Intrauterine Growth Restriction—Prediction and Peripartum Data on Hospital Care
<i>Background and Objectives:</i> We aimed to prospectively obtain data on pregnancies complicated with intrauterine growth restriction (IUGR) in the Prenatal Diagnosis Unit of the Emergency County Hospital of Craiova. We collected the demographic data of mothers, the prenatal ultrasound...
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MDPI AG
2023-04-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/4/773 |
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| author | Marina Dinu Andreea Florentina Stancioi-Cismaru Mihaela Gheonea Elinor Dumitru Luciu Raluca Maria Aron Razvan Cosmin Pana Cristian Marius Marinas Stefan Degeratu Maria Sorop-Florea Andreea Carp-Veliscu Andreea Denisa Hodorog Stefania Tudorache |
| author_facet | Marina Dinu Andreea Florentina Stancioi-Cismaru Mihaela Gheonea Elinor Dumitru Luciu Raluca Maria Aron Razvan Cosmin Pana Cristian Marius Marinas Stefan Degeratu Maria Sorop-Florea Andreea Carp-Veliscu Andreea Denisa Hodorog Stefania Tudorache |
| author_sort | Marina Dinu |
| collection | DOAJ |
| description | <i>Background and Objectives:</i> We aimed to prospectively obtain data on pregnancies complicated with intrauterine growth restriction (IUGR) in the Prenatal Diagnosis Unit of the Emergency County Hospital of Craiova. We collected the demographic data of mothers, the prenatal ultrasound (US) features, the intrapartum data, and the immediate postnatal data of newborns. We aimed to assess the detection rates of IUGR fetuses (the performance of the US in estimating the actual neonatal birth weight), to describe the prenatal care pattern in our unit, and to establish predictors for the number of total hospitalization days needed postnatally. <i>Materials and Methods:</i> Data were collected from cases diagnosed with IUGR undergoing prenatal care in our hospital. We compared the percentile of estimated fetal weight (EFW) using the Hadlock 4 technique with the percentile of weight at birth. We retrospectively performed a regression analysis to correlate the variables predicting the number of hospitalization days. <i>Results:</i> Data on 111 women were processed during the period of 1 September 2019–1 September 2022. We confirmed the significant differences in US features between early- (Eo) and late-onset (Lo) IUGR cases. The detection rates were higher if the EFW was lower, and Eo-IUGR was associated with a higher number of US scans. We obtained a mathematical formula for estimating the total number of hospitalization days needed postnatally. <i>Conclusion:</i> Early- and late-onset IUGR have different US features prenatally and different postnatal outcomes. If the US EFW percentile is lower, a prenatal diagnosis is more likely to be made, and a closer follow-up is offered in our hospital. The total number of hospitalization days may be predicted using intrapartum and immediate postnatal data in both groups, having the potential to optimize the final financial costs and to organize the neonatal department efficiently. |
| first_indexed | 2024-03-11T04:45:39Z |
| format | Article |
| id | doaj.art-656643b44e2944d69a5c29bc408afd32 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-11T04:45:39Z |
| publishDate | 2023-04-01 |
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| series | Medicina |
| spelling | doaj.art-656643b44e2944d69a5c29bc408afd322023-11-17T20:21:53ZengMDPI AGMedicina1010-660X1648-91442023-04-0159477310.3390/medicina59040773Intrauterine Growth Restriction—Prediction and Peripartum Data on Hospital CareMarina Dinu0Andreea Florentina Stancioi-Cismaru1Mihaela Gheonea2Elinor Dumitru Luciu3Raluca Maria Aron4Razvan Cosmin Pana5Cristian Marius Marinas6Stefan Degeratu7Maria Sorop-Florea8Andreea Carp-Veliscu9Andreea Denisa Hodorog10Stefania Tudorache118th Department, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, RomaniaObstetrics and Gynecology Department, Emergency County Hospital, 200349 Craiova, Romania8th Department, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, RomaniaObstetrics and Gynecology Department, Emergency County Hospital, 200349 