G Ohel1, M Ruach. 1. Department of Obstetrics and Gynecology, Poriya Hospital, Tiberias, Israel.
Abstract
OBJECTIVE: To evaluate the effect of antenatal detection of the idiopathic term small for gestational age (SGA) fetus upon perinatal outcome. METHODS: A 3-year retrospective review of all term pregnancies with no associated maternal disease, with birth weights at least 2 S.D.s below the mean for gestational age. Perinatal outcome measures were compared between pregnancies that were diagnosed as SGA antenatally, and those that were detected only after delivery. RESULTS: Of 158 term SGA pregnancies, 47 were diagnosed antenatally, and III were recognized as such only after delivery. The antenatally diagnosed group had a higher incidence of adverse neonatal outcome (P < 0.01), as well as higher incidences of inductions of labor and emergency Cesarean sections (68% vs. 12%, P < 0.001, and 23% vs. 10%, P < 0.03, respectively). Logistic regression analysis with adverse neonatal outcome as the dependent variable has shown it to be dependent only on gestational age at delivery (P < 0.004), and birth weight (P < 0.001), and not on antenatal diagnosis. CONCLUSIONS: Antenatal detection of SGA may be associated with an increased incidence of obstetric interventions, with no demonstrable positive effect upon the short-term neonatal outcome.
OBJECTIVE: To evaluate the effect of antenatal detection of the idiopathic term small for gestational age (SGA) fetus upon perinatal outcome. METHODS: A 3-year retrospective review of all term pregnancies with no associated maternal disease, with birth weights at least 2 S.D.s below the mean for gestational age. Perinatal outcome measures were compared between pregnancies that were diagnosed as SGA antenatally, and those that were detected only after delivery. RESULTS: Of 158 term SGA pregnancies, 47 were diagnosed antenatally, and III were recognized as such only after delivery. The antenatally diagnosed group had a higher incidence of adverse neonatal outcome (P < 0.01), as well as higher incidences of inductions of labor and emergency Cesarean sections (68% vs. 12%, P < 0.001, and 23% vs. 10%, P < 0.03, respectively). Logistic regression analysis with adverse neonatal outcome as the dependent variable has shown it to be dependent only on gestational age at delivery (P < 0.004), and birth weight (P < 0.001), and not on antenatal diagnosis. CONCLUSIONS: Antenatal detection of SGA may be associated with an increased incidence of obstetric interventions, with no demonstrable positive effect upon the short-term neonatal outcome.
Authors: K E Boers; S M C Vijgen; D Bijlenga; J A M van der Post; D J Bekedam; A Kwee; P C M van der Salm; M G van Pampus; M E A Spaanderman; K de Boer; J J Duvekot; H A Bremer; T H M Hasaart; F M C Delemarre; K W M Bloemenkamp; C A van Meir; C Willekes; E J Wijnen; M Rijken; S le Cessie; F J M E Roumen; J G Thornton; J M M van Lith; B W J Mol; S A Scherjon Journal: BMJ Date: 2010-12-21
Authors: Denise Bijlenga; Kim E Boers; Erwin Birnie; Ben-Willem J Mol; Sylvia C M Vijgen; Joris A M Van der Post; Christianne J De Groot; Robbert J P Rijnders; Paula J Pernet; Frans J Roumen; Rob H Stigter; Friso M C Delemarre; Henk A Bremer; Martina Porath; Sicco A Scherjon; Gouke J Bonsel Journal: Qual Life Res Date: 2011-04-06 Impact factor: 4.147