Fetal biometric parameters: Reference charts for a non-selected risk population from Uberaba, Brazil

Objective: To establish reference charts for fetal biometric parameters in a non-selected risk population from Uberaba, Southeast of Brazil. Methods: A retrospective cross-sectional study was performed among 5656 non-selected risk singleton pregnant women between 14 and 41 weeks of gestation. The...

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Main Authors: Alberto Borges Peixoto, Taciana Mara Rodrigues da Cunha Caldas, Fernando Felix Dulgheroff, Wellington P. Martins, Edward Araujo Júnior
Format: Article
Language:English
Published: Sciendo 2017-03-01
Series:Journal of Ultrasonography
Subjects:
Online Access:http://jultrason.pl/index.php/issues/volume-17-no-68/fetal-biometric-parameters-reference-charts-for-a-non-selected-risk-population-from-uberaba-brazil?aid=495
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author Alberto Borges Peixoto
Taciana Mara Rodrigues da Cunha Caldas
Fernando Felix Dulgheroff
Wellington P. Martins
Edward Araujo Júnior
author_facet Alberto Borges Peixoto
Taciana Mara Rodrigues da Cunha Caldas
Fernando Felix Dulgheroff
Wellington P. Martins
Edward Araujo Júnior
author_sort Alberto Borges Peixoto
collection DOAJ
description Objective: To establish reference charts for fetal biometric parameters in a non-selected risk population from Uberaba, Southeast of Brazil. Methods: A retrospective cross-sectional study was performed among 5656 non-selected risk singleton pregnant women between 14 and 41 weeks of gestation. The ultrasound exams were performed during routine visits of second and third trimesters. Biparietal diameter (BPD) was measured at the level of the thalami and cavum septi pellucidi. Head circumference (HC) was calculated by the following formula: HC = 1.62*(BPD + occipital frontal diameter, OFD). Abdominal circumference (AC) was measured using the following formula: AC = (anteroposterior diameter + transverse abdominal diameter) × 1.57. Femur diaphysis length (FDL) was obtained in the longest axis of femur without including the distal femoral epiphysis. The estimated fetal weight (EFW) was obtained by the Hadlock formula. Polynomial regressions were performed to obtain the best-fit model for each fetal biometric parameter as the function of gestational age (GA). Results: The mean, standard deviations (SD), minimum and maximum of BPD (cm), HC (cm), AC (cm), FDL (cm) and EFW (g) were 6.9 ± 1.9 (2.3 – 10.5), 24.51 ± 6.61 (9.1 – 36.4), 22.8 ± 7.3 (7.5 – 41.1), 4.9 ± 1.6 (1.2 – 8.1) and 1365 ± 1019 (103 – 4777), respectively. Second-degree polynomial regressions between the evaluated parameters and GA resulted in the following formulas: BPD = –4.044 + 0.540 × GA – 0.0049 × GA² (R² = 0.97); HC= –15.420 + 2.024 GA – 0.0199 × GA² (R² = 0.98); AC = –9.579 + 1.329 × GA – 0.0055 × GA² (R² = 0.97); FDL = –3.778 + 0.416 × GA – 0.0035 × GA² (R² = 0.98) and EFW = 916 – 123 × GA + 4.70 × GA² (R² = 0.96); respectively. Conclusion: Reference charts for the fetal biometric parameters in a non-selected risk population from Uberaba, Southeast of Brazil, were established.