Craiova, RomaniaObstetrics and Gynecology Department, Emergency County Hospital, 200349 Craiova, Romania8th Department, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, RomaniaObstetrics and Gynecology Department, Emergency County Hospital, 200349 Craiova, RomaniaObstetrics and Gynecology Department, Targu-Jiu County Hospital, 210218 Targu-Jiu, RomaniaObstetrics and Gynecology Department, Targu-Jiu County Hospital, 210218 Targu-Jiu, RomaniaDepartment of Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, RomaniaObstetrics and Gynecology Department, Mioveni City Hospital, 115400 Mioveni, Romania8th Department, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania<i>Background and Objectives:</i> We aimed to prospectively obtain data on pregnancies complicated with intrauterine growth restriction (IUGR) in the Prenatal Diagnosis Unit of the Emergency County Hospital of Craiova. We collected the demographic data of mothers, the prenatal ultrasound (US) features, the intrapartum data, and the immediate postnatal data of newborns. We aimed to assess the detection rates of IUGR fetuses (the performance of the US in estimating the actual neonatal birth weight), to describe the prenatal care pattern in our unit, and to establish predictors for the number of total hospitalization days needed postnatally. <i>Materials and Methods:</i> Data were collected from cases diagnosed with IUGR undergoing prenatal care in our hospital. We compared the percentile of estimated fetal weight (EFW) using the Hadlock 4 technique with the percentile of weight at birth. We retrospectively performed a regression analysis to correlate the variables predicting the number of hospitalization days. <i>Results:</i> Data on 111 women were processed during the period of 1 September 2019–1 September 2022. We confirmed the significant differences in US features between early- (Eo) and late-onset (Lo) IUGR cases. The detection rates were higher if the EFW was lower, and Eo-IUGR was associated with a higher number of US scans. We obtained a mathematical formula for estimating the total number of hospitalization days needed postnatally. <i>Conclusion:</i> Early- and late-onset IUGR have different US features prenatally and different postnatal outcomes. If the US EFW percentile is lower, a prenatal diagnosis is more likely to be made, and a closer follow-up is offered in our hospital. The total number of hospitalization days may be predicted using intrapartum and immediate postnatal data in both groups, having the potential to optimize the final financial costs and to organize the neonatal department efficiently.https://www.mdpi.com/1648-9144/59/4/773early-onset intrauterine growth restrictionlate-onset intrauterine growth restrictionultrasoundestimated fetal weighttertiary care centerprenatal care |
| spellingShingle | Marina Dinu Andreea Florentina Stancioi-Cismaru Mihaela Gheonea Elinor Dumitru Luciu Raluca Maria Aron Razvan Cosmin Pana Cristian Marius Marinas Stefan Degeratu Maria Sorop-Florea Andreea Carp-Veliscu Andreea Denisa Hodorog Stefania Tudorache Intrauterine Growth Restriction—Prediction and Peripartum Data on Hospital Care Medicina early-onset intrauterine growth restriction late-onset intrauterine growth restriction ultrasound estimated fetal weight tertiary care center prenatal care |
| title | Intrauterine Growth Restriction—Prediction and Peripartum Data on Hospital Care |
| title_full | Intrauterine Growth Restriction—Prediction and Peripartum Data on Hospital Care |
| title_fullStr | Intrauterine Growth Restriction—Prediction and Peripartum Data on Hospital Care |
| title_full_unstemmed | Intrauterine Growth Restriction—Prediction and Peripartum Data on Hospital Care |
| title_short | Intrauterine Growth Restriction—Prediction and Peripartum Data on Hospital Care |
| title_sort | intrauterine growth restriction prediction and peripartum data on hospital care |
| topic | early-onset intrauterine growth restriction late-onset intrauterine growth restriction ultrasound estimated fetal weight tertiary care center prenatal care |
| url | https://www.mdpi.com/1648-9144/59/4/773 |
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