[Fetal abdominal area growth velocity in prediction of fetal and neonatal well-being].
OBJECTIVE
Evaluation of new methodology of fetal growth assessment.


METHODS
Retrospective analysis of prospectively collected data.


METHODS
One hundred ninety five pregnant women undergoing labor at term were enrolled to the study. Standard deviation scores (Z) of fetal abdominal area (FAA) growth velocity in about one month period in the third trimester and adjusted to the age birthweight Z scores were calculated. Receiver-operator characteristic (ROC) were constructed for both Z scores in prediction of obstetric outcome.


RESULTS
Areas under the ROC curve for FAA were statistically significantly bigger in prediction of fetal distress (p < 10(-3)) or neonatal acidemia (p < 10(-6)) or depression (p < 0.005).


CONCLUSIONS
Fetal abdominal area growth velocity measurement is superior to a fetal weight in fetal well-being assessment and may be a simple method of intrauterine growth restriction diagnosis and even definition.
Malewski
Zbyszko
Z
Kliniki Perinatologii AM im. Karola Marcinkowskiego w Poznaniu.
D000005:Abdomen / Q000196:embryology* / Q000254:growth & development; D000886:Anthropometry; D016009:Chi-Square Distribution; D005314:Embryonic and Fetal Development; D005260:Female; D005315:Fetal Diseases / Q000209:etiology; D005317:Fetal Growth Retardation / Q000150:complications; D006801:Humans; D007231:Infant, Newborn; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D011296:Prenatal Diagnosis / Q000379:methods; D012372:ROC Curve; D012015:Reference Standards; D012189:Retrospective Studies; D012307:Risk Factors; D012680:Sensitivity and Specificity
Relacja szybkości wzrastania pola powierzchni przekroju brzucha płodu oraz stanu płodu i noworodka.