The test accuracy of antenatal ultrasound definitions of fetal macrosomia to predict birth injury: A systematic review
To determine which ultrasound measurement for predicted fetal macrosomia most accurately predicts adverse delivery and neonatal outcomes. Four biomedical databases searched for studies published after 1966. Randomised trials or observational studies of women with singleton pregnancies, resulting in...
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| Veröffentlicht in: | European journal of obstetrics & gynecology and reproductive biology 2020-03, Vol.246, p.79-85 |
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| container_title | European journal of obstetrics & gynecology and reproductive biology |
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| creator | Robinson, Rebecca Walker, Kate F. White, Victoria A. Bugg, George J. Snell, Kym I.E. Jones, Nia W. |
| description | To determine which ultrasound measurement for predicted fetal macrosomia most accurately predicts adverse delivery and neonatal outcomes.
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.
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 %).
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. |
| doi_str_mv | 10.1016/j.ejogrb.2020.01.019 |
| format | Article |
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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.
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 %).
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.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/j.ejogrb.2020.01.019</identifier><identifier>PMID: 31978846</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Abdomen - anatomy & histology ; Abdomen - diagnostic imaging ; Birth Injuries - epidemiology ; Body Size ; Brachial Plexus - injuries ; Cesarean Section - statistics & numerical data ; Female ; Fetal macrosomia ; Fetal Macrosomia - diagnostic imaging ; Fetal Macrosomia - epidemiology ; Fetal Weight ; Head - anatomy & histology ; Head - diagnostic imaging ; Humans ; Peripheral Nerve Injuries - epidemiology ; Pregnancy ; Sensitivity and Specificity ; Shoulder dystocia ; Shoulder Dystocia - epidemiology ; Ultrasonography, Prenatal ; Ultrasound markers</subject><ispartof>European journal of obstetrics & gynecology and reproductive biology, 2020-03, Vol.246, p.79-85</ispartof><rights>2020 Elsevier B.V.</rights><rights>Copyright © 2020 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-5231f890dd8040676f3a4843fa6d91449ff75265c3ed7556c820eb32eb1e92df3</citedby><cites>FETCH-LOGICAL-c408t-5231f890dd8040676f3a4843fa6d91449ff75265c3ed7556c820eb32eb1e92df3</cites><orcidid>0000-0001-5794-7324</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0301211520300270$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31978846$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Robinson, Rebecca</creatorcontrib><creatorcontrib>Walker, Kate F.</creatorcontrib><creatorcontrib>White, Victoria A.</creatorcontrib><creatorcontrib>Bugg, George J.</creatorcontrib><creatorcontrib>Snell, Kym I.E.</creatorcontrib><creatorcontrib>Jones, Nia W.</creatorcontrib><title>The test accuracy of antenatal ultrasound definitions of fetal macrosomia to predict birth injury: A systematic review</title><title>European journal of obstetrics & gynecology and reproductive biology</title><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><description>To determine which ultrasound measurement for predicted fetal macrosomia most accurately predicts adverse delivery and neonatal outcomes.
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.
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 %).
