Antepartum detection of macrosomic fetus: clinical versus sonographic, including soft-tissue measurements.

Abstract:

OBJECTIVE:To compare clinical and sonographic estimates of birth weights with five new estimation techniques that involve measurements of soft tissue, for identifying newborns with birth weights of at least 4000 g. METHODS:Over 1 year, each woman at or after 36 weeks' gestation and suspected of having a macrosomic fetus had clinical and sonographic estimates of fetal weight (EFW) based on femur length (FL) and head and abdominal circumference, followed by five additional ways to identify excessive growth: cheek-to-cheek diameter, thigh soft tissue, ratio of thigh soft tissue to FL, upper arm subcutaneous tissue, and EFW derived from it. Areas (+/- standard error) of receiver operating characteristic (ROC) curves were calculated and compared with the area under the nondiagnostic line. P <.05 was considered statistically significant. RESULTS:Among 100 women recruited, 28 newborns weighed 4000 g or more. The areas under the ROC curves with clinical (0.72 +/- 0.06) and sonographic predictions using biometric characteristics (0.73 +/- 0.06) had the highest but similar accuracies (P.05). Three of the five newer methods (upper arm or thigh subcutaneous tissue and ratio of thigh subcutaneous tissue to FL) were poor diagnostic tests (range of areas under ROC 0.52 +/- 0.06 to 0.58 +/- 0.07). Estimated fetal weight based on upper arm soft tissue thickness and cheek-to-cheek diameter (areas 0.70 +/- 0.06 and 0.67 +/- 0.06, respectively) were not significantly better than clinical predictions (P.05) for detecting macrosomic fetuses. About 110 macrosomic and nonmacrosomic infants combined would be needed to have 80% power to detect a difference between ROC curves with areas of 0.58 (thigh subcutaneous tissue) and 0.72 (clinical estimate). CONCLUSION:ROC curves indicated that measurements of soft tissue are not superior to clinical or sonographic predictions in identifying fetuses with weights of at least 4000 g.

journal_name

Obstet Gynecol

authors

Chauhan SP,West DJ,Scardo JA,Boyd JM,Joiner J,Hendrix NW

doi

10.1016/s0029-7844(99)00606-7

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

639-42

issue

5

eissn

0029-7844

issn

1873-233X

pii

S0029-7844(99)00606-7

journal_volume

95

pub_type

杂志文章
  • A hypothetical model suggesting suboptimal intrauterine growth in infants delivered preterm.

    abstract::Infants delivered preterm often reflect accelerated maturation. The present study examines the occurrence of suboptimal intrauterine growth in infants delivered preterm by comparing their birth weights to the weights sonographically predicted for in utero fetuses at similar gestational ages but who ultimately deliver ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Weiner CP,Sabbagha RE,Vaisrub N,Depp R

    更新日期:1985-03-01 00:00:00

  • What Is New in Maternal Heart Disease?: Best Articles From the Past Year.

    abstract::This month we focus on current research in maternal heart disease. Dr. Metz discusses four recent publications, which are concluded with a "bottom-line" that is the take-home message. A complete reference for each can be found on on this page along with direct links to abstracts. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003037

    authors: Metz TD

    更新日期:2019-01-01 00:00:00

  • Social factors affecting treatment of cervical cancer: ethical issues and policy implications.

    abstract::Health care in the United States has become a privilege rather than a right. Patients who have the greatest need are the ones most likely to be denied this privilege. Despite recent advances in disease detection and treatment, many patients do not receive even the bare minimum of care. The high complexity of the healt...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e318165f1a9

    authors: Westin SN,Bustillos D,Gano JB,Fields MM,Coker AL,Sun CC,Ramondetta LM

    更新日期:2008-03-01 00:00:00

  • Botulinum neurotoxin type A injections for vaginismus secondary to vulvar vestibulitis syndrome.

    abstract:OBJECTIVE:To investigate whether botulinum neurotoxin type A improves vaginismus and study its efficacy with repeated treatments. METHODS:Outpatients were referred because standard cognitive-behavioral and medical treatment for vaginismus and vulvar vestibular syndrome failed. From this group, we prospectively recruit...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181bb0dbb

    authors: Bertolasi L,Frasson E,Cappelletti JY,Vicentini S,Bordignon M,Graziottin A

    更新日期:2009-11-01 00:00:00

  • Anal Cytology and Human Papillomavirus Genotyping in Women With a History of Lower Genital Tract Neoplasia Compared With Low-Risk Women.

