Variation in the definition of intrauterine growth restriction in routine antenatal care: a physician survey among gynecologists in Northwest Germany
| Autor: | Knud Petersen, Sinja Alexandra Ernst, Tilman Brand, Hajo Zeeb |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Consensus Intrauterine growth restriction Prenatal care Logistic regression 03 medical and health sciences 0302 clinical medicine Pregnancy Germany Prenatal Diagnosis Surveys and Questionnaires Humans Medicine 030212 general & internal medicine Practice Patterns Physicians' Medical diagnosis Aged Fetal Growth Retardation 030219 obstetrics & reproductive medicine Primary Health Care Descriptive statistics Diagnostic Tests Routine business.industry Obstetrics Infant Newborn Obstetrics and Gynecology Gestational age Prenatal Care Middle Aged medicine.disease Cross-Sectional Studies Gynecology Physician survey Pediatrics Perinatology and Child Health Workforce Small for gestational age Female business |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 31:2141-2147 |
| ISSN: | 1476-4954 1476-7058 |
| Popis: | To assess how intrauterine growth restriction (IUGR) is defined by gynecologists in routine practice.We surveyed primary care gynecologists in Bremen and Lower Saxony, Northwest Germany, between January and July 2014. Descriptive statistics were used to analyze the data; consensus was considered as 90% agreement among the respondents. Multiple logistic regression models were performed for the associations between respondents' background characteristics and choice of the small for gestational age (SGA) cutoff values.Overall, 185 primary care gynecologists participated in the survey. Consensus was only observed in two items: (1) an accurate determination of gestational age (91%) and (2) repeated measurement of the abdominal circumference (91%). Umbilical artery Doppler (76%) and repeated ultrasonography (76%) were the most frequently used methods to confirm suspected IUGR diagnoses, but different responses prevailed. Notably, only 46% of the respondents opted for the 10th percentile of estimated fetal weight as a cutoff for SGA classification, which is the internationally recommended value.The results of this survey indicate considerable practice variation regarding detection and management of IUGR pregnancies. There is a need for better agreement in terminology and definition of core aspects of IUGR in antenatal care. |
| Databáze: | OpenAIRE |
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