Keele Research Repository
Explore the Repository
Robinson, R, Walker, KF, White, VA, Bugg, GJ, Snell, KIE and Jones, NW (2020) The test accuracy of antenatal ultrasound definitions of fetal macrosomia to predict birth injury: A systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology, 246. 79 - 85. ISSN 0301-2115
The test accuracy of antenatal ultrasound definitions of fetal macrosomia to predict birth injury - a systematic review ACCEPTED VERSION.pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial.
Download (347kB) | Preview
Abstract
OBJECTIVES: To determine which ultrasound measurement for predicted fetal macrosomia most accurately predicts adverse delivery and neonatal outcomes. STUDY DESIGN: Four biomedical databases searched for studies published after 1966. Randomised trials or observational studies of women with singleton pregnancies, resulting in a term birth who have undergone an index test of interest measured and recorded as predicted fetal macrosomia ≥28 weeks. Adverse outcomes of interest included shoulder dystocia, brachial plexus injury (BPI) and Caesarean section. RESULTS: Twenty-five observational studies (13,285 participants) were included. For BPI, the only significant positive association was found for Abdominal Circumference (AC) to Head Circumference (HC) difference > 50 mm (OR 7.2, 95 % CI 1.8-29). Shoulder dystocia was significantly associated with abdominal diameter (AD) minus biparietal diameter (BPD) ≥ 2.6 cm (OR 4.2, 95 % CI 2.3-7.5, PPV 11 %) and AC > 90th centile (OR 2.3, 95 % CI 1.3-4.0, PPV 8.6 %) and an estimated fetal weight (EFW) > 4000 g (OR 2.1 95 %CI 1.0-4.1, PPV 7.2 %). CONCLUSIONS: Estimated fetal weight is the most widely used ultrasound marker to predict fetal macrosomia in the UK. This study suggests other markers have a higher positive predictive value for adverse outcomes associated with fetal macrosomia.
Item Type: | Article |
---|---|
Additional Information: | The final version of this accepted manuscript can be accessed online at https://www.sciencedirect.com/science/article/pii/S0301211520300270?via%3Dihub |
Uncontrolled Keywords: | Fetal macrosomia; Shoulder dystocia; Ultrasound markers |
Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine |
Divisions: | Faculty of Medicine and Health Sciences > Primary Care Health Sciences |
Related URLs: | |
Depositing User: | Symplectic |
Date Deposited: | 09 Mar 2020 15:27 |
Last Modified: | 16 Jan 2021 01:30 |
URI: | https://eprints.keele.ac.uk/id/eprint/7780 |