Predictors of perinatal outcome in early-onset fetal growth restriction: A study from an emerging economy country.

Abstract:

OBJECTIVE:To identify antenatal predictors of adverse perinatal outcomes in a population of preterm fetuses with early placental insufficiency diagnosed by Doppler abnormalities. METHOD:In this cross-sectional study of a cohort of singleton pregnant women diagnosed with early placental insufficiency, relationships between perinatal variables (arterial and venous Doppler, gestational age, birth weight, oligohydramnios, estimated fetal weight, and fetal weight z-scores) and major neonatal complications were analyzed by logistic regression. RESULTS:Two hundred sixty-five women were delivered, between 24 and 33 weeks gestation. The overall frequency of intact survival was 57.9% (n = 154). Gestational age thresholds for best prediction of survival was 27 + 6 weeks and for intact survival was 29 + 0 weeks gestation. Fetal weight and absent/reversed ductus venosus a-wave were the main predictors of survival in the regression model. When fetal weight was substituted for fetal weight z-score, ductus venosus abnormal Doppler predicted mortality and absent or reversed umbilical artery diastolic velocities predicted intact survival. CONCLUSIONS:This study illustrates the impact of gestational age and fetal weight on perinatal outcomes in early placental insufficiency, with well-defined thresholds. Gestational age and fetal weight, or a combination of fetal weight z-scores and fetal Doppler parameters, were the best predictors of intact survival in our sample.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Baião AER,de Carvalho PRN,Moreira MEL,de Sá RAM,Junior SCG

doi

10.1002/pd.5596

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

373-379

issue

3

eissn

0197-3851

issn

1097-0223

journal_volume

40

pub_type

杂志文章
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    更新日期:1996-12-01 00:00:00

  • Normal and abnormal fetal cardiac anatomy.

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  • Identification of universal mRNA markers for noninvasive prenatal screening of trisomies.

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    authors: Picchiassi E,Coata G,Centra M,Pennacchi L,Bini V,Di Renzo GC

    更新日期:2010-08-01 00:00:00

  • Amniotic fluid microvillar enzyme activities in the early detection of fetal abnormalities.

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    doi:10.1002/pd.1970040405

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    更新日期:1984-07-01 00:00:00

  • Prenatal tests for Sanfilippo disease type B in four pregnancies.

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    pub_type: 杂志文章

    doi:10.1002/pd.1970030412

    authors: Mossman J,Young EP,Patrick AD,Fensom AH,Ellis M,Benson PF,Der Kaloustian VM

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  • Cytogenetic diagnoses after chorionic villus sampling are less reliable in very-high-or very-low-risk pregnancies.

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1970131007

    authors: Kennerknecht I,Barbi G,Wolf M,Djalali M,Grab D,Terinde R,Vogel W

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  • Fetal pyelectasis: comparison of postnatal renal pathology with unilateral and bilateral pyelectasis.

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    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0223(199705)17:5<451::aid-pd83>

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    更新日期:1997-05-01 00:00:00

  • QF-PCR: application, overview and review of the literature.

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    pub_type: 杂志文章,评审

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    authors: Mann K,Ogilvie CM

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  • Left ventricular obstruction with restrictive inter-atrial communication leads to retardation in fetal lung maturation.

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    pub_type: 杂志文章

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    authors: Goltz D,Lunkenheimer JM,Abedini M,Herberg U,Berg C,Gembruch U,Fischer HP

    更新日期:2015-05-01 00:00:00

  • The predictive value of cytogenetic diagnosis after CVS: 1500 cases.

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    pub_type: 杂志文章

    doi:10.1002/pd.1970100206

    authors: Breed AS,Mantingh A,Beekhuis JR,Kloosterman MD,ten Bolscher H,Anders GJ

    更新日期:1990-02-01 00:00:00

  • Fetal brain injury in complicated monochorionic pregnancies: diagnostic yield of prenatal MRI following surveillance ultrasound and influence on prognostic counselling.

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  • Complex mosaicism associated with trisomy 9.

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    pub_type: 杂志文章

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    authors: Smoleniec JS,Davies T,Lunt P,Berry PJ,James D

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  • Diagnostic accuracy of random massively parallel sequencing for non-invasive prenatal detection of common autosomal aneuploidies: a collaborative study in Europe.

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    doi:10.1002/pd.4278

    authors: Stumm M,Entezami M,Haug K,Blank C,Wüstemann M,Schulze B,Raabe-Meyer G,Hempel M,Schelling M,Ostermayer E,Langer-Freitag S,Burkhardt T,Zimmermann R,Schleicher T,Weil B,Schöck U,Smerdka P,Grömminger S,Kumar Y,Hofmann W

    更新日期:2014-02-01 00:00:00

  • Prenatal cytogenetic results from cases referred for 44 different types of abnormal ultrasound findings.

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    pub_type: 杂志文章

    doi:

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    pub_type: 杂志文章

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    authors: Bigi N,Faure JM,Coubes C,Puechberty J,Lefort G,Sarda P,Blanchet P

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