Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk Pregnancies

Detalhes bibliográficos
Autor(a) principal: Policiano, Catarina
Data de Publicação: 2023
Outros Autores: Mendes, Jorge M., Fonseca, Andreia, Barros, Joana, Vargas, Sara, Cal, Margarida, Martins, Inês, Carvalho, Catarina, Martins, Diana, Clode, Nuno, Graca, Luís M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: http://hdl.handle.net/10362/161592
Resumo: Policiano, C., Mendes, J. M., Fonseca, A., Barros, J., Vargas, S., Cal, M., Martins, I., Carvalho, C., Martins, D., Clode, N., & Graca, L. M. (2023). Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk Pregnancies: A Randomized Trial. Fetal Diagnosis and Therapy , 49(9-10), 425–433. https://doi.org/10.1159/000527112 --- Funding Information: This work was supported by a Research Grant from Fundação para a Ciência e Tecnologia (FCT)-SFRH/SINTD/92997/2013. The funder was not involved in the study design, collection, analysis, data interpretation, or in the writing of this report. The trial was registered in ClinicalTrials.gov with the identification number: NCT03200665.
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spelling Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk PregnanciesA Randomized TrialThird trimester screeningLow-risk pregnancyFetal growth restrictionUltrasonographyEstimated fetal weightAdverse perinatal outcomeCesarean deliveriesNonreassuring fetal statusPediatrics, Perinatology, and Child HealthEmbryologyRadiology Nuclear Medicine and imagingObstetrics and GynaecologySDG 3 - Good Health and Well-beingPoliciano, C., Mendes, J. M., Fonseca, A., Barros, J., Vargas, S., Cal, M., Martins, I., Carvalho, C., Martins, D., Clode, N., & Graca, L. M. (2023). Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk Pregnancies: A Randomized Trial. Fetal Diagnosis and Therapy , 49(9-10), 425–433. https://doi.org/10.1159/000527112 --- Funding Information: This work was supported by a Research Grant from Fundação para a Ciência e Tecnologia (FCT)-SFRH/SINTD/92997/2013. The funder was not involved in the study design, collection, analysis, data interpretation, or in the writing of this report. The trial was registered in ClinicalTrials.gov with the identification number: NCT03200665.INTRODUCTION: The aim of this study was to evaluate the accuracy of 35-37 weeks' ultrasound for fetal growth restriction (FGR) detection and the impact of 30th-33rd weeks versus 30th-33rd and 35th-37th weeks' ultrasound on perinatal outcomes. METHODS: This was a randomized controlled trial that enrolled 1,061 low-risk pregnant women: 513 in the control group (routine ultrasound performed at 30th-33rd weeks) and 548 in the study group (with an additional ultrasound at 35th-37th weeks). FGR was defined as a fetus with an estimated fetal weight (EFW) below the 10th percentile. p values < 0.05 were considered statistically significant. RESULTS: The ultrasound at 35-37 weeks had an overall accuracy of FGR screening of 94%. Spearman's correlation coefficient between EFW and birthweight centile was higher for at 35-37 weeks' ultrasound (ρ = 0.75) compared with 30-33 weeks' ultrasound (ρ = 0.44). The study group had a lower rate of operative vaginal deliveries (24.4% vs. 39.3%, p = 0.005) and cesarean deliveries for nonreassuring fetal status (16.8% vs. 38.8%, p < 0.001). DISCUSSION/CONCLUSION: A later ultrasound (35-37 weeks) had a high accuracy for detection of FGR and had a higher correlation between EFW and birthweight centiles. Furthermore, it was also associated with lower adverse perinatal outcomes compared to an earlier ultrasound.NOVA Information Management School (NOVA IMS)Information Management Research Center (MagIC) - NOVA Information Management SchoolRUNPoliciano, CatarinaMendes, Jorge M.Fonseca, AndreiaBarros, JoanaVargas, SaraCal, MargaridaMartins, InêsCarvalho, CatarinaMartins, DianaClode, NunoGraca, Luís M.2023-12-22T22:26:16Z2023-02-012023-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article9application/pdfhttp://hdl.handle.net/10362/161592eng1015-3837PURE: 48475570https://doi.org/10.1159/000527112info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-07-22T01:36:54Zoai:run.unl.pt:10362/161592Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:47:41.029045Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk Pregnancies
