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Predicting late-onset growth abnormalities using growth velocity between trimesters
L J Salomon1, J P Bernard, M Duyme
1Service de Gynécologie-Obstétrique, Centre Hospitalier Intercommunal de Poissy-St Germain, Poissy, France.
Summary
Routine prenatal ultrasounds can predict fetal growth abnormalities. Growth velocity parameters from these ultrasounds help identify fetuses at risk for late-onset growth issues and related complications.
Area of Science:
- Prenatal diagnostics
- Fetal medicine
- Obstetric ultrasound
Background:
- Accurate fetal growth assessment is crucial for identifying potential complications.
- Late-onset growth abnormalities can impact neonatal outcomes.
- Routine prenatal ultrasound provides valuable biometric data.
Purpose of the Study:
- To evaluate if growth velocity parameters from routine prenatal ultrasounds can predict normal term growth.
- To determine the efficacy of these parameters in identifying late-onset fetal growth abnormalities.
Main Methods:
- Longitudinal study of 356 normal singleton pregnancies with serial ultrasounds.
- Fetal biometry and growth velocity parameters were analyzed.
- Multiple regression analysis was used to develop a fetal growth potential (FGP) prediction model.
Main Results:
- Growth velocity parameters were calculated from all ultrasound measurements.
- The FGP model demonstrated moderate sensitivity and high specificity for predicting growth restriction and macrosomia.
- Specific cut-off values were identified for predicting these conditions.
Conclusions:
- Fetal growth potential (FGP) can be calculated using standard ultrasound measurements.
- This method can enhance the identification of fetuses at risk for late-onset growth abnormalities.
- Improved identification can lead to better management and reduced related morbidity.