Head circumference/abdominal circumference ratio, ponderal index and fetal malnutrition. Should head circumference/abdominal circumference ratio be abandoned?

Autor: Colley NV; Royal Devon and Exeter Hospital, Heavitree., Tremble JM, Henson GL, Cole TJ
Jazyk: angličtina
Zdroj: British journal of obstetrics and gynaecology [Br J Obstet Gynaecol] 1991 Jun; Vol. 98 (6), pp. 524-7.
DOI: 10.1111/j.1471-0528.1991.tb10363.x
Abstrakt: Head circumference/abdominal circumference (HC/AC) ratios of the fetus are accepted as a means of distinguishing different patterns of growth retardation with a high ratio implying malnutrition of the fetus. Ponderal index (birthweight/length3) is used by paediatricians as a measure of neonatal wasting and would therefore be expected to correlate with HC/AC ratios at delivery. Anthropometric data on 999 newborn infants have been collected and analyzed by multiple regression. The results show a poor correlation between ponderal index and HC/AC ratio, worse than that between ponderal index and AC alone. The use of HC/AC ratios antenatally to identify subgroups of intrauterine malnutrition should be abandoned. The prediction of intrauterine malnutrition by weight/length ratios should be investigated further.
Databáze: MEDLINE