medigraphic.com
ISSN 1561-3062 (Electronic)

2019, Number 1

<< Back Next >>

Revista Cubana de Obstetricia y Ginecología 2019; 45 (1)

Effectiveness of anthropometric indicators for the diagnosis of intrauterine growth restriction

Limas PY, Álvarez-Guerra GE, Sarasa MN, Cañizares LO, Artiles SA, Machado DB

Language: Spanish
References: 16
Page: 37-47
PDF size: 550.91 Kb.


ABSTRACT

Introduction: Intrauterine growth restriction refers to the inability of the fetus to reach the biologically determined growth potential. The ultrasound tool is the cornerstone for the diagnosis of growth restriction in which fetal biometry is crucial.
Objective: To determine the effectiveness of anthropometric indicators for the diagnosis of intrauterine growth restriction.
Methods: A prospective study was conducted from October 2012 to October 2014 in pregnant women with simple pregnancies and adequate weight, at Chiqui Gómez Lubián health area in Santa Clara. Receiver Operating Characteristic (ROC) curves of anthropometric indicators were constructed for the prediction of intrauterine growth restriction.
Results: The cephalic circumference / abdominal circumference indicator showed greater area under ROC curve in both quarters, with higher values in the third quarter.
Conclusions: The effectiveness of the indicators studied for the prediction of intrauterine growth restriction was only verified in the third quarter.


REFERENCES

  1. American College of Obstetricians and Gynecologists. Acog Practice bulletin no. 134: fetal growth restriction. Obstet Gynecol [Internet]. 2013[citado 25 Abr 2016];121(5):[aprox. 5 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23635765

  2. Karam Toumeh D. Guía de Práctica Clínica GPC [Internet]. México: Instituto Mexicano del Seguro Social; 2011[citado 16 May 2016]. Disponible en: http://www.imss.gob.mx/profesionales/guiasclinicas/Pages/guias.aspx

  3. Copel JA, Bahtiyar MO. A practical approach to fetal growth restriction. Obstetrics Gynecology. 2014;123(5):1057-69.

  4. Apaza Valencia J, Quiroga Flores LA, Delgado Rendón J. Correlación de la biometría fetal estándar y la biometría secundaria con la edad gestacional en gestantes del segundo y tercer trimestre. Rev Peruana Ginecol Obstetric [Internet]. 2015 [citado 23 May 2015];61(1): [aprox. 7 p.]. Disponible en: http://dev.scielo.org.pe/scielo.php?cript=sci_arttext&pid=S2304-51322015000100006&lng=en&nrm=iso

  5. Vayssière C, Sentilhes L, Ego A, Bernard C, Cambourieu D, Flamant C, et al. Fetal growth restriction and intra-uterine growth restriction: guidelines for clinical practice from the French College of Gynecologists and Obstetricians. European J Obstet Gynecol Reproduct Biology. 2015;193:10-8.

  6. Sanín Blair JE, Gómez Díaz J, Ramírez J, Mejía CA, Medina Ó, Vélez J. Diagnóstico y seguimiento del feto con restricción del crecimiento intrauterino (RCIU) y del feto pequeño para la edad gestacional (PEG): Consenso Colombiano. Rev Colombiana Obstet Ginecol. 2009; 60(3):247-61.

  7. Aragón Gómez F, Grajales Rojas J. Restricción del crecimiento intrauterino. CCAP [Internet]. 2014 [citado 25 May 2015];9(3):[aprox. 9 p.]. Disponible en: https://scp.com.co/precop-old/precop_files/modulo_9_vin_3/Precop_9-3-A.pdf

  8. Delgado Calzado JJ, Breto García A, Cabezas Cruz E, Santisteban Alba S. Consenso de Procederes diagnósticos y terapéuticos en Obstetricia y Perinatología. Ciudad de La Habana: MINSAP; 2010.

  9. Ministerio de Salud Pública. Tablas Antropométricas de la Embarazada. La Habana: MINSAP; 2010.

  10. Álvarez Guerra E. Biometría fetal: Eficiencia en la predicción de desviaciones de la condición trófica del recién nacido. [Tesis]. Santa Clara: Universidad de Ciencias Médicas de Villa Clara; 2015.

  11. Pérez J, Márquez D, Muñoz H, Solís A, Otaño L, Ayala J. Restricción de crecimiento intrauterino. Guía clínica de la Federación Latino Americana de Sociedades de Ginecología y Obstetricia [Internet]. FLASOG; 2013[citado 23 May 2015]. Disponible en: http://www.flasog.org/wp-content/uploads/2014/01/Guia-Clinica-de-Restricion-del-Crecimiento-Intrauterino-2013

  12. Valsa A. Fetal growth restriction: etiology, screening, diagnosis and management. Int J Reprod Contracept Obstet Gynecol [Internet]. 2015 [citado 14 mar 2016];4(6):[aprox. 5 p.]. Disponible en: http://www.scopemed.org/fulltextpdf.php?mno=201779

  13. Radulescu L, Munteanu O, Cirstoiu MM, Popa F. Intrauterine growth restriction. Department experience and literature review. Obstetrics [Internet]. 2013 [citado 15 Mar 2015];9(3):[aprox. 5 p.]. Disponible en: http://gineco.eu/index.php/arhiv/214

  14. Murki S, Sharma D. Intrauterine Growth Retardation - A Review Article. J Neonatal Biol. 2014;3:135.

  15. Quinton A, Cook C, Peek M. The prediction of the small for gestational age fetus with the head circumference to abdominal circumference (HC/AC) ratio: a new look at an old measurement. Sonography. 2015;2(2):27-31.

  16. Laighin CN, Burke G, Unterscheider JU, Daly S, Geary MP, Mairead M. Fetal growth asymmetry, is it still relevant after all these years? American J Obstetric Gynecol [Internet]. 2016 [citado 23 May 2016];214(1):[aprox. 3 p.]. Disponible en: http://www.ajog.org/article/S0002-9378%2815%2901601-4/pdf




2020     |     www.medigraphic.com