The test accuracy of antenatal ultrasound definitions of fetal macrosomia to predict birth injury: A systematic review
| Autor: | Victoria A. White, Rebecca Robinson, Kym I E Snell, Nia W. Jones, Kate F. Walker, George Bugg |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Sensitivity and Specificity Ultrasonography Prenatal Fetal Macrosomia 03 medical and health sciences Shoulder dystocia 0302 clinical medicine Peripheral Nerve Injuries Pregnancy Abdomen Birth Injuries medicine Fetal macrosomia Body Size Humans Brachial Plexus Caesarean section 030212 general & internal medicine Shoulder Dystocia 030219 obstetrics & reproductive medicine Cesarean Section business.industry Obstetrics Ultrasound Obstetrics and Gynecology medicine.disease R1 Birth injury Fetal Weight Reproductive Medicine Brachial plexus injury Term Birth Female Observational study business Head RA |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology. 246:79-85 |
| ISSN: | 0301-2115 |
| Popis: | Objectives To determine which ultrasound measurement for predicted fetal macrosomia most accurately predicts adverse delivery and neonatal outcomes. Study Design Four biomedical databases searched for studies published after 1966. Randomised trials or observational studies of women with singleton pregnancies, resulting in a term birth who have undergone an index test of interest measured and recorded as predicted fetal macrosomia ≥28 weeks. Adverse outcomes of interest included shoulder dystocia, brachial plexus injury (BPI) and Caesarean section. Results Twenty-five observational studies (13,285 participants) were included. For BPI, the only significant positive association was found for Abdominal Circumference (AC) to Head Circumference (HC) difference > 50 mm (OR 7.2, 95 % CI 1.8–29). Shoulder dystocia was significantly associated with abdominal diameter (AD) minus biparietal diameter (BPD) ≥ 2.6 cm (OR 4.2, 95 % CI 2.3–7.5, PPV 11 %) and AC > 90th centile (OR 2.3, 95 % CI 1.3–4.0, PPV 8.6 %) and an estimated fetal weight (EFW) > 4000 g (OR 2.1 95 %CI 1.0–4.1, PPV 7.2 %). Conclusions Estimated fetal weight is the most widely used ultrasound marker to predict fetal macrosomia in the UK. This study suggests other markers have a higher positive predictive value for adverse outcomes associated with fetal macrosomia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect