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Adverse perinatal outcomes in fetuses with severe late-onset fetal growth restriction.
Bahia, Maria Luiza Rozo; Velarde, Guillermo Coca; Silva, Fernanda Campos da; Araujo Júnior, Edward; Sá, Renato Augusto Moreira de.
Afiliação
  • Bahia MLR; Post-Graduate Program in Medical Science, Fluminense Federal University (UFF), Niterói, Brazil.
  • Velarde GC; Fetal Medicine Unit, Perinatal Rede D'Or São Luiz, Rio de Janeiro, Brazil.
  • Silva FCD; Post-Graduate Program in Medical Science, Fluminense Federal University (UFF), Niterói, Brazil.
  • Araujo Júnior E; Post-Graduate Program in Medical Science, Fluminense Federal University (UFF), Niterói, Brazil.
  • Sá RAM; Fetal Medicine Unit, Perinatal Rede D'Or São Luiz, Rio de Janeiro, Brazil.
J Matern Fetal Neonatal Med ; 35(25): 8666-8672, 2022 Dec.
Article em En | MEDLINE | ID: mdl-34702116
OBJECTIVE: To evaluate perinatal outcomes in fetuses with severe late-onset fetal growth restriction. METHODS: This was a retrospective and observational cohort study in which pregnant women diagnosed with late-onset fetal growth restriction assisted at perinatal maternity birth from 2010 to 2017 were included. The outcomes were intensive care unit (ICU) admission and perinatal complications, such as neonatal death, intraventricular hemorrhage, periventricular leukomalacia, hypoxic-ischemic encephalopathy, necrotizing enterocolitis, bronchopulmonary dysplasia, and sepsis. RESULTS: We selected 277 pregnant women, of whom 124 newborns (44.76%) went to the ICU. The chance of a newborn needing ICU decreases by 62, 7, and 9% according to an increase of one gestational week, 1 cm of the abdominal circumference, or 1 cm of the amniotic fluid index, respectively. Oligohydramnios increases the risk of going to the ICU by 2.13 times. The increase in the umbilical artery pulsatility index (PI) Doppler increases the chance of ICU admission by 7.9 times. The normal middle cerebral artery PI Doppler and the normal cerebroplacental ratio reduce the risk of ICU admission. CONCLUSION: The estimated fetal weight, abdominal circumference, and amniotic fluid index diagnosed severe late-onset fetal growth restriction. With the decrease in middle cerebral artery PI Doppler, there is a greater probability of admission to the ICU, with the most common complications being intraventricular hemorrhage and necrotizing enterocolitis.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Enterocolite Necrosante / Retardo do Crescimento Fetal Tipo de estudo: Diagnostic_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans / Newborn / Pregnancy Idioma: En Revista: J Matern Fetal Neonatal Med Assunto da revista: OBSTETRICIA / PERINATOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
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Imprimir
XML
PubMed Links
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Enterocolite Necrosante / Retardo do Crescimento Fetal Tipo de estudo: Diagnostic_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans / Newborn / Pregnancy Idioma: En Revista: J Matern Fetal Neonatal Med Assunto da revista: OBSTETRICIA / PERINATOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido