Comprehensive fetal ultrasonographic growth measurements in triplet gestations

Objective: Our purpose was to create tables and graphs of ultrasonographically derived fetal growth parameters in longitudinally studied triplet gestations from a single center. Study Design: All triplet pregnancies managed by our division from 1987 through 1998 were identified. All had first-trimes...

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Veröffentlicht in:American journal of obstetrics and gynecology 1999-11, Vol.181 (5), p.1128-1132
Hauptverfasser: Rodis, John F., Arky, Lawrence, Egan, James F.X., Borgida, Adam F., Leo, Mauro V., Campbell, Winston A.
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container_end_page 1132
container_issue 5
container_start_page 1128
container_title American journal of obstetrics and gynecology
container_volume 181
creator Rodis, John F.
Arky, Lawrence
Egan, James F.X.
Borgida, Adam F.
Leo, Mauro V.
Campbell, Winston A.
description Objective: Our purpose was to create tables and graphs of ultrasonographically derived fetal growth parameters in longitudinally studied triplet gestations from a single center. Study Design: All triplet pregnancies managed by our division from 1987 through 1998 were identified. All had first-trimester dating sonograms and complete obstetric sonograms obtained by means of 3.5- or 5.0-MHz curvilinear transducers with freeze-freeze capability and on-screen calipers. Sonograms to assess fetal growth were obtained every 2 to 4 weeks, from 16 to 18 weeks’ gestation until delivery. Fetal parameters obtained with each sonogram included biparietal diameter; head circumference; bicerebellar diameter; abdominal circumference; femur, humerus, tibia, and fibula lengths; estimated fetal weight; and head circumference/abdominal circumference ratio. Regression analysis was performed with JMP and Cricket Graph software packages, and lines of best fit with 95% confidence intervals were generated. Results: A total of 443 ultrasonographic examinations were performed for 33 triplet pregnancies (99 fetuses). Each had between 3 and 6 sonograms obtained, all between 16 and 35 weeks’ gestation. Scatterplots of each of the fetal growth parameters against gestational age were created with regression lines of best fit and 95% confidence intervals. All growth parameters were dependent on gestational age. Conclusion: A comprehensive set of fetal growth measurements in triplets from the United States is now available and can be used to assess longitudinal fetal growth. (Am J Obstet Gynecol 1999;181:1128-32.)
doi_str_mv 10.1016/S0002-9378(99)70094-3
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Study Design: All triplet pregnancies managed by our division from 1987 through 1998 were identified. All had first-trimester dating sonograms and complete obstetric sonograms obtained by means of 3.5- or 5.0-MHz curvilinear transducers with freeze-freeze capability and on-screen calipers. Sonograms to assess fetal growth were obtained every 2 to 4 weeks, from 16 to 18 weeks’ gestation until delivery. Fetal parameters obtained with each sonogram included biparietal diameter; head circumference; bicerebellar diameter; abdominal circumference; femur, humerus, tibia, and fibula lengths; estimated fetal weight; and head circumference/abdominal circumference ratio. Regression analysis was performed with JMP and Cricket Graph software packages, and lines of best fit with 95% confidence intervals were generated. Results: A total of 443 ultrasonographic examinations were performed for 33 triplet pregnancies (99 fetuses). Each had between 3 and 6 sonograms obtained, all between 16 and 35 weeks’ gestation. Scatterplots of each of the fetal growth parameters against gestational age were created with regression lines of best fit and 95% confidence intervals. All growth parameters were dependent on gestational age. Conclusion: A comprehensive set of fetal growth measurements in triplets from the United States is now available and can be used to assess longitudinal fetal growth. 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Study Design: All triplet pregnancies managed by our division from 1987 through 1998 were identified. All had first-trimester dating sonograms and complete obstetric sonograms obtained by means of 3.5- or 5.0-MHz curvilinear transducers with freeze-freeze capability and on-screen calipers. Sonograms to assess fetal growth were obtained every 2 to 4 weeks, from 16 to 18 weeks’ gestation until delivery. Fetal parameters obtained with each sonogram included biparietal diameter; head circumference; bicerebellar diameter; abdominal circumference; femur, humerus, tibia, and fibula lengths; estimated fetal weight; and head circumference/abdominal circumference ratio. Regression analysis was performed with JMP and Cricket Graph software packages, and lines of best fit with 95% confidence intervals were generated. Results: A total of 443 ultrasonographic examinations were performed for 33 triplet pregnancies (99 fetuses). Each had between 3 and 6 sonograms obtained, all between 16 and 35 weeks’ gestation. Scatterplots of each of the fetal growth parameters against gestational age were created with regression lines of best fit and 95% confidence intervals. All growth parameters were dependent on gestational age. Conclusion: A comprehensive set of fetal growth measurements in triplets from the United States is now available and can be used to assess longitudinal fetal growth. (Am J Obstet Gynecol 1999;181:1128-32.)</description><subject>Biological and medical sciences</subject><subject>Birth Weight</subject><subject>Embryonic and Fetal Development</subject><subject>Female</subject><subject>Fetal Growth Retardation - diagnosis</subject><subject>Fetal Growth Retardation - diagnostic imaging</subject><subject>Fetal Membranes, Premature Rupture</subject><subject>Fetal Weight</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>intrauterine fetal growth</subject><subject>Longitudinal Studies</subject><subject>Management. Prenatal diagnosis</subject><subject>Medical sciences</subject><subject>Obstetric Labor, Premature</subject><subject>Pre-Eclampsia - complications</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>intrauterine fetal growth</topic><topic>Longitudinal Studies</topic><topic>Management. Prenatal diagnosis</topic><topic>Medical sciences</topic><topic>Obstetric Labor, Premature</topic><topic>Pre-Eclampsia - complications</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. 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Each had between 3 and 6 sonograms obtained, all between 16 and 35 weeks’ gestation. Scatterplots of each of the fetal growth parameters against gestational age were created with regression lines of best fit and 95% confidence intervals. All growth parameters were dependent on gestational age. Conclusion: A comprehensive set of fetal growth measurements in triplets from the United States is now available and can be used to assess longitudinal fetal growth. (Am J Obstet Gynecol 1999;181:1128-32.)</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>10561631</pmid><doi>10.1016/S0002-9378(99)70094-3</doi><tpages>5</tpages></addata></record>
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subjects Biological and medical sciences
Birth Weight
Embryonic and Fetal Development
Female
Fetal Growth Retardation - diagnosis
Fetal Growth Retardation - diagnostic imaging
Fetal Membranes, Premature Rupture
Fetal Weight
Gestational Age
Gynecology. Andrology. Obstetrics
Humans
Infant, Newborn
intrauterine fetal growth
Longitudinal Studies
Management. Prenatal diagnosis
Medical sciences
Obstetric Labor, Premature
Pre-Eclampsia - complications
Pregnancy
Pregnancy. Fetus. Placenta
Regression Analysis
Triplets
ultrasonography
Ultrasonography, Prenatal
title Comprehensive fetal ultrasonographic growth measurements in triplet gestations
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