    abstract:OBJECTIVE:To compare the prevalence of abnormal anal cytology and high-risk human papillomavirus (HPV) among women with a history of HPV-related genital neoplasia with women without a history of HPV-related genital neoplasia. METHODS:A cross-sectional cohort study was performed from December 2012 to February 2014. Wom...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001135

    authors: Robison K,Cronin B,Bregar A,Luis C,DiSilvestro P,Schechter S,Pisharodi L,Raker C,Clark M

    更新日期:2015-12-01 00:00:00

  • Influence of acupuncture on maternal serum levels of interleukin-8, prostaglandin F2alpha, and beta-endorphin: a matched pair study.

    abstract:OBJECTIVE:To measure the serum levels of interleukin (IL)-8, prostaglandin (PG) F2alpha, and beta-endorphin in parturients with acupuncture treatment and in controls to clarify the effect of acupuncture and duration of labor on the serum levels of substances active in cervical ripening and dilatation. METHODS:A matche...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0029-7844(98)00200-2

    authors: Tempfer C,Zeisler H,Heinzl H,Hefler L,Husslein P,Kainz C

    更新日期:1998-08-01 00:00:00

  • Second-Trimester Fetal Loss in a Patient With Hyperemesis Gravidarum Complicated by Refeeding Syndrome.

    abstract:BACKGROUND:Refeeding syndrome is a rare constellation of electrolyte abnormalities after reintroduction of glucose during an adaptive state of starvation and malnutrition, resulting in fluid shifts, end-organ damage, and, potentially, death. We present a case of fetal death in a patient with hyperemesis gravidarum comp...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003276

    authors: Mayer KH,McGill AL

    更新日期:2019-06-01 00:00:00

  • Placental abruption remote from term associated with Q Fever infection.

    abstract:BACKGROUND:It has been suggested that Q fever infection in pregnancy is associated with various maternal and neonatal adverse outcomes, including intrauterine growth restriction, stillbirth, preterm delivery, intrauterine fetal death, and oligohydramnios. CASE:We describe the cases of two pregnant women remote from te...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e318260590f

    authors: Shinar S,Skornick-Rapaport A,Rimon E

    更新日期:2012-08-01 00:00:00

  • Early recognition of ectopic pregnancy in an infertility population.

    abstract::On an infertility service, 170 patients were evaluated for possible ectopic pregnancy using tests for beta-human chorionic gonadotropin levels, ultrasound, and clinical examination. Thirty-four (20%) of those evaluated underwent laparoscopy, of whom 31 (91%) were found to have ectopic pregnancies. Only three of the ec...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Dinsmoor M,Gibson M

    更新日期:1986-12-01 00:00:00

  • Cervical intraepithelial neoplasia III: long-term outcome after cold-knife conization with clear margins.

    abstract:OBJECTIVE:To evaluate the long-term outcome of patients with severe cervical intraepithelial neoplasia or squamous cell carcinoma in situ (CIN III) after cold-knife conization with clear margins. METHODS:A total of 4417 women (mean age 36, range 18-72 years) with histologically confirmed CIN III had cold-knife conizat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)01174-1

    authors: Reich O,Pickel H,Lahousen M,Tamussino K,Winter R

    更新日期:2001-03-01 00:00:00

  • Postmenarchal development of chylous ascites in acrocephalosyndactyly with congenital lymphatic dysplasia.

    abstract:BACKGROUND:Acrocephalosyndactyly is a syndrome characterized by congenital malformation of the skull with craniosynostosis, midface hypoplasia, and symmetrical webbed fusion of the fingers and toes. We describe a possible pathophysiologic mechanism for chylous ascites that developed several months after menarche in a w...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)01162-5

    authors: Batt RE,Michalski SR,Mahl T,Reynhout JC

    更新日期:2001-05-01 00:00:00

  • Parental chromosome translocations and fetal loss.

    abstract::The authors report on the incidence of translocations detected among 300 Greek couples referred for cytogenetic investigation because of repeated abortion, stillbirth, and/or the birth of children with multiple congenital anomalies. Translocations were detected in 16 cases, ie, 1 of 19 couples. However, the incidence ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Tsenghi C,Metaxotou C,Kalpini-Mavrou A,Strataki-Benetou M,Matsaniotis N

    更新日期:1981-10-01 00:00:00

  • A comparative trial of cefazolin and moxalactam as prophylaxis for preventing infection after abdominal hysterectomy.

    abstract::In a randomized, double-blind clinical trial, 208 women who underwent abdominal hysterectomy received either cefazolin (N = 108) or moxalactam (N = 100) as perioperative antimicrobial prophylaxis. There were no differences between the two groups in rates of serious infection, minor wound infection, standard febrile mo...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Tuomala RE,Fischer SG,Muñoz A,Souney PF,Steele L,Polk BF

    更新日期:1985-09-01 00:00:00

  • Prospective study of coding practices for cesarean deliveries.

    abstract:OBJECTIVE:To assess consistency of hospital coding for patients with cesarean delivery-related admissions. METHODS:Hospital coders from 11 participating institutions received a brief questionnaire and a standardized, inpatient record that was developed for nine hypothetical patients who delivered by cesarean delivery....