A Randomized Trial
title Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk Pregnancies
spellingShingle Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk Pregnancies
Policiano, Catarina
Third trimester screening
Low-risk pregnancy
Fetal growth restriction
Ultrasonography
Estimated fetal weight
Adverse perinatal outcome
Cesarean deliveries
Nonreassuring fetal status
Pediatrics, Perinatology, and Child Health
Embryology
Radiology Nuclear Medicine and imaging
Obstetrics and Gynaecology
SDG 3 - Good Health and Well-being
title_short Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk Pregnancies
title_full Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk Pregnancies
title_fullStr Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk Pregnancies
title_full_unstemmed Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk Pregnancies
title_sort Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk Pregnancies
author Policiano, Catarina
author_facet Policiano, Catarina
Mendes, Jorge M.
Fonseca, Andreia
Barros, Joana
Vargas, Sara
Cal, Margarida
Martins, Inês
Carvalho, Catarina
Martins, Diana
Clode, Nuno
Graca, Luís M.
author_role author
author2 Mendes, Jorge M.
Fonseca, Andreia
Barros, Joana
Vargas, Sara
Cal, Margarida
Martins, Inês
Carvalho, Catarina
Martins, Diana
Clode, Nuno
Graca, Luís M.
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Information Management School (NOVA IMS)
Information Management Research Center (MagIC) - NOVA Information Management School
RUN
dc.contributor.author.fl_str_mv Policiano, Catarina
Mendes, Jorge M.
Fonseca, Andreia
Barros, Joana
Vargas, Sara
Cal, Margarida
Martins, Inês
Carvalho, Catarina
Martins, Diana
Clode, Nuno
Graca, Luís M.
dc.subject.por.fl_str_mv Third trimester screening
Low-risk pregnancy
Fetal growth restriction
Ultrasonography
Estimated fetal weight
Adverse perinatal outcome
Cesarean deliveries
Nonreassuring fetal status
Pediatrics, Perinatology, and Child Health
Embryology
Radiology Nuclear Medicine and imaging
Obstetrics and Gynaecology
SDG 3 - Good Health and Well-being
topic Third trimester screening
Low-risk pregnancy
Fetal growth restriction
Ultrasonography
Estimated fetal weight
Adverse perinatal outcome
Cesarean deliveries
Nonreassuring fetal status
Pediatrics, Perinatology, and Child Health
Embryology
Radiology Nuclear Medicine and imaging
Obstetrics and Gynaecology
SDG 3 - Good Health and Well-being
description Policiano, C., Mendes, J. M., Fonseca, A., Barros, J., Vargas, S., Cal, M., Martins, I., Carvalho, C., Martins, D., Clode, N., & Graca, L. M. (2023). Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk Pregnancies: A Randomized Trial. Fetal Diagnosis and Therapy , 49(9-10), 425–433. https://doi.org/10.1159/000527112 --- Funding Information: This work was supported by a Research Grant from Fundação para a Ciência e Tecnologia (FCT)-SFRH/SINTD/92997/2013. The funder was not involved in the study design, collection, analysis, data interpretation, or in the writing of this report. The trial was registered in ClinicalTrials.gov with the identification number: NCT03200665.
publishDate 2023
dc.date.none.fl_str_mv 2023-12-22T22:26:16Z
2023-02-01
2023-02-01T00:00:00Z
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/161592
url http://hdl.handle.net/10362/161592
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1015-3837
PURE: 48475570
https://doi.org/10.1159/000527112
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