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spelling doaj.art-3fe79e1d76ee4c04b65bbf2a3047313d2022-12-22T02:08:11ZengSciendoJournal of Ultrasonography2084-84042451-070X2017-03-011768232910.15557/JoU.2017.0003Fetal biometric parameters: Reference charts for a non-selected risk population from Uberaba, BrazilAlberto Borges Peixoto0Taciana Mara Rodrigues da Cunha Caldas1Fernando Felix Dulgheroff2Wellington P. Martins3Edward Araujo Júnior4Mario Palmério University Hospital – University of Uberaba (Uniube), Uberaba-MG, Brazil; Radiologic Clinic of Uberaba (CRU), Uberaba-MG, BrazilMario Palmério University Hospital – University of Uberaba (Uniube), Uberaba-MG, Brazil; Radiologic Clinic of Uberaba (CRU), Uberaba-MG, BrazilMario Palmério University Hospital – University of Uberaba (Uniube), Uberaba-MG, BrazilDepartment of Obstetrics and Gynecology, Ribeirão Preto Medical School, University of São Paulo (DGO-FMRP-USP), Ribeirão Preto-SP, BrazilDepartment of Obstetrics, Paulista School of Medicine – Federal University of São Paulo (EPM-UNIFESP), São Paulo-SP, BrazilObjective: To establish reference charts for fetal biometric parameters in a non-selected risk population from Uberaba, Southeast of Brazil. Methods: A retrospective cross-sectional study was performed among 5656 non-selected risk singleton pregnant women between 14 and 41 weeks of gestation. The ultrasound exams were performed during routine visits of second and third trimesters. Biparietal diameter (BPD) was measured at the level of the thalami and cavum septi pellucidi. Head circumference (HC) was calculated by the following formula: HC = 1.62*(BPD + occipital frontal diameter, OFD). Abdominal circumference (AC) was measured using the following formula: AC = (anteroposterior diameter + transverse abdominal diameter) × 1.57. Femur diaphysis length (FDL) was obtained in the longest axis of femur without including the distal femoral epiphysis. The estimated fetal weight (EFW) was obtained by the Hadlock formula. Polynomial regressions were performed to obtain the best-fit model for each fetal biometric parameter as the function of gestational age (GA). Results: The mean, standard deviations (SD), minimum and maximum of BPD (cm), HC (cm), AC (cm), FDL (cm) and EFW (g) were 6.9 ± 1.9 (2.3 – 10.5), 24.51 ± 6.61 (9.1 – 36.4), 22.8 ± 7.3 (7.5 – 41.1), 4.9 ± 1.6 (1.2 – 8.1) and 1365 ± 1019 (103 – 4777), respectively. Second-degree polynomial regressions between the evaluated parameters and GA resulted in the following formulas: BPD = –4.044 + 0.540 × GA – 0.0049 × GA² (R² = 0.97); HC= –15.420 + 2.024 GA – 0.0199 × GA² (R² = 0.98); AC = –9.579 + 1.329 × GA – 0.0055 × GA² (R² = 0.97); FDL = –3.778 + 0.416 × GA – 0.0035 × GA² (R² = 0.98) and EFW = 916 – 123 × GA + 4.70 × GA² (R² = 0.96); respectively. Conclusion: Reference charts for the fetal biometric parameters in a non-selected risk population from Uberaba, Southeast of Brazil, were established.http://jultrason.pl/index.php/issues/volume-17-no-68/fetal-biometric-parameters-reference-charts-for-a-non-selected-risk-population-from-uberaba-brazil?aid=495biparietal diameterabdominal circumferencefemur diaphysis lengthestimated fetal weightreference charts
spellingShingle Alberto Borges Peixoto
Taciana Mara Rodrigues da Cunha Caldas
Fernando Felix Dulgheroff
Wellington P. Martins
Edward Araujo Júnior
Fetal biometric parameters: Reference charts for a non-selected risk population from Uberaba, Brazil
Journal of Ultrasonography
biparietal diameter
abdominal circumference
femur diaphysis length
estimated fetal weight
reference charts
title Fetal biometric parameters: Reference charts for a non-selected risk population from Uberaba, Brazil
title_full Fetal biometric parameters: Reference charts for a non-selected risk population from Uberaba, Brazil
title_fullStr Fetal biometric parameters: Reference charts for a non-selected risk population from Uberaba, Brazil
title_full_unstemmed Fetal biometric parameters: Reference charts for a non-selected risk population from Uberaba, Brazil
title_short Fetal biometric parameters: Reference charts for a non-selected risk population from Uberaba, Brazil
title_sort fetal biometric parameters reference charts for a non selected risk population from uberaba brazil
topic biparietal diameter
abdominal circumference
femur diaphysis length
estimated fetal weight
reference charts
url http://jultrason.pl/index.php/issues/volume-17-no-68/fetal-biometric-parameters-reference-charts-for-a-non-selected-risk-population-from-uberaba-brazil?aid=495
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