPT MATERNAL FETAL MED,LONG BEACH,CA 90801
关键词
gestational age versus ultrasonographically estimated fetal weight; ultrasonographically estimated fetal weight; Very-low-birth-weight infant survival;
D O I
10.1016/0002-9378(90)90629-L
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Antenatal management of very-low-birth-weight infants often requires difficult obstetrics decisions. This study was designed to evaluate the predictive value for neonatal outcome of antenatally acquired estimation of gestational age and ultrasonographically estimated fetal weight or a combination of both in very-low-birth-weight infants. Sixty-seven fetuses with estimated gestational ages between 22 0 7, and 28 6 7 weeks were studied ultrasonographically to estimate fetal weight. A comparison of accuracy of estimated fetal weight with actual birth weight showed good correlation (r = 0.93). Neonatal outcome of these infants was analyzed by estimated gestational age and estimated fetal weight. Estimated gestational age and estimated fetal weight >25 weeks and >750 gm were associated with 50% survival, respectively. However, when both of these conditions were met survival reached 85%. This information may be useful to guide antepartum management decisions in this very-low-birth-weight group. © 1990.
引用
收藏
页码:1568 / 1574
页数:7
相关论文
共 22 条
[1]   OBSTETRIC VARIABLES PREDICTING SURVIVAL OF THE IMMATURE NEWBORN (LESS-THAN-OR-EQUAL-TO-1000 GM) - A 5-YEAR EXPERIENCE AT A SINGLE PERINATAL CENTER [J].
AMON, E ;
SIBAI, BM ;
ANDERSON, GD ;
MABIE, WC .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1987, 156 (06) :1380-1389
[2]   ULTRASOUND MEASUREMENT OF FETAL HEAD TO ABDOMEN CIRCUMFERENCE RATIO IN ASSESSMENT OF GROWTH RETARDATION [J].
CAMPBELL, S ;
THOMS, A .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1977, 84 (03) :165-174
[3]   A COMPARISON OF SONOGRAPHIC ESTIMATION OF FETAL WEIGHT AND OBSTETRICALLY DETERMINED GESTATIONAL-AGE IN THE PREDICTION OF NEONATAL OUTCOME FOR THE VERY LOW BIRTH-WEIGHT FETUS [J].
CHERVENAK, FA ;
BERKOWITZ, GS ;
THORNTON, J ;
KREISS, C ;
YOUCHA, S ;
EHRENKRANZ, RA ;
HOBBINS, JC ;
BERKOWITZ, RL .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1985, 152 (01) :47-50
[4]   ACCURACY OF ULTRASONIC FETAL WEIGHT PREDICTION IN PRETERM INFANTS [J].
EDEN, RD ;
JELOVSEK, FR ;
KODACK, LD ;
KILLAM, AP ;
GALL, SA .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1983, 147 (01) :43-48
[5]   THE VARIABILITY OF VIABILITY - THE EFFECT OF PHYSICIANS PERCEPTIONS OF VIABILITY ON THE SURVIVAL OF VERY LOW-BIRTH-WEIGHT INFANTS [J].
GOLDENBERG, RL ;
NELSON, KG ;
DYER, RL ;
WAYNE, J .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1982, 143 (06) :678-684
[6]   SURVIVAL OF INFANTS WITH LOW-BIRTH-WEIGHT AND EARLY GESTATIONAL-AGE, 1979 TO 1981 [J].
GOLDENBERG, RL ;
NELSON, KG ;
HALE, CD ;
WAYNE, J ;
BARTOLUCCI, AA ;
KOSKI, J .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1984, 149 (05) :508-511
[7]   HOW SMALL IS TOO SMALL - CONSIDERATIONS IN EVALUATING THE OUTCOME OF THE TINY INFANT [J].
HACK, M ;
FANAROFF, AA .
CLINICS IN PERINATOLOGY, 1988, 15 (04) :773-788
[8]   FETAL FEMUR LENGTH AS A PREDICTOR OF MENSTRUAL AGE - SONOGRAPHICALLY MEASURED [J].
HADLOCK, FP ;
HARRIST, RB ;
DETER, RL ;
PARK, SK .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1982, 138 (05) :875-878
[9]   FETAL BIPARIETAL DIAMETER - RATIONAL CHOICE OF PLANE OF SECTION FOR SONOGRAPHIC MEASUREMENT [J].
HADLOCK, FP ;
DETER, RL ;
HARRIST, RB ;
PARK, SK .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1982, 138 (05) :871-874
[10]  
HADLOCK FP, 1982, J ULTRAS MED, V1, P359