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标题：Symphysis-fundal height curve in the diagnosis of fetal growth deviations
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作者：Djacyr Magna Cabral Freire ; Jose Guilherme Cecatti ; Cláudio Sergio Medeiros Paiva 等
期刊名称：Revista de Saúde Pública
印刷版ISSN：0034-8910
出版年度：2010
卷号：44
期号：6
页码：1014-1020
语种：English
出版社：Universidade de São Paulo
摘要：OBJECTIVE: To validate a new symphysis-fundal curve for screening fetal growth deviations and to compare its performance with the standard curve adopted by the Brazilian Ministry of Health.METHODS: Observational study including a total of 753 low-risk pregnant women with gestational age above 27 weeks between March to October 2006 in the city of João Pessoa, Northeastern Brazil. Symphisys-fundal was measured using a standard technique recommended by the Brazilian Ministry of Health. Estimated fetal weight assessed through ultrasound using the Brazilian fetal weight chart for gestational age was the gold standard. A subsample of 122 women with neonatal weight measurements was taken up to seven days after estimated fetal weight measurements and symphisys-fundal classifi cation was compared with Lubchenco growth reference curve as gold standard. Sensitivity, specifi city, positive and negative predictive values were calculated. The McNemar χ2 test was used for comparing sensitivity of both symphisys-fundal curves studied.RESULTS: The sensitivity of the new curve for detecting small for gestational age fetuses was 51.6% while that of the Brazilian Ministry of Health reference curve was signifi cantly lower (12.5%). In the subsample using neonatal weight as gold standard, the sensitivity of the new reference curve was 85.7% while that of the Brazilian Ministry of Health was 42.9% for detecting small for gestational age.CONCLUSIONS: The diagnostic performance of the new curve for detecting small for gestational age fetuses was signifi cantly higher than that of the Brazilian Ministry of Health reference curve.
其他摘要：OBJECTIVE: To validate a new symphysis-fundal curve for screening fetal growth deviations and to compare its performance with the standard curve adopted by the Brazilian Ministry of Health.METHODS: Observational study including a total of 753 low-risk pregnant women with gestational age above 27 weeks between March to October 2006 in the city of João Pessoa, Northeastern Brazil. Symphisys-fundal was measured using a standard technique recommended by the Brazilian Ministry of Health. Estimated fetal weight assessed through ultrasound using the Brazilian fetal weight chart for gestational age was the gold standard. A subsample of 122 women with neonatal weight measurements was taken up to seven days after estimated fetal weight measurements and symphisys-fundal classifi cation was compared with Lubchenco growth reference curve as gold standard. Sensitivity, specifi city, positive and negative predictive values were calculated. The McNemar χ2 test was used for comparing sensitivity of both symphisys-fundal curves studied.RESULTS: The sensitivity of the new curve for detecting small for gestational age fetuses was 51.6% while that of the Brazilian Ministry of Health reference curve was signifi cantly lower (12.5%). In the subsample using neonatal weight as gold standard, the sensitivity of the new reference curve was 85.7% while that of the Brazilian Ministry of Health was 42.9% for detecting small for gestational age.CONCLUSIONS: The diagnostic performance of the new curve for detecting small for gestational age fetuses was signifi cantly higher than that of the Brazilian Ministry of Health reference curve.
关键词：Embryonic and Fetal Development; Uterus; growth & development; Gestational Age; Ultrasonography; Prenatal; Prenatal Diagnosis; Validation Studie.
其他关键词：Embryonic and Fetal Development; Uterus; growth & development; Gestational Age; Ultrasonography; Prenatal; Prenatal Diagnosis; Validation Studie.