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181ad9533

    authors: Chescheir N,Meints L

    更新日期:2009-08-01 00:00:00

  • Bromocriptine mesylate (Parlodel) in the management of amenorrhea/galactorrhea associated with hyperprolactinemia.

    abstract::The efficacy and safety of bromocriptine mesylate (5 to 7.5 mg per day for up to 24 weeks) were studied in 22 clinical trials involving 226 patients who had amenorrhea/galactorrhea associated with hyperprolactinemia and no demonstrable pituitary tumor. Of the 187 patients evaluated for efficacy, 80% experienced reinit...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1097/00006250-198003000-00002

    authors: Cuellar FG

    更新日期:1980-03-01 00:00:00

  • A story of two miracles: the impact of the discovery of insulin on pregnancy in women with diabetes mellitus.

    abstract::Before the discovery of insulin in 1921, pregnancies in women with diabetes mellitus were a rarity because most reproductive-age patients died soon after diagnosis of this illness. In the limited number of pregnancies reported in the pre-insulin era, both perinatal and maternal mortality were approximately 50%, with s...

    journal_title:Obstetrics and gynecology

    pub_type: 历史文章,杂志文章

    doi:

    authors: Gabbe SG

    更新日期:1992-02-01 00:00:00

  • External cephalic version with tocolysis: factors associated with success.

    abstract::Data were collected prospectively on factors that might affect the success or failure of external cephalic version, using a protocol including fetal monitoring, ultrasound, tocolysis, and external version after 37 weeks' gestation. Patients were accepted into the protocol whether or not risk factors for failure were p...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Fortunato SJ,Mercer LJ,Guzick DS

    更新日期:1988-07-01 00:00:00

  • The management of preterm labor.

    abstract::Preterm birth is the leading cause of neonatal mortality and a substantial portion of all birth-related short- and long-term morbidity. Spontaneous preterm labor is responsible for more than half of preterm births. Its management is the topic of this review. Although there are many maternal characteristics associated ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/s0029-7844(02)02212-3

    authors: Goldenberg RL

    更新日期:2002-11-01 00:00:00

  • A new approach to office hysteroscopy compared with traditional hysteroscopy: a randomized controlled trial.

    abstract:OBJECTIVE:To compare a "no touch" approach to diagnostic hysteroscopy without anesthesia with traditional diagnostic hysteroscopy after intracervical injection of mepivacaine hydrochloride 3%. METHODS:A total of 130 women undergoing diagnostic hysteroscopy were included in the study and were randomized, using a comput...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.AOG.0000227750.93984.06

    authors: Sagiv R,Sadan O,Boaz M,Dishi M,Schechter E,Golan A

    更新日期:2006-08-01 00:00:00

  • Correlation of cellular atypia and human papillomavirus deoxyribonucleic acid sequences in exfoliated cells of the uterine cervix.

    abstract::Restriction enzyme digestion and Southern blot hybridization were used to analyze deoxyribonucleic acid (DNA) extracted from exfoliated cervical cells for the presence of human papillomavirus sequences and these results were correlated with cytologic findings on Papanicolaou smears. Specimens (N = 204) were obtained f...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Lörincz AT,Temple GF,Patterson JA,Jenson AB,Kurman RJ,Lancaster WD

    更新日期:1986-10-01 00:00:00

  • Surgical management of acute diverticulitis in women.

    abstract::The incidence of diverticular disease of the colon has increased during the course of this century. The management of diverticulitis has changed in many centers from a conservative medical approach to a more aggressive surgical one. The surgical technique has also evolved; primary resection and anastomosis is currentl...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Raventos JM,Symmonds RE

    更新日期:1981-11-01 00:00:00

  • Mesonephroid carcinoma of the ovary. A clinicopathologic, histochemical, and electron microscopic study.

