Access the full text.
Sign up today, get DeepDyve free for 14 days.
J. Cohen, J. Hutcheon, M. Kramer, K. Joseph, H. Abenhaim, R. Platt (2010)
Influence of ultrasound‐to‐delivery interval and maternal–fetal characteristics on validity of estimated fetal weightUltrasound in Obstetrics and Gynecology, 35
D. Akram, A. Astrup, T. Atinmo, J. Boissin, G. Bray, K. Carroll, P. Chitson, C. Chunming, W. Dietz, James Hill, E. Jéquier, C. Komodiki, Y. Matsuzawa, W. Mollentze, K. Moosa, M. Noor, K. Reddy, J. Seidell, V. Tanphaichitr, R. Uauy, P. Zimmet (2000)
Obesity : Preventing and managing the global epidemic
J. Harrington, I. Perry, J. Lutomski, K. Morgan, H. Mcgee, E. Shelley, D. Watson, M. Barry (2008)
SLAN 2007: Survey of Lifestyle, Attitudes and Nutrition in Ireland. Dietary Habits of the Irish Population
M. Kanagalingam, N. Forouhi, I. Greer, N. Sattar (2005)
Changes in booking body mass index over a decade: retrospective analysis from a Glasgow Maternity HospitalBJOG: An International Journal of Obstetrics & Gynaecology, 112
J. Crane, Phil Murphy, Lorraine Burrage, D. Hutchens (2013)
Maternal and perinatal outcomes of extreme obesity in pregnancy.Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC, 35 7
J. Horbar (1999)
The Vermont Oxford Network: evidence-based quality improvement for neonatology.Pediatrics, 103 1 Suppl E
C. Lynch, D. Sexton, M. Hession, J. Morrison (2008)
Obesity and mode of delivery in primigravid and multigravid women.American journal of perinatology, 25 3
J. Unterscheider, S. Daly, M. Geary, M. Kennelly, F. Mcauliffe, K. O'Donoghue, A. Hunter, J. Morrison, G. Burke, P. Dicker, Elizabeth Tully, F. Malone (2013)
Optimizing the definition of intrauterine growth restriction: the multicenter prospective PORTO Study.American journal of obstetrics and gynecology, 208 4
T. Farrell, R. Holmes, Peter Stone (2002)
The effect of body mass index on three methods of fetal weight estimationBJOG: An International Journal of Obstetrics & Gynaecology, 109
The Health and Social Care Information Centre. Statistics on obesity, physical activity and diet--England
F. Hadlock, R. Harrist, J. Martinez-Poyer (1991)
In utero analysis of fetal growth: a sonographic weight standard.Radiology, 181 1
B. Benacerraf, R. Gelman, R. Gelman, F. Frigoletto (1988)
Sonographically estimated fetal weights: accuracy and limitation.American journal of obstetrics and gynecology, 159 5
I. Rossavik (1995)
The effect of maternal obesity on the accuracy of fetal weight estimation.Obstetrics and gynecology, 86 5
F. Hadlock, F. Hadlock, R. Harrist, R. Harrist, R. Sharman, R. Sharman, R. Deter, R. Deter, Seung-Ku Park, Seung-Ku Park (1985)
Estimation of fetal weight with the use of head, body, and femur measurements--a prospective study.American journal of obstetrics and gynecology, 151 3
ABSTRACT Purpose Maternal obesity represents a challenge in the sonographic (US) assessment of fetal weight, and is a recognized risk factor for adverse pregnancy outcome. The objective of this secondary analysis of data from the Prospective Observational Trial to Optimize Pediatric Health in fetal growth restriction (FGR) Study (PORTO) was to describe the effect of maternal obesity on the accuracy of US in determining the estimated fetal weight (EFW) and the perinatal outcome of pregnancies affected by FGR. Methods Between 2010 and 2012, 1,116 women with nonanomalous singleton pregnancies with an EFW in less than the tenth centile were recruited for the PORTO study. Maternal body mass index (BMI) was divided into five subcategories: normal (BMI < 24.9 kg/m2), overweight (25–29.9), obese class 1 (30–34.9), obese class 2 (35–39.9), and obese class 3 (>40). The accuracy of the EFW was determined in women who delivered within 2 weeks of their last US scan. Perinatal outcomes were analyzed by BMI subcategory. Results Of the 1,074 patients with complete records, 691 (64%) were of normal weight, 258 (24%) were overweight, 93 (9%) were in obese class 1, 32 (3%) were in obese class 2, and none were in obese class 3. Overall, the EFW determined prior to delivery was within 6% of the actual birth weight in all BMI subcategories. Overweight and obese women delivered more commonly by cesarean section and at earlier gestational ages than did women with a normal BMI (p = 0.0008), resulting in lower birth weights (p = 0.0031) and significantly increased composite perinatal morbidity (p < 0.0001) and mortality (p = 0.0215) rates. Conclusions US examination is reliable for assessing the weight of fetuses with FGR in overweight women. Maternal obesity, however, has a significant adverse effect on perinatal outcomes. Thus, health education should focus on awareness of this adverse effect, with optimization of prepregnancy weight as its main goal. © 2015 Wiley Periodicals, Inc. J Clin Ultrasound 44:34–39, 2016
Journal of Clinical Ultrasound – Wiley
Published: Jan 1, 2016
Keywords: ; ; ; ;
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.