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You searched for:"Maria Regina Marrocos Machado"
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Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(9):639-646
DOI 10.1590/S0100-72032003000900004
PURPOSE: to evaluate the association between the variability of amniotic fluid index (AFI) values with gestational age and some sociodemographic and obstetric variables among low-risk pregnant women. METHOD: a comparative study was carried out including 2868 low-risk pregnant women who had routine obstetric ultrasound examination, including fetal biometry and the measurement of AFI, from 20 to 42 weeks of gestation. The data were analyzed using Student's t test, analysis of variance of mean AFI values along gestational ages, according to other control variables, and also by multiple linear regression analysis. RESULTS: there was no significant variation of mean AFI values during the time of pregnancy neither when separately evaluating its association with maternal age, color, education, smoking habit, parity, and the presence of previous cesarean section scars, nor when the evaluation was performed through multivariate analysis. In this situation only the increase in gestational age showed to be associated with the decrease of AFI. Generally speaking, the mean AFI values fluctuated between 140 and 180 mm between the 20th and the 36th week, then showing values below 140 mm in a progressive decrease after this limit of gestational age. CONCLUSIONS: AFI values do not show a significant variation during pregnancy regarding the studied sociodemographic and obstetric variables.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(9):639-646
DOI 10.1590/S0100-72032003000900004
PURPOSE: to evaluate the association between the variability of amniotic fluid index (AFI) values with gestational age and some sociodemographic and obstetric variables among low-risk pregnant women. METHOD: a comparative study was carried out including 2868 low-risk pregnant women who had routine obstetric ultrasound examination, including fetal biometry and the measurement of AFI, from 20 to 42 weeks of gestation. The data were analyzed using Student's t test, analysis of variance of mean AFI values along gestational ages, according to other control variables, and also by multiple linear regression analysis. RESULTS: there was no significant variation of mean AFI values during the time of pregnancy neither when separately evaluating its association with maternal age, color, education, smoking habit, parity, and the presence of previous cesarean section scars, nor when the evaluation was performed through multivariate analysis. In this situation only the increase in gestational age showed to be associated with the decrease of AFI. Generally speaking, the mean AFI values fluctuated between 140 and 180 mm between the 20th and the 36th week, then showing values below 140 mm in a progressive decrease after this limit of gestational age. CONCLUSIONS: AFI values do not show a significant variation during pregnancy regarding the studied sociodemographic and obstetric variables.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(1):35-40
DOI 10.1590/S0100-72032003000100006
PURPOSE: tocompare the ultrasound estimation of fetal weight (EFW) with neonatal weight and to evaluate the performance of the normal EFW curve according to gestational age for the diagnosis of fetal/neonatal weight deviation and associated factors. METHODS: one hundred and eighty-six pregnant women who delivered at the institution from November 1998 to January 2000 and who had one ultra-sonographic evaluation performed until three days prior to delivery with estimation of the amniotic fluid index were included. EFW was calculated and classified in to small for gestational age (SGA), adequate for gestational age (AGA) and large for gestational age (LGA) through the normal EFW curve for this population. Neonatal weight was similarly classified. The variability of the measures and the degree of linear correlation between EFW and neonatal weight, as well as sensitivity, specificity and predictive values for the use of the normal EFW curve in the diagnosis of neonatal weight deviations were calculated. RESULTS: the difference between EFW and neonatal weight ranged from -540 to +594 g, with a mean of +46.9 g, and the two measures presented a linear correlation coefficient of 0.94. The normal EFW curve had a sensitivity of 100% and specificity of 90.5% in detecting SGA neonates and of 94.4 and 92.8%, respectively, in detecting LGA; however, the predictive positive values were low for both conditions. CONCLUSIONS:ultrasound EFW was in agreement with the neonatal weight, with a mean overweight of approximately 47 g, and its normal curve showed a good performance in the screening of SGA and LGA neonates.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(1):35-40
DOI 10.1590/S0100-72032003000100006
PURPOSE: tocompare the ultrasound estimation of fetal weight (EFW) with neonatal weight and to evaluate the performance of the normal EFW curve according to gestational age for the diagnosis of fetal/neonatal weight deviation and associated factors. METHODS: one hundred and eighty-six pregnant women who delivered at the institution from November 1998 to January 2000 and who had one ultra-sonographic evaluation performed until three days prior to delivery with estimation of the amniotic fluid index were included. EFW was calculated and classified in to small for gestational age (SGA), adequate for gestational age (AGA) and large for gestational age (LGA) through the normal EFW curve for this population. Neonatal weight was similarly classified. The variability of the measures and the degree of linear correlation between EFW and neonatal weight, as well as sensitivity, specificity and predictive values for the use of the normal EFW curve in the diagnosis of neonatal weight deviations were calculated. RESULTS: the difference between EFW and neonatal weight ranged from -540 to +594 g, with a mean of +46.9 g, and the two measures presented a linear correlation coefficient of 0.94. The normal EFW curve had a sensitivity of 100% and specificity of 90.5% in detecting SGA neonates and of 94.4 and 92.8%, respectively, in detecting LGA; however, the predictive positive values were low for both conditions. CONCLUSIONS:ultrasound EFW was in agreement with the neonatal weight, with a mean overweight of approximately 47 g, and its normal curve showed a good performance in the screening of SGA and LGA neonates.
