지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 248 - 256 (9page)
이용수
초록· 키워드
오류제보하기
ObjectiveThe primary outcome was to compare the diagnostic accuracy of neonatal small for gestational age (SGA) by theHadlock and Fetal Medicine Foundation (FMF) charts in our cohort, followed by the ability to predict composite severeneonatal outcomes (SNO) in pregnancies with preterm prelabor rupture of membranes (PPROM). MethodsThis study was a secondary analysis of a prospective cohort of pregnancies with PPROM from 2015 to 2018, from23 to 36 completed weeks of gestation. Sensitivity, specificity, and positive and negative predictive values for theprimary and secondary outcomes of the Hadlock and FMF fetal charts were calculated. The discriminatory ability ofeach chart was compared using the area under the receiver’s operating curves of clinical characteristics. ResultsOf the 106 women who met the inclusion criteria, 48 (45%) were screened positive using the FMF fetal growth chartand 22 (21%) were screened positive using the Hadlock chart. SGA was diagnosed in 12 infants (11%). Both fetalgrowth charts had comparable diagnostic accuracies and were statistically significant predictors of SGA (Hadlock: areaunder the receiver operating characteristic curves [AUC], 0.76, risk ratio [RR], 7.6, 95% confidence interval [CI], 2.5-23;and FMF: AUC, 0.76 RR, 13.3 95%CI 1.8-99.3). Both growth standards were poor predictors of SNO. ConclusionThe Hadlock and FMF fetal growth charts have a similar accuracy to predict SGA in pregnancies complicated byPPROM. The FMF fetal growth chart may result in a 2-fold increase in positive screens, potentially increasing fetalsurveillance.
목차
등록된 정보가 없습니다.
참고문헌 (40)
참고문헌 신청
American College of Obstetricians and Gynecologists’Committee on Practice Bulletins-Obstetrics and the Society for Maternal-Fetal Medicine / 2019 / ACOG practice bulletin No. 204: fetal growth restriction / Obstet Gynecol 133:e97~e109
American College of Obstetricians and Gynecologists’Committee on Practice Bulletins-Obstetrics / 2020 / Prelabor rupture of membranes: ACOG practice bulletin, number 217 / Obstet Gynecol 135:e80~e97
김우정 / 2018 / Antenatal corticosteroids and outcomes of preterm small-for-gestational-age neonates in a single medical center / Obstetrics & Gynecology Science 61(1):7~13
김서연 / 2020 / Questionnaire survey on the management of pregnant women with preterm premature rupture of membranes / Obstetrics & Gynecology Science 63(3):286~292
Hediger ML / 1995 / Fetal growth and the etiology of preterm delivery / Obstet Gynecol 85:175~182
American College of Obstetricians and Gynecologists’Committee on Practice Bulletins-Obstetrics / 2020 / Prelabor rupture of membranes: ACOG practice bulletin, number 217 / Obstet Gynecol 135:e80~e97
김우정 / 2018 / Antenatal corticosteroids and outcomes of preterm small-for-gestational-age neonates in a single medical center / Obstetrics & Gynecology Science 61(1):7~13
김서연 / 2020 / Questionnaire survey on the management of pregnant women with preterm premature rupture of membranes / Obstetrics & Gynecology Science 63(3):286~292
Hediger ML / 1995 / Fetal growth and the etiology of preterm delivery / Obstet Gynecol 85:175~182
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