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Detection of intrauterine growth deviation. A comparison between symphysis-fundus height and ultrasonic measurements
1University of Trondheim.
Insights
Ultrasonography and symphysis-fundus (SF) height measurements are effective for detecting fetal growth restriction. Longitudinal analysis of ultrasound dating, abdominal anthropometry, and SF measurements improves diagnostic accuracy for fetal growth assessment.
Area of Science:
- Obstetrics and Gynecology
- Fetal Medicine
- Diagnostic Imaging
Background:
- Fetal growth restriction (FGR) is a significant concern in prenatal care.
- Accurate detection of FGR is crucial for timely intervention and improved neonatal outcomes.
- Existing methods for assessing fetal growth have varying degrees of accuracy.
Purpose of the Study:
- To review the efficacy of ultrasonography in detecting fetal growth restriction.
- To evaluate the role of abdominal anthropometry and symphysis-fundus (SF) height measurements in assessing fetal growth.
- To propose protocols for improved FGR detection.
Main Methods:
- Review of existing literature on ultrasonography for FGR detection.
- Analysis of studies evaluating abdominal anthropometry for fetal growth assessment.
- Examination of the effectiveness of symphysis-fundus (SF) height measurements.
- Evaluation of proposed diagnostic protocols incorporating ultrasound and SF height.
Main Results:
- Ultrasound dating is a prerequisite for accurate fetal growth assessment.
- Abdominal anthropometry is considered the most effective anthropometric measure for reflecting fetal growth.
- Symphysis-fundus (SF) height measurements also demonstrate efficacy in monitoring fetal growth.
- Protocols combining ultrasound, SF height, and maternal characteristics show promise for improved prognostic properties.
Conclusions:
- Ultrasonography is a valuable tool for detecting fetal growth restriction.
- Longitudinal analysis of ultrasound and SF height measurements, alongside maternal factors, enhances the accuracy of fetal growth assessment.
- Standardized protocols incorporating these methods are recommended for optimal FGR management.
Abstract:
Efficacy of ultrasonography to detect fetal growth retardation is reviewed. Ultrasound dating is held as a prerequisite. Abdominal anthropometry is reported to reflect fetal growth best. Efficacy of symphysis-fundus (SF) height measurements is reviewed similarly. Proposed protocols that include ultrasound and SF height measurements and other maternal characteristics with known prognostic properties are reported. Preferably, both kinds of measurements should be analyzed longitudinally.