Prenatal prediction of lethal pulmonary hypoplasia using ultrasonic fetal chest circumference.

Abstract:

:Ultrasonic measurement of fetal chest circumference was tested as a predictor of pulmonary hypoplasia in a group of 26 fetuses at known risk. A 42% prevalence of autopsy-proved pulmonary hypoplasia was found in this population. Chest circumference measurements were plotted on published nomograms based upon head circumference, femur length, and gestational age. Longitudinal observations revealed a progressive lag in chest circumference growth among fetuses who proved to have pulmonary hypoplasia. The nomogram based on femur length provided sensitivity, specificity, and normal and abnormal predictive values of 80, 92, 92, and 89%, respectively. The results of this investigation suggest that fetal chest circumference measurement is a useful adjunct in establishing the diagnosis of lethal pulmonary hypoplasia.

journal_name

Obstet Gynecol

authors

Songster GS,Gray DL,Crane JP

subject

Has Abstract

pub_date

1989-02-01 00:00:00

pages

261-6

issue

2

eissn

0029-7844

issn

1873-233X

journal_volume

73

pub_type

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