Impact of customized growth curves on screening for small for gestational age twins

Cordiez, Sophie; Deruelle, Philippe; Drumez, Elodie; Bodart, Sophie; Subtil, Damien; Debarge, Veronique; Garabedian, Charles

Document type :

Article dans une revue scientifique: Article original

DOI :

10.1016/j.ejogrb.2017.06.001

PMID :

28600918

Permalink :

http://hdl.handle.net/20.500.12210/18189

Title :

Impact of customized growth curves on screening for small for gestational age twins

Author(s) :

Cordiez, Sophie [Auteur]
Deruelle, Philippe [Auteur]
Drumez, Elodie [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Bodart, Sophie [Auteur]
Subtil, Damien [Auteur]

Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Debarge, Veronique [Auteur]
Environnement périnatal et croissance - EA 4489 [EPS]
Garabedian, Charles [Auteur]

Journal title :

European journal of obstetrics, gynecology, and reproductive biology

Abbreviated title :

Eur. J. Obstet. Gynecol. Reprod. Biol.

Volume number :

215

Pages :

28-32

Publication date :

2017-08-01

ISSN :

0301-2115

English keyword(s) :

Growth curves
Small for gestational age
Screening
Neonatal outcome
Twin pregnancies

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

OBJECTIVE: The choice of a growth curve determines the screening for small-for-gestational-age (SGA) fetuses and little data is available on SGA twins. Our aim was to evaluate small-for-gestational-age (SGA) detection rate ...
Show more >OBJECTIVE: The choice of a growth curve determines the screening for small-for-gestational-age (SGA) fetuses and little data is available on SGA twins. Our aim was to evaluate small-for-gestational-age (SGA) detection rate in twin pregnancies and assess whether the use of a customized curve allowed better identification of SGA fetuses. METHODS: Retrospective study including all twins between 2010 and 2013. Two groups were formed: the SGA and the non-SGA group. Four curves were compared: Hadlock's curve, a customized curve, EPOPé M0 and EPOPé M1. We defined a composite neonatal complication criterion (transfer to intensive care unit, respiratory distress and death). RESULTS: 472 fetuses were included with a 34.3% prevalence of SGA. Hadlock's curve showed better sensitivity for the detection of SGA <10th percentile (67.3% vs. 63%, 59.9% and 57.4% respectively). Diagnostic Odd Ratio were comparable for the detection of SGA. For the composite variable, there was a significant difference between the 2 groups using a customized curve adjusted for fetal sex (EPOPé M1). CONCLUSIONS: The EPOPé (M0 and M1) and customized curves do not improve screening for SGA infants below the 10th percentile. The reduced effectiveness of customized curves can be related to the greater impact of placentation or cord insertion on the potential for fetal growth.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Université de Lille

Collections :

Submission date :

2020-02-11T09:07:30Z
2021-05-17T07:21:06Z

Version	Link	Modification date
2	20.500.12210/18189*	2021-05-17T07:19:30Z
1	20.500.12210/18189.1	2020-02-11T09:07:30Z

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