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Original Article
Agreement Analysis between Sonographic Estimates and Birth Weight, by the WHO and Intergrowth-21st Tables, in Newborns of Diabetic Mothers
- Marcus Vinícius Rodrigues de Souza
, - Lívia Pinto e Fróes ,
- Pedro Afonso Cortez ,
- Márcio Weissheimer Lauria ,
- Regina Amélia Lopes de Aguiar , [ ... ],
- Kamilla Maria Araújo Brandão Rajão
03-08-2021
Summary
Original ArticleAgreement Analysis between Sonographic Estimates and Birth Weight, by the WHO and Intergrowth-21st Tables, in Newborns of Diabetic Mothers
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(1):20-27
03-08-2021- Marcus Vinícius Rodrigues de Souza ,
- Lívia Pinto e Fróes ,
- Pedro Afonso Cortez ,
- Márcio Weissheimer Lauria ,
- Regina Amélia Lopes de Aguiar ,
- Kamilla Maria Araújo Brandão Rajão
Views172Abstract
Objective
To analyze the agreement, in relation to the 90th percentile, of ultrasound measurements of abdominal circumference (AC) and estimated fetal weight (EFW), between the World Health Organization (WHO) and the International Fetal and Newborn Growth Consortium for the 21st Century (intergrowth-21st) tables, as well as regarding birth weight in fetuses/newborns of diabetic mothers.
Methods
Retrospective study with data from medical records of 171 diabetic pregnant women, single pregnancies, followed between January 2017 and June 2018. Abdominal circumference and EFW data at admission (from 22 weeks) and predelivery (up to 3 weeks) were analyzed. These measures were classified in relation to the 90th percentile. The Kappa coefficient was used to analyze the agreement of these ultrasound variables between the WHO and intergrowth-21st tables, as well as, by reference table, these measurements and birth weight.
Results
The WHO study reported 21.6% large-for-gestational-age (LGA) newborns while the intergrowth-21st reported 32.2%. Both tables had strong concordances in the assessment of initial AC, final AC, and initial EFW (Kappa = 0.66, 0.72 and 0.63, respectively) and almost perfect concordance in relation to final EFW (Kappa = 0.91). Regarding birth weight, the best concordances were found for initial AC (WHO: Kappa = 0.35; intergrowth-21st: Kappa= 0.42) and with the final EFW (WHO: Kappa = 0.33; intergrowth- 21st: Kappa = 0.35).
Conclusion
The initial AC and final EFW were the parameters of best agreement regarding birth weight classification. The WHO and intergrowth-21st tables showed high agreement in the classification of ultrasound measurements in relation to the 90th
Key-words Abdominal circumferenceBirth weightestimated fetal weightGestational diabetesgrowth chartsSee moreViews172
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Original ArticleAgreement Analysis between Sonographic Estimates and Birth Weight, by the WHO and Intergrowth-21st Tables, in Newborns of Diabetic Mothers
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(1):20-27
03-08-2021- Marcus Vinícius Rodrigues de Souza ,
- Lívia Pinto e Fróes ,
- Pedro Afonso Cortez ,
- Márcio Weissheimer Lauria ,
- Regina Amélia Lopes de Aguiar ,
- Kamilla Maria Araújo Brandão Rajão
Views172Abstract
Objective
To analyze the agreement, in relation to the 90th percentile, of ultrasound measurements of abdominal circumference (AC) and estimated fetal weight (EFW), between the World Health Organization (WHO) and the International Fetal and Newborn Growth Consortium for the 21st Century (intergrowth-21st) tables, as well as regarding birth weight in fetuses/newborns of diabetic mothers.
Methods
Retrospective study with data from medical records of 171 diabetic pregnant women, single pregnancies, followed between January 2017 and June 2018. Abdominal circumference and EFW data at admission (from 22 weeks) and predelivery (up to 3 weeks) were analyzed. These measures were classified in relation to the 90th percentile. The Kappa coefficient was used to analyze the agreement of these ultrasound variables between the WHO and intergrowth-21st tables, as well as, by reference table, these measurements and birth weight.
Results
The WHO study reported 21.6% large-for-gestational-age (LGA) newborns while the intergrowth-21st reported 32.2%. Both tables had strong concordances in the assessment of initial AC, final AC, and initial EFW (Kappa = 0.66, 0.72 and 0.63, respectively) and almost perfect concordance in relation to final EFW (Kappa = 0.91). Regarding birth weight, the best concordances were found for initial AC (WHO: Kappa = 0.35; intergrowth-21st: Kappa= 0.42) and with the final EFW (WHO: Kappa = 0.33; intergrowth- 21st: Kappa = 0.35).
