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Federación Mexicana de Ginecología y Obstetricia, A.C.

2022, Number 01

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Ginecol Obstet Mex 2022; 90 (01)

Prediction of fetal growth restriction with the 11-14 sieve algorithm

Padilla-Amigo C, López-Félix J, Martínez-Villafaña E, Sierra-Lozada N

Language: Spanish
References: 26
Page: 1-7
PDF size: 173.52 Kb.


ABSTRACT

Objective: To evaluate the efficacy of the Fetal Medicine Foundation calculator to determine the risk of fetal growth restriction in pregnant women attended at Hospital Ángeles Lomas considering birth weight below the 10th percentile and below the 3rd percentile.
Materials and Methods: Retrospective, cross-sectional, analytical cohort study performed in patients who attended the Maternal-Fetal Medicine Clinic of Hospital Ángeles Lomas in 2019 for ultrasonographic evaluation at 11-14 weeks. In patients with singleton pregnancy, the "Duo Test" to calculate the risk of fetal growth restriction was combined with the Fetal Medicine Foundation tool. The result was compared with birth outcomes for fetal weight percentiles below 10 and 3.
Results: 352 patients were studied and 42 (11.9%) were at high risk for fetal growth restriction. Birth weight was at the corresponding percentile according to the Fenton tables. A percentile below the 10th percentile was obtained with sensitivity of 16%, specificity of 90%, positive predictive value of 42%, negative predictive value of 70% and below the 3rd percentile: sensitivity of 32%, specificity of 88%, positive predictive value of 19%, negative predictive value of 94%.
Conclusions: Sensitivity was lower than that published by the Fetal Medicine Foundation although the results were similar, with statistical significance and possibility of identifying a significant number of patients who resulted with fetal growth restriction.


REFERENCES

  1. Colella M, et al. Neonatal and long-term consequences of fetal growth restriction. Current Pediatric Reviews 2018;14 (4): 212-218. doi:10.2174/1573396314666180712114531

  2. Smith GCS. Universal screening for fetal growth restriction. Best Pract Res Clin Obstet Gynaecol 2018; 49: 16-28. doi:10.1016/j.bpobgyn.2018.02.008

  3. Blue NR, et al. A Comparison of Methods for the Diagnosis of Fetal Growth Restriction Between the Royal College of Obstetricians and Gynaecologists and the American College of Obstetricians and Gynecologists. Obstet Gynecol 2018; 131 (5):835-41 doi:10.1097/AOG.0000000000002564

  4. Practice Bulletin. Fetal Growth Restriction. Obstetrics & Gynecology 2019; 133 (2): 97-109. doi:10.1097/AOG.0000000000003070

  5. Andrade, FJ, et al. Diagnóstico y tratamiento de la restricción del crecimiento intrauterino. Guía de Práctica Clínica México Secretaría de Salud. 2011. 1-64.

  6. Figueras, f, et al. Protocolo Defectos del crecimiento fetal. Clinic Barcelona Hospital Universitari. 2019. 1-9.

  7. Nicolaides KH, et al. Fetal Medicine Foundation fetal and neonatal population weight charts. Ultrasound Obstet Gynecol 2018; 52 (1): 44-51. doi:10.1002/uog.19073

  8. Fenton, TR, et al. A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants. BMC Pediatrics 2013; 13(59). doi:10.1186/1471-2431-13-59

  9. Fenton, TR, et al. Validating the weight gain of preterm infants between the referente growth curve of the fetus and the term infant. BMC Pediatrics 2013; 13(92). doi:10.1186/1471-2431-13-92

  10. Dietitians of Canada; Canadian Paediatric Society; College of Family Physicians of Canada; Community Health Nurses of Canada, Secker D. Promoting optimal monitoring of child growth in Canada: using the new WHO growth charts. Can J Diet Pract Res 2010; 71(1):1-3. doi: 10.3148/71.1.2010.54

  11. Policiano C, et al. National-survey for evaluation of the screening method of late fetal growth restriction in low risk pregnancy: A prospective study. Eur J Obstet Gynecol Reprod Biol 2019; 204: 187-191. doi:10.1016/j.ejogrb.2019.07.009

  12. Karagiannis, G, et al. Prediction of Small-for-Gestation Neonates from Biophysical and Biochemical Markers at 11-13 Weeks. Fetal Diagn Ther 2011; 29: 148-54. doi:10.1159/000321694

  13. Poon, LCY, et al. Combined Screening for Preeclampsia and Small for Gestational Age at 11-13 Weeks. Fetal Diagn Ther 2013; 33: 16-27. doi:10.1159/000341712

  14. Hadlock FP. Estimation of fetal weight with the use of head, body and femur measurements a prospective study. Am J Obstet Gynecol 1985;151 (3): 333.

  15. Hadlock FP. Sonographic estimation of fetal weight. The value of femur length in addition to head and abdomen measurements. Radiology 1984; 150 (2): 535.

  16. Nawathe A, et al. Prophylaxis and Treatment of Fetal Growth Restriction. Best Practice & Research Clinical Obstetrics & Gynaecology 2018: 1-26. doi:10.1016/ j.bpobgyn.2018.02.007

  17. Kumar M, et al. Adverse Fetal outcome: Is first trimester ultrasound and Doppler better predictor than biomarkers? Fetal Diagn Ther 2016. doi:10.1080/14767058.2016.1214709

  18. Hoseini MS, et al. The evaluating of pregnancy-associated plasma proteína-A with likelihood of small for gestacional age. Obstet Gynecol Sci 2020; 63 (3): 225-230. doi:10.5468/ogs.2020.63.3.225

  19. Agarwal, R, et al. Pregnancy-Associated Plasma Protein A Levels in Late First Trimester Pregnancies with Small-for-Gestational Age Neonates: A Prospective Case–Control Study. J Obstet Gynaecol India 2017; 67 (4): 247-52. doi:10.1007/s13224-016-0954-3

  20. Gaccioli, F, et al. Screening for fetal growth restriction using fetal biometry combined with maternal biomarkers. Am J Obstet Gynecol 2017. doi:10.1016/j.ajog.2017.12.002

  21. Biyuan, H, et al. First-trimester screening for fetal growth restriction using Doppler color flow analysis of the uterine artery and serum PAPP-A levels in unselected pregnancies. J Matern Fetal Neonatal Med 2020; 1-5. doi:10.1080/14767058.2019.1701646

  22. Borghi, E, et al. Construction of the World Health Organization child growth standards: selection of methods for attained growth curves. Statistics in Medicine. 2006; 25: 247-265. doi:10.1002/sim.2227

  23. Papastefanou, I, et al. Competing-risks model for prediction of small-for-gestational-age neonate from biophysical and biochemical markers at 11-13 weeks gestation. Utrasound Obstet Gynecol 2021; 57: 52. 61. doi:10.1002/uog.23523

  24. Khong, SL, et al. First-Trimester Uterine Artery Doppler Analysis in the Prediction of Later Pregnancy Complications. Disease Markers 2015. 1-10. doi:10.1155/2015/679730

  25. Graham, K, et al. Clinical evaluation of a first trimester pregnancy algorithm predicting the risk of small for gestational age neonates. Aust NZ J Obstetr Gynecol 2019: 1-7. doi:10.1111/ajo.12951

  26. Rezende, L, et al. Evaluation of fetal medicine foundation algorithm in predicting small for gestacional age neonates. J Maternal Fetal Neonatal Med 2019. doi:10.1080/14767058.2019.1622664




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