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.</description><subject>Abdomen - anatomy & histology</subject><subject>Abdomen - diagnostic imaging</subject><subject>Birth Injuries - epidemiology</subject><subject>Body Size</subject><subject>Brachial Plexus - injuries</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Female</subject><subject>Fetal macrosomia</subject><subject>Fetal Macrosomia - diagnostic imaging</subject><subject>Fetal Macrosomia - epidemiology</subject><subject>Fetal Weight</subject><subject>Head - anatomy & histology</subject><subject>Head - diagnostic imaging</subject><subject>Humans</subject><subject>Peripheral Nerve Injuries - epidemiology</subject><subject>Pregnancy</subject><subject>Sensitivity and Specificity</subject><subject>Shoulder dystocia</subject><subject>Shoulder Dystocia - epidemiology</subject><subject>Ultrasonography, Prenatal</subject><subject>Ultrasound markers</subject><issn>0301-2115</issn><issn>1872-7654</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LHTEUhoNU9Gr7D0Sy7GZu8zkfLgQRawtCN7oOmeREM8xMrklGuf_eDNd22fBCFnlODu-D0AUlW0po_WPYwhCeY79lhJEtoSXdEdrQtmFVU0vxBW0IJ7RilMpTdJbSQMrhvDtBp5x2TduKeoPeHl8AZ0gZa2OWqM0eB4f1nGHWWY94GXPUKSyzxRacn332YU4r42B9n7SJIYXJa5wD3kWw3mTc-5hfsJ-HJe6v8A1O-5Rh0tkbHOHNw_tXdOz0mODb532Onn7ePd7-qh7-3P--vXmojCBtriTj1LUdsbYlgtRN7bgWreBO17ajQnTONZLV0nCwjZS1aRmBnjPoKXTMOn6Ovh_-3cXwupSaavLJwDjqGcKSFONCSrKmoOKAroVSBKd20U867hUlajWuBnUwrlbjitCSroxdfm5Y-gnsv6G_igtwfQCg9Czdo0rGw2yKqQgmKxv8_zd8AM7qlVE</recordid><startdate>202003</startdate><enddate>202003</enddate><creator>Robinson, Rebecca</creator><creator>Walker, Kate F.</creator><creator>White, Victoria A.</creator><creator>Bugg, George J.</creator><creator>Snell, Kym I.E.</creator><creator>Jones, Nia W.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5794-7324</orcidid></search><sort><creationdate>202003</creationdate><title>The test accuracy of antenatal ultrasound definitions of fetal macrosomia to predict birth injury: A systematic review</title><author>Robinson, Rebecca ; Walker, Kate F. ; White, Victoria A. ; Bugg, George J. ; Snell, Kym I.E. ; Jones, Nia W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-5231f890dd8040676f3a4843fa6d91449ff75265c3ed7556c820eb32eb1e92df3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdomen - anatomy & histology</topic><topic>Abdomen - diagnostic imaging</topic><topic>Birth Injuries - epidemiology</topic><topic>Body Size</topic><topic>Brachial Plexus - injuries</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Female</topic><topic>Fetal macrosomia</topic><topic>Fetal Macrosomia - diagnostic imaging</topic><topic>Fetal Macrosomia - epidemiology</topic><topic>Fetal Weight</topic><topic>Head - anatomy & histology</topic><topic>Head - diagnostic imaging</topic><topic>Humans</topic><topic>Peripheral Nerve Injuries - epidemiology</topic><topic>Pregnancy</topic><topic>Sensitivity and Specificity</topic><topic>Shoulder dystocia</topic><topic>Shoulder Dystocia - epidemiology</topic><topic>Ultrasonography, Prenatal</topic><topic>Ultrasound markers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Robinson, Rebecca</creatorcontrib><creatorcontrib>Walker, Kate F.</creatorcontrib><creatorcontrib>White, Victoria A.</creatorcontrib><creatorcontrib>Bugg, George J.</creatorcontrib><creatorcontrib>Snell, Kym I.E.</creatorcontrib><creatorcontrib>Jones, Nia W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Robinson, Rebecca</au><au>Walker, Kate F.</au><au>White, Victoria A.</au><au>Bugg, George J.</au><au>Snell, Kym I.E.</au><au>Jones, Nia W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The test accuracy of antenatal ultrasound definitions of fetal macrosomia to predict birth injury: A systematic review</atitle><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><date>2020-03</date><risdate>2020</risdate><volume>246</volume><spage>79</spage><epage>85</epage><pages>79-85</pages><issn>0301-2115</issn><eissn>1872-7654</eissn><abstract>To determine which ultrasound measurement for predicted fetal macrosomia most accurately predicts adverse delivery and neonatal outcomes.
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.
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 %).
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.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>31978846</pmid><doi>10.1016/j.ejogrb.2020.01.019</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5794-7324</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of obstetrics & gynecology and reproductive biology, 2020-03, Vol.246, p.79-85 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Abdomen - anatomy & histology Abdomen - diagnostic imaging Birth Injuries - epidemiology Body Size Brachial Plexus - injuries Cesarean Section - statistics & numerical data Female Fetal macrosomia Fetal Macrosomia - diagnostic imaging Fetal Macrosomia - epidemiology Fetal Weight Head - anatomy & histology Head - diagnostic imaging Humans Peripheral Nerve Injuries - epidemiology Pregnancy Sensitivity and Specificity Shoulder dystocia Shoulder Dystocia - epidemiology Ultrasonography, Prenatal Ultrasound markers |
| title | The test accuracy of antenatal ultrasound definitions of fetal macrosomia to predict birth injury: A systematic review |
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