RT Journal Article
T1 Perinatal and maternal outcomes according to the accurate term antepartum ultrasound estimation of extreme fetal weights
A1 Mozas-Moreno, Juan
A1 Sánchez-Fernández, Mariola
A1 González-Mesa, Ernesto Santiago
A1 Olmedo-Requena, Rocío
A1 Amezcua-Prieto, Carmen
A1 Jiménez-Moleón, José Juan
K1 Ultrasonidos en medicina
K1 Feto-Crecimiento
K1 Crecimiento fetal
AB Background: The accuracy of ultrasound estimation of fetal weight (EFW) at term may be useful in addressing obstetric complications since birth weight (BW) is a parameter that represents an important prognostic factor for perinatal and maternal morbidity. (2) Methods: In a retrospective cohort study of 2156 women with a singleton pregnancy, it is verified whether or not perinatal and maternal morbidity differs between extreme BWs estimated at term by ultrasound within the seven days prior to birth with Accurate EFW (difference < 10% between EFW and BW) and those with Non-Accurate EFW (difference ≥ 10% between EFW and BW). (3) Results: Significantly worse perinatal outcomes (according to different variables such as higher rate of arterial pH at birth < 7.20, higher rate of 1-min Apgar < 7, higher rate of 5-min Apgar < 7, higher grade of neonatal resuscitation and need for admission to the neonatal care unit) were found for extreme BW estimated by antepartum ultrasounds with Non-Accurate EFW compared with those with Accurate EFW. This was the case when extreme BWs were compared according to percentile distribution by sex and gestational age following the national reference growth charts (small for gestational age and large for gestational age), and when they were compared according to weight range (low birth weight and high birth weight). (4) Conclusions: Clinicians should make a greater effort when performing EFW by ultrasound at term in cases of suspected extreme fetal weights, and need to take an increasingly prudent approach to its management.
PB MDPI
YR 2023
FD 2023-04-20
LK https://hdl.handle.net/10630/26611
UL https://hdl.handle.net/10630/26611
LA eng
NO Mozas-Moreno J, Sánchez-Fernández M, González-Mesa E, Olmedo-Requena R, Amezcua-Prieto C, Jiménez-Moleón JJ. Perinatal and maternal outcomes according to the accurate term antepartum ultrasound estimation of extreme fetal weights. Journal of Clinical Medicine. 2023; 12(8):2995. https://doi.org/10.3390/jcm12082995
NO Partial funding for open access charge: Universidad de Málaga
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 24 ene 2026