    abstract::Eighteen patients with mesonephroid ovarian carcinoma were investigated. Typical findings for the mesonephroid tumors were abundant extracellular an some intracellular neutral mucin mixed with sulfate and carboxyl groups, and large amounts of glycogen, especially in clear cells. The latter observation is considered to...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Klemi PJ,Grönroos M

    更新日期:1979-04-01 00:00:00

  • Fetal urinary biochemistry predicts postnatal renal function in children with bilateral obstructive uropathies.

    abstract:OBJECTIVE:To investigate the ability of fetal urinalysis to predict in utero the renal function of children with bilateral uropathy who survive to the second year of life. METHODS:This was a prospective cohort study of 100 consecutive patients with prenatal diagnosis of bilateral uropathy who underwent fetal urine sam...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Muller F,Dommergues M,Mandelbrot L,Aubry MC,Nihoul-Fekete C,Dumez Y

    更新日期:1993-11-01 00:00:00

  • Isolation of Chlamydia trachomatis from sexually abused female adolescents.

    abstract::Cultures for Chlamydia trachomatis were obtained from 127 female adolescents (13-17 years of age) evaluated for reported sexual abuse. The rate of positive cultures for C trachomatis in this population was 14% (18 of 127). Neisseria gonorrhoeae was found in 12% (15 of 127) of these patients. All but two of the culture...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Dattel BJ,Landers DV,Coulter K,Hinton J,Sweet RL,Schachter J

    更新日期:1988-08-01 00:00:00

  • Outpatient vaginal hysterectomy: optimizing perioperative management for same-day discharge.

    abstract:OBJECTIVE:To present tactics for optimizing outpatient vaginal hysterectomy and describe perioperative outcomes in a large consecutive case series. METHODS:This is a descriptive study and review of clinical outcomes in 1,071 patients selected to undergo vaginal hysterectomy for benign indications from 2000 to 2010. Th...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/aog.0b013e3182732ece

    authors: Zakaria MA,Levy BS

    更新日期:2012-12-01 00:00:00

  • Hypoglycemia in pregnancy secondary to a non-islet cell tumor of the pleura and ectopic insulin-like growth factor II hormone production.

    abstract:BACKGROUND:In nondiabetic women, pregnancy alone rarely causes clinical hypoglycemia. Non-islet cell tumors have recently been shown to be associated with the production of insulin-like growth factor II (IGF-II) and a paraneoplastic syndrome resulting in hypoglycemia. A case report and review of pathophysiologic mechan...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(94)00313-3

    authors: Schweichler M,Hennessey JV,Cole P,Perdue JF,Le Roith D

    更新日期:1995-05-01 00:00:00

  • DNA content as a prognostic factor in endometrial carcinoma.

    abstract::Two hundred thirty-three cases of endometrial carcinoma were analyzed for DNA content using flow cytometry of cell nuclei extracted from archival paraffin blocks. The median follow-up time for the cases was 8.7 years. Aneuploidy, present in 18% of tumors overall, was associated with adverse histologic type, high grade...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Newbury R,Schuerch C,Goodspeed N,Fanning J,Glidewell O,Evans M

    更新日期:1990-08-01 00:00:00

  • Pleuroperitoneal endometriosis.

    abstract::A nearly unique case is presented of pleural and peritoneal endometriosis with bloody pleural effusion and 4700 cc of bloody ascites. Theories of pathogenesis, differential diagnosis, and treatment are discussed. This represents another of the protean manifestations of endometriosis to complement the many others descr...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Irani S,Atkinson L,Cabaniss C,Danovitch SH

    更新日期:1976-01-01 00:00:00

  • Typhoid fever in pregnancy.

    abstract::Fourteen cases of typhoid fever complicating pregnancy are presented. The diagnosis was confirmed by blood cultures in 13 patients and by a rising Widal titer in one. Stool cultures were positive in only two out of five patients; urine cultures in 12 patients and cervical cultures in five patients were all negative. T...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Seoud M,Saade G,Uwaydah M,Azoury R

    更新日期:1988-05-01 00:00:00

  • Prenatal diagnosis of liver calcifications.

    abstract:OBJECTIVE:To report our experience with the prenatal diagnosis of hepatic calcification. METHODS:Routine ultrasonography was done in 24,600 consecutive pregnancies of 14-26 weeks' gestation. Detailed sonographic studies, amniocenteses, and chromosomal, bacteriologic, virologic, and serologic investigations were perfor...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(95)00278-Y

    authors: Bronshtein M,Blazer S

    更新日期:1995-11-01 00:00:00