Routine Ultrasound at 30th–33rd weeks versus 30th–33rd and 35th–37th weeks in Low-Risk Pregnancies
Autor(a) principal: | |
---|---|
Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , , |
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. |
id |
RCAP_5b5b9c37c6c6d93019a0e3d7e622d0c7 |
---|---|
oai_identifier_str |
oai:run.unl.pt:10362/161592 |
network_acronym_str |
RCAP |
network_name_str |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
repository_id_str |
https://opendoar.ac.uk/repository/7160 |
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 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
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 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
9 application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia instacron:RCAAP |
instname_str |
FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
collection |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
repository.name.fl_str_mv |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia |
repository.mail.fl_str_mv |
info@rcaap.pt |
_version_ |
1833596965721473024 |