Conclusion
The initial AC and final EFW were the parameters of best agreement regarding birth weight classification. The WHO and intergrowth-21st tables showed high agreement in the classification of ultrasound measurements in relation to the 90th
Key-words Abdominal circumferenceBirth weightestimated fetal weightGestational diabetesgrowth chartsSee moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. - Marcus Vinícius Rodrigues de Souza
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Original Article
Local References for Ultrasound-Estimated Fetal Weight Based on 2,211 Singleton Pregnancies in the City of Curitiba, South of Brazil
- Daniel Massamatsu Pianovski Kato ,
- Liziane Lorusso ,
- Natália Roberta Andrade Dalla Costa ,
- Camila Rotter Queiroz Ulyssea ,
- Gabrielle Navarro Lizana , [ ... ],
- Edward Araujo Júnior
05-18-2020
Summary
Original ArticleLocal References for Ultrasound-Estimated Fetal Weight Based on 2,211 Singleton Pregnancies in the City of Curitiba, South of Brazil
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(4):174-180
05-18-2020- Daniel Massamatsu Pianovski Kato ,
- Liziane Lorusso ,
- Natália Roberta Andrade Dalla Costa ,
- Camila Rotter Queiroz Ulyssea ,
- Gabrielle Navarro Lizana ,
- Luana Lenzi ,
- Rafael Frederico Bruns ,
- Elisa Chicareli Pinhat ,
- Edward Araujo Júnior
Views158See moreAbstract
Objective
To develop reference curves of estimated fetal weight for a local population in Curitiba, South of Brazil, and compare them with the curves established for other populations.
Methods
An observational, cross-sectional, retrospective study was conducted. A reference model for estimated fetal weight was developed using a local sample of 2,211 singleton pregnancies with low risk of growth disorders and well-defined gestational age. This model was compared graphically with the Hadlock and Intergrowth 21st curves.
Results
Reference curves for estimated fetal weight were developed for a local population. The coefficient of determination was R2 = 99.11%, indicating that 99.11% of the fetal weight variations were explained by the model. Compared with Hadlock curves, the 50th, 90th, and 97th percentiles in this model were lower, whereas the 10th percentile nearly overlapped, and the 3rd percentile was slightly higher in the proposed model. The percentiles were higher in the proposed model compared with the Intergrowth 21st curves, particularly for the 3rd, 10th, and 50th percentiles.
Conclusion
We provide a local reference curve for estimated fetal weight. The proposed model was different from other models, and these differences might be due to the use of different populations for model construction.
Views158This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Original ArticleLocal References for Ultrasound-Estimated Fetal Weight Based on 2,211 Singleton Pregnancies in the City of Curitiba, South of Brazil
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(4):174-180
05-18-2020- Daniel Massamatsu Pianovski Kato ,
- Liziane Lorusso ,
- Natália Roberta Andrade Dalla Costa ,
- Camila Rotter Queiroz Ulyssea ,
- Gabrielle Navarro Lizana ,
- Luana Lenzi ,
- Rafael Frederico Bruns ,
- Elisa Chicareli Pinhat ,
- Edward Araujo Júnior
Views158See moreAbstract
Objective
To develop reference curves of estimated fetal weight for a local population in Curitiba, South of Brazil, and compare them with the curves established for other populations.
Methods
An observational, cross-sectional, retrospective study was conducted. A reference model for estimated fetal weight was developed using a local sample of 2,211 singleton pregnancies with low risk of growth disorders and well-defined gestational age. This model was compared graphically with the Hadlock and Intergrowth 21st curves.
Results
Reference curves for estimated fetal weight were developed for a local population. The coefficient of determination was R2 = 99.11%, indicating that 99.11% of the fetal weight variations were explained by the model. Compared with Hadlock curves, the 50th, 90th, and 97th percentiles in this model were lower, whereas the 10th percentile nearly overlapped, and the 3rd percentile was slightly higher in the proposed model. The percentiles were higher in the proposed model compared with the Intergrowth 21st curves, particularly for the 3rd, 10th, and 50th percentiles.
Conclusion
We provide a local reference curve for estimated fetal weight. The proposed model was different from other models, and these differences might be due to the use of different populations for model construction.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. - Daniel Massamatsu Pianovski Kato
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