Detection of fetal growth restriction with preterm severe preeclampsia: experience at two tertiary centers.

Abstract:

:Our objective was to determine if sonographic estimate of fetal weight (SEFW) can identify fetal growth restriction (FGR; birthweight < 10% for gestational age [GA]) among patients with preterm (28 to 32 weeks) severe preeclampsia (P SPE). At two centers, all singletons with reliable GA, P SPE, and SEFW within 3 weeks of birth were identified retrospectively. Intrauterine growth restriction was SEFW < or = 10% for GA. Likelihood ratio (LR) and guidelines by an Evidence-Based Medicine Working Group were used. At the two centers, IUGR was suspected in 20% (4 of 20) and 28% (5 of 18) of P SPE, and FGR was noted in 35% and 44%. At one center, suspected intrauterine growth restriction (IUGR) was associated with actual FGR in 50% of the cases and at center II, in 80%. The LR for IUGR to identify FGR was 3.0. We concluded that SEFW is not a useful diagnostic test in identifying FGR among patients with preterm SPE.

journal_name

Am J Perinatol

authors

Gupta LM,Gaston L,Chauhan SP

doi

10.1055/s-2008-1075034

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

247-9

issue

4

eissn

0735-1631

issn

1098-8785

journal_volume

25

pub_type

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