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- W2109591411 abstract "The aim of our study was to evaluate the role of the third trimester scan in the diagnosis of fetal macrosomia defined as birthweight > 4500 g. Six hundred and twenty six low risk patients attending our hospital for the third trimester scan between 32 and 34 weeks of gestation were evaluated. Sensibility and positive predictive value for detecting fetal macrosomia were calculated using the 90th, the 95th and the 98th centile. Shoulder dystocia and Caesarean section rates were compared between the adequate irth weight group and the 90, 95 and 98 th centile group respectively. The prevalence of birthweight > 4500 was 1,5 %. The sensibility for detecting fetal macrosomia was 75 % (95% CI 41-92%), 50 % (95% CI 21-78%), and 38 % (95%CI 14-69%), the positive predictive value was 9 % (95%CI 6-13%), 10 % (95 %CI 5-19%) and 11 % (95% CI 5-25 %) for the 90th, the 95th and the 98th centile respectively. There was only one case of shoulder dystocia and it was in the group with a birthweight bellow 4500 g. The C-section rate in the adequate birthweight group was lower (20 %) than in the 90 (28%), 95 (31%) and 98 (33%) centile group. Third trimester scan is considered to be the gold standard in the evaluation of the fetal growth. Unfortunately our ability to accurately identify large for gestational age fetuses reamains rather poor and our ability to predict shoulder dystocia is even worse." @default.
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- W2109591411 date "2014-09-01" @default.
- W2109591411 modified "2023-10-03" @default.
- W2109591411 title "P15.10: Ultrasound screening for fetal macrosomia, an unsolved dilemma" @default.
- W2109591411 doi "https://doi.org/10.1002/uog.14296